HLSC 2P21 Lecture Notes - Lecture 5: Bethlem Royal Hospital, Neoliberalism, Health Promotion

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1 in 8 to one in 10 people are employed (in some respect) by the medical industrial complex. Food services, janitorial services etc in a hospital as well as the administration staff, comprise the medical industrial industry. It is based on both, publicly funded as well as private institutions. Involves a lot of different professions that work together toward the health care delivery. Evolution of the social organization of health care: bedside medicine. Physicians used to treat at patients homes. People would have live-in nurses and doctors would come to visit them. As care became more complex and expensive, we transitioned to the idea of hospital care: hospital medicine. This realigned the focus from the person to the organs. Hospitals were places where people went as a last resort, to die. Now, hospitals are places where people go to be cured.

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