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Patronage and health care in eighteenth-century Irish county infirmaries
Irish Historical Studies Pub Date : 2017-07-11 , DOI: 10.1017/ihs.2017.4
Pierce Grace

The creation of a network of county infirmaries was a remarkable achievement in late eighteenth-century Ireland. Supported by grants from parliament and the county grand juries, each hospital was managed by governors whose subscriptions entitled them to appoint the medical staff and decide on the patient population. While the laudable aim of the legislators was that the infirmaries would be ‘a means of restoring the health and preserving the lives of many’, the reality was quite different. In 1788 the prison reformer, John Howard, and the inspector general of prisons, Sir Jeremiah Fitzpatrick, delivered a damning report to parliament on the state of the county infirmaries. They described good care and governance in a minority of institutions, but most were in a very bad state; they noted decayed and broken buildings, dirty or no bedding, poor food, lack of regulation, financial malfeasance, few patients and absent staff. Based on their report, this paper argues that the county infirmaries benefited the governors and the staff considerably, and had little impact on the health of the nation. However, providing a hospital and trained medical professionals in every county was a significant step in the formation of the Irish institutional healthcare system.

中文翻译:

十八世纪爱尔兰县医院的赞助和医疗保健

在 18 世纪晚期的爱尔兰,建立县级医务室网络是一项了不起的成就。在议会和县大陪审团的资助下,每家医院都由州长管理,他们的订阅有权任命医务人员并决定患者人数。虽然立法者值得称赞的目标是医务室将成为“恢复健康和保护许多人生命的一种手段”,但现实情况却大不相同。1788 年,监狱改革者约翰·霍华德和监狱监察长杰里米·菲茨帕特里克爵士向议会提交了一份关于县医务室状况的诅咒报告。他们描述了少数机构的良好护理和治理,但大多数处于非常糟糕的状态;他们注意到腐烂和破碎的建筑物,肮脏或没有床上用品,糟糕的食物,缺乏监管、财务渎职、病人少、工作人员缺席。根据他们的报告,本文认为县卫生院使州长和工作人员受益匪浅,对国家的健康影响不大。然而,在每个县提供医院和训练有素的医疗专业人员是爱尔兰机构医疗保健系统形成的重要一步。
更新日期:2017-07-11
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