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2004, Vesalius : acta internationales historiae medicinae
New Zealand was discovered by Captain Cook in 1769. Over the next ninety years, increasing numbers of medical practitioners visited and began to settle in what became a British colony. The first medical visitors were usually naval surgeons or served on board whaling ships. The major influx of doctors occurred at the behest of the New Zealand Company between 1840 and 1848, although Christian missionaries, army doctors, and individual medical entrepreneurs also emigrated and provided services. This paper describes the pattern of medical settlement in the colony's earliest years and relates this to the health of the population and the development of medical and hospital services.
2010
This thesis examines health care in colonial New Zealand and sets about identifying and recognising the care which was given by women in their homes and communities. Based around four dominant etiological theories of the nineteenth century it explores the introduction, application and adaptation of medical knowledge in New Zealand. iii ACKNOWLEDGEMENTS I would like to thank my supervisor Dr. Judith Macdonald for her support, guidance and good humour and the Anthropology Department, especially Dr. Michael Goldsmith, for welcoming me into the faculty. Thanks to Janice Smith for her absolute dependability and ready smile and to all the staff at Waikato University who have assisted and supported me up till now. I would like to acknowledge and thank the University of Waikato and The Faculty of Arts and Social Sciences for their financial support and recognition. Many thanks to my friends and family for listening to me and maintaining complete faith in my abilities. Special thanks to Stan for his invaluable editing skills and to Lindsey and Shelley for the constant support and insightful conversation. Thank you Marcus for the frequent reality checks and motivation. iv
This article draws on both published and unpublished private family writing to examine how European settler colonial families in southeastern Australia and New Zealand negotiated worlds of sickness and health between 1850 and 1910. It argues that personal writing is a neglected yet rich repository for shedding light on colonial cultures of health across families and households in colonial Australia and New Zealand. In examining challenges to well-being and gendered lay health care practices inside domestic spaces, we glimpse more than worlds of health and treatment. Through their management of health and illness in private domestic spaces, the sense of well-being colonial families created for their members tells us something both about their emotional lives and cultures of colonialism.
Bulletin of the History of Medicine, 2001
The New Zealand journal of history, 1988
WOMEN entered New Zealand medicine with little fuss and few impediments. Eliza Frikart's registration in 1893 went unnoticed and has since been all but forgotten. Frikart's brief New Zealand career as an advertising doctor peddling abortefacients did little to hinder the path of the better known figures of Margaret Cruikshank and Emily Siedeberg who followed her later in the decade. Yet, having penetrated the profession and soon comprising around 10% of new registrations, women remained at this level until well after the introduction of social security, their numbers rising only temporarily as a result of the Great War. By 1941 women made up 8.6% of all those doctors registered since 1867 but despite their late start were still only 10.3% of that year's registrations.' Women were also far less successful in achieving the high incomes medicine offered their male colleagues. 2 With a few exceptions, the comparatively large number of women in the Health Department remained at its lower levels. In a profession where full-time private practice with an honorary hospital appointment was the confirmation of professional accomplishment, women were more likely to be salaried and part-time. While a few gained positions as visiting consultants these were usually in less fashionable specialities. Surgery, which offered the highest incomes, remained a gentlemen's club. Still, in medicine, compared with other high status, high income professions, women were well represented. 3 In 1936 there were 83 women doctors, two women school inspectors, fourteen dentists, four architects and no university professors. 4 Why were the barriers preventing women from entering the medical profession so much more easily overcome than were the more subtle obstructions which frustrated women from competing in the medical economy on an equal footing with their male colleagues? While the New Zealand situation was similar to that of other societies, the relatively small size of the New Zealand profession allows a view of the experience of all women doctors rather than just of those whose strength of character, determination and good fortune allowed them to become successful medical practitioners. 5 Women became doctors, as they became teachers, because medicine, like education, was compatible with current stereotypes of women's role in society. The terms 'lady doctor' and 'medical man' were more than simple labels: they carried with them much of the sexual ideology of Victorian respectability. 'Medical man' was commonly used to denote the medical practitioner as entrepreneur. Whenever the profession as a whole described doctors as actively engaged in the medical economy-developing practices, or pursuing their careers-it tended to make the doctor masculine. 'Lady doctor', on the other hand, had very different connotations. The term implied that women doctors remained 'ladies', and as such continued to fulfil social roles consistent with late nineteenth-century norms of behaviour acceptable for middle-class women. Many values attributed to this feminine mystique were also part of the developing professional ethos. Doctors, too, were advancing themselves as compassionate, serving healers, more concerned with preventing suffering than amassing fortunes. In return for being accepted, even in a limited role, women lent medicine the virtues of their sex. Doris Gordon's professional and political role was, for instance, that of a pragmatic defender of the private practice economy in midwifery, but she was able to present herself as no more than a dedicated woman 'fired with a compelling ambition to serve as a medical missionary, a decision which later circumstances altered to service for country mothers'. 6 Nonetheless, precisely because feminine virtues contrasted with the masculine economic and scientific characteristics of the 'medical man', women doctors, once over the considerable hurdle of getting a medical education, then faced even more challenging obstacles to professional equality within the medical marketplace. New Zealand women were saved the political battles over entry into medical schools and the right to registration and academic qualifications
2003
Health Department folklore since the 1950s has attributed the rise of health education in New Zealand almost entirely to the efforts of one man, 'Radio Doctor' Harold Turbott. The historical evidence reveals, however, a more extensive commitment by the Health Department, dating back to its foundation in 1900. This paper examines the evolution of health education in New Zealand and concludes that Turbott's role in its development has been overstated, largely at his own instigation.
This research examines the extent to which hospital buildings reflect changing approaches to medical treatment in the nineteenth and early twentieth centuries. It uses Ashburton hospital as a case study, covering its initial construction in 1880, through subsequent periods of additions and remodelling up until the present day. The focus here is on four of the oldest buildings, and both historical information and buildings archaeology recording are used to define a room-by-room sequence of construction and modification events. Each event is analysed for attributes that reflect change over time at the hospital. The findings produced here are paired against evolving medical understanding and wider concepts of hospital building change to place Ashburton hospital within a global framework.
2016
PROEFSCHRIFT ter verkrijging van de graad van doctor aan de Universiteit Maastricht op gezag van de Rector Magnificus, Prof. dr. Rianne M. Letschert volgens het besluit van het College van Decanen in het openbaar te verdedigen op donderdag 29 september 2016 om 14:00 uur door Sjoerd Zondervan CONTENTS Acknowledgements Preface 1 INTRODUCTION Historiography of health care Historiography of hospitals Primary Objective Conceptual framework Civil Hospitals in colonial times in the Netherlands Indies Description of the object Periodicity of the object Geography object Database Arrangement of chapters Personnel Distribution and capacity military hospitals Architecture Research and education The impact of the military hospitals in the Netherlands Indies General hospitals for civilians Public general hospitals Personnel Patients Finances Architecture Leprosy institutions Eye hospitals Sanatoria for tuberculosis Balance After May 1940: War time and occupation May 1940 and the German occupation The Japanese occupation March 1942 Summary 7 REFLECTIONS ON THE RISE OF A HOSPITAL SYSTEM Hospital system: Naissance and development Evaluation Answering questions Initiators hospitals: Who and why? Establishment of hospitals: Where and when? Characteristics of design and organization May we speak of a medical market? May we speak of a hospital system? Outcome: a decentralized system of private and public hospitals APPENDICES SOURCES AND LITERATURE CURRICULUM VITAE LIST OF FIGURES AND TABLES 251 GLOSSARY ABBREVIATIONS The introduction of Western health care in Indonesia took place about four centuries ago, when the Vereenigde Oostindische Compagnie (VOC) founded a hospital "voornamelijk voor schepelingen", the sailors´ hospital. 6 Since then hospitals continued their presence in SouthEast Asia for different target groups, starting with care and treatment for the military and for the VOC personnel, mainly Europeans. In 1942, all racial communities on Java and the Outer Provinces benefited from these services, including: Javanese, Chinese, Soendanese and Moluccans. And so did the social classes of planters, coolies, civil servants, peasants and others. In this book, an account is given of nearly all the hospitals that succeeded the sail-ors´ hospital during Dutch rule in Indonesia. At the beginning of the 1940s, more than 600 hospitals provided in Indonesian health care, an achievement paved with successes and failures. The actors who started initiatives often encountered major problems. These varied from counteraction of local rulers or priests, lack of finances, problems of staffing and most frustrating: the disinclination of the native population to make use of their services. It took quite a while, before the ordinary people of the Netherlands Indies voluntarily applied for admission to hospital services. They had depended upon their traditional healers and felt no inclination to change and undergo treatment by Western practitioners. This reluctance may also have been due to bad experiences with Western medicine. From the start of the Dutch presence in the archipelago, the population witnessed a high mortality among Europeans, which could be noticed by crowded churchyards, often close to hospital grounds. No doubt, this did not encourage use of Western health care. But whatever the other reasons may have been, it took 300 years before the population more or less voluntarily submitted to the health services of Western doctors and nurses and took recourse to Western hospitals. This same reluctance to use Western medicine and its institutions, could be found in the countryside and in the cities of the European continent. Not only rural communities, but also city-dwellers continued to rely on traditional medicine at the turn of the 19 th century. 7 This book describes the development of the modern type of hospitals in the period 1890-1942. This time span has not been chosen arbitrarily. The starting point of this research is centred around the birth of the modern hospital, which began towards the end of the 19th century in Europe and the United States. The year 1942 coincides with the Japanese invasion, which actually led to the end of the colonial era. 8 The hospital organization gradually developed into a working place in which well-educated employees applied modern scientific views and medical technology and offered treatment. In the 20 th century, hospital treatment extended to all classes of patients. This development did not 6 VOC: Verenigde Oost-Indische Compagnie (Dutch East India Company) 7 J.A. Verdoorn, Het Gezondheidswezen te Amsterdam in de 19 e eeuw (Nijmegen 1981) 338-362. Transl.: The Health care system in Amsterdam 8 For some European countries (France, Great Britain) it took place at an earlier stage. 21 Houwaart, "De ontwikkeling van het ziekenhuis in de moderne tijd", 245-252. 22 In the Bijblad bij het Staatsblad (Annex to the Statute Book) no. 5852 of 31st March 1903 a detailed model for a 120 beds Inlandsche ziekeninrichting (Indigenous hospital) is designed. 23 Elsewhere (David Landey) Sigerist is quoted as one of the pioneers of medical anthropology.
Bulletin of the History of Medicine, 2006
divcom.otago.ac.nz
All 200 medical students who graduated from Otago medical school in 1975 were sent a questionnaire covering their schooling, attitudes to medicine and their current occupation and leisure activities. The addresses for these questionnaires were obtained from the Medical Council of New Zealand database of registered medical practitioners.
Anaesthesia and intensive care, 2009
In taking 1960 as the foundation year for the practice of intensive care medicine in New Zealand, this paper briefly looks into the previous two centuries for some interventions in life-threatening conditions. With the help of descriptions in early 19th century journals and books by perceptive observers, the author focuses on some beliefs and practices of the Maori people during pre-European and later times, as well as aspects of medical treatment in New Zealand for early settlers and their descendents. Dr Laurie Gluckman's book Tangiwai has proved a valuable resource for New Zealand's medical history prior to 1860, while the recent publication of his findings from the examination of coroners' records for Auckland, 1841 to 1864, has been helpful. Drowning is highlighted as a common cause of accidental death, and consideration is given to alcohol as a factor. Following the 1893 foundation of the New Zealand Medical Journal, a limited number of its papers which are histori...
Journal of primary health care, 2017
From 2012 to 2014, 18 New Zealand general and rural medical practitioners worked in the Cook Islands on a visiting programme to achieve the following objectives: (1) assess and assist with the capacity of the Cook Islands medical workforce; (2) assist with the infrastructure to improve clinical records and audit; (3) assist with developing a General Practice training programme for the Cook Islands; and (4) develop a training post for the Division of Rural Hospital Medicine in the Cook Islands. Each visiting doctor spent a minimum of 4 weeks in the Cook Islands. This study presents the results of a questionnaire undertaken to evaluate their experiences. There were challenges, but for most, the experience was overwhelmingly positive. There were synergies with rural practice in New Zealand. Working alongside local clinicians and being immersed in the Cook Islands health system led to better understanding of the Cook Islands perspective of rural and remote medicine. The findings provide...
Journal of Public Health, 1996
Medical History, 1996
Environment and History, 2008
A fruitful new area of environmental history research can be undertaken on the relationship between plants and health in colonial societies. By using New Zealand as a case study, I demonstrate the strength of settler beliefs in the connections between existing environments, environmental transformation, and their own health. I attempt to reconnect the historiographies of medical and environmental history by arguing that urban settlements - as much as rural areas - were important sites for debates about environmental change and human health. I adopt a broad perspective in order to sketch out the contours of a new field, demonstrating the complicated connections between health, aesthetic appreciation, medicine and garden history. Furthermore, I argue that many environmental-health ideas associated with miasmic theories became incorporated into the microbial 'revolution' taking place from the late nineteenth century. Finally, I note that a close study of settler environmental-h...
Australasian Historical Archaeology, 2012
Medical History, 1963
THE discovery of America afforded the European nations vast opportunities for conquest and colonization, but two great powers among them, Spain and England, were foremost in taking up this challenge. Although both nations apparently had a similar background ofwestern culture, it must be remembered that their systems ofcolonization were rooted in different religious and political philosophies, and that the state of medical science in those two countries varied according to their political development. Historical analysis seems to indicate that the transfer of European medicine into America during the centuries of colonial administration was influenced more by religious and political factors than by the advanced level of medicine in the colonizing power, and, furthermore, that until the end of the eighteenth century, medicine in America depended almost entirely on European initiative, although it was adapted to the peculiar circumstances of the area.
Sir Frederic Truby King's work at Seacliff Asylum in New Zealand, between 1889 and 1922, illustrates a prominent role of agriculture in relationship to human health and the environment. King utilized farming practices, a rural setting, occupational therapy, dietary changes and moves towards self-sufficiency as examples of asylum management practices, but these also ensured patient health and well-being. In this article, we analyze King's practices at Seacliff as a genealogical precursor to today's green care and care farming movements.
2014
The main medicopolitical struggle was with the mutualaid friendly societies, which funded basic medical care for a signifi cant proportion of the population until well into the 20th century. The organised profession set out to overcome the power of the lay-controlled societies in imposing an unacceptable contract system on doctors, even if, historically, the guaranteed income was a sine qua non of practice in poorer areas. In this supplement, all the articles except this one focus on the period from about 1900, when modern scientifi c medicine came into its own in Australia. Here, I provide an overview of medicine in colonial Australia, as well as background to the post-1900 articles. For reasons of space, I confi ne my account of the period after about 1850 to the colonies of New South Wales, Victoria and South Australia, where the new university medical schools were located. I do not cover psychiatry because in the period under consideration it was almost exclusively practised i...
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