LE CONSEIL GÉNÉRAL D'ADMINISTRATION DES HOSPICES CIVILS DE PARIS : Science d’administration des hôpitaux et médecine clinique (1801-1832)

Abstract : This Ph.D. Thesis aims at bringing to light a part of clinical medicine's genealogy, through an original and forgotten institution: the Conseil Général d'Administration des Hospices Civils de Paris. Designed by the préfet of the Seine department and the Interior ministry, this institution – direct ancestor of the Assistance Publique-Hôpitaux de Paris – is the first one to rule the whole welfare scheme of the city (i.e. hospitals, hospices, home relief, orphanage), from 1801 to 1848. However, no academic work has ever been dedicated to it, even though the hospitals it was in charge of harboured at this very period one of the most famous – and commented – moment of clinical medicine. The first objective here is to fill an historiographic deficiency, and to situate the institution within its own political and administrative context, thus revealing one of the many aspects through which the political power commits itself to health and medicine. The second and third chapters deal with crucial convergences, or points of agreement, between medicine and administration, which allowed hospitals to become the primary place for clinical medicine. The careful examination of the “conditions of possibility” of this process of “medicalisation” shows the epistemological importance of its administrative dimensions. At an inter-hospital level (population sorting, setting of specialised facilities) as well as an intra-hospital one (practice guidelines, scriptural instruments, means of patients surveillance and monitoring), clinical medicine and administration borrowed one another's tools and processes, ending up in constructing together a shared object: the hospital for the sick patient.
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Submitted on : Thursday, September 7, 2017 - 3:05:50 PM
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Antoine Ermakoff. LE CONSEIL GÉNÉRAL D'ADMINISTRATION DES HOSPICES CIVILS DE PARIS : Science d’administration des hôpitaux et médecine clinique (1801-1832). Histoire, Philosophie et Sociologie des sciences. Université Paris 7 - Denis Diderot, 2012. Français. ⟨tel-01583542⟩

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