Noble Vanessa, Parle Julie
Med Hist. 2014 Apr;58(2):188-209. doi: 10.1017/mdh.2014.10.
For more than a century, McCord Hospital, a partly private and partly state-subsidised mission hospital has provided affordable health-care services, as well as work and professional training opportunities for thousands of people in Durban, a city on the east coast of South Africa. This article focuses on one important aspect of the hospital's longevity and particular character, or 'organisational culture': the ethos of a 'McCord Family', integral to which were faith and a commitment to service. While recognising that families - including 'hospital families' like that at McCord - are contentious social constructs, with deeply embedded hierarchies and inequalities based on race, class and gender, we also consider however how the notion of 'a McCord family' was experienced and shared in complex ways. Indeed, during the twentieth century, this ethos was avidly promoted by the hospital's founders and managers and by a wide variety of employees and trainees. It also extended to people at a far geographical remove from Durban. Moreover, this ethos became so powerful that many patients felt that it shaped their convalescence experience positively. This article considers how this 'family ethos' was constructed and what made it so attractive to this hospital's staff, trainees and patients. Furthermore, we consider what 'work' it did for this mission hospital, especially in promoting bonds of multi-racial unity in the contexts of segregation and apartheid society. More broadly, it suggests that critical histories of the ways in which individuals, hospitals, faith and 'families' intersect may be of value for the future of hospitals as well as of interest in their past.
一个多世纪以来,麦考德医院作为一家半私立、半由国家补贴的教会医院,一直为南非东海岸城市德班的数千人提供负担得起的医疗服务,以及工作和专业培训机会。本文聚焦于该医院长久存续及其独特特质(即“组织文化”)的一个重要方面:“麦考德大家庭”的精神气质,其中信仰和服务承诺是不可或缺的组成部分。虽然认识到家庭——包括麦考德这样的“医院大家庭”——是有争议的社会建构,有着基于种族、阶级和性别的根深蒂固的等级制度和不平等现象,但我们也思考“麦考德大家庭”的概念是如何以复杂的方式被体验和共享的。事实上,在20世纪,这种精神气质得到了医院创始人和管理者以及众多员工和学员的积极推广。它还延伸到了距离德班很远的地方的人们。此外,这种精神气质变得如此强大,以至于许多患者觉得它对他们的康复体验产生了积极影响。本文探讨了这种“家庭精神气质”是如何构建的,以及是什么使其对这家医院的员工、学员和患者具有如此大的吸引力。此外,我们思考它为这家教会医院做了什么“工作”,尤其是在种族隔离社会的背景下促进多种族团结的纽带方面。更广泛地说,它表明,关于个人、医院、信仰和“家庭”如何相互交织的批判性历史,可能对医院的未来有价值,同时也有助于人们对其过去产生兴趣。