Hôtel-Dieu de Paris
|Hotel Dieu de Paris|
|Lists||Hospitals in France|
The Hôtel-Dieu de Paris (French pronunciation: [ɔtɛl djø də paʁi]) is regarded as the oldest hospital in the city of Paris, France, and is the most central of the Assistance publique - hôpitaux de Paris (AP-HP) hospitals. The hospital is linked to the Faculté de Médecine Paris-Descartes. It still resides on the left bank of the Île de la Cité, next to Notre-Dame where the facility was originally built between the 7th and 17th centuries, with two buildings being linked by the pont au Double. Although the facility has been ravaged by disastrous fires on several occasions, the hospital remains in existence today (the current architecture dates back to 1877). As a symbol of charity and hospitality, it was the first hospital in Paris until the Renaissance.
The history of Parisian hospitals dates from the Middle Ages. Poverty was widespread during that period, and the Hôtel-Dieu became an opportunity for many of the bourgeois and nobility to come to its aid. Their efforts allowed the construction of the Hôpital de la Charité, which linked piety and medical care. Like many hospitals of that era, it started as a general institution catering for the poor and sick, offering food and shelter in addition to medical care. The creation of the Hôtel-Dieu continued this tradition of charity up until the 19th century, despite being called into question during the centuries which followed.
In the 16th century the Hôtel-Dieu faced a financial crisis, as it was only financed by help, subsidies or privileges. This brought about the creation in 1505 of a council of laymen governors: the Presidents of Parliament, the Chambre des Comptes, the Cour des Aides and the Prévôt des Marchands. The state progressively intervened, firstly by the intermediary of the Lieutenant Général de Police, member of the Bureau de l’Hôtel-Dieu de Paris (Bureau for the Hôtel-Dieu in Paris) in 1690, then by the intermediary of Jacques Necker, who created the roles of Inspecteur général des hôpitaux civils et des maisons de force (General Inspector for civil hospitals and jails) and Commissaire du roi pour tout ce qui a trait aux hôpitaux (Royal Commissioner for all that relates to hospitals).
During this period, the image of the poor changed. The 17th century elite created establishments to house the poor. Hospitals thus took the name of "Hôpital Général" (General hospital) or "Hôpital d'enfermement" (Asylum), of which the Hôtel-Dieu was one.
In parallel to her husband's work on the management of hospitals, Madame Necker progressively modified the symbolism of hospitals: from charity to benevolence. In addition, the ideas advocated by the Siècle des Lumières allowed reflection on hospitals. However it was not until the end of the 18th century that hospitals became a "curing machine", where the patient is treated and leaves cured. It was nevertheless not until the 19th century that hospitals became a place of practicing medicine and science, but also, a place for teaching and medical research.
In 1801, the Parisian hospitals adopted a new administrative framework: the Conseil général des hôpitaux et hospices civils de Paris (General Council for Parisian hospitals and civil hospices). This willingness to improve management brought about the creation of new services: the Bureau d'admission (Admissions office) and the Pharmacie centrale (Central Pharmacy).
Secondly, during this period, the Hôtel-Dieu advocated the practice of vaccination. The Duc de La Rochefoucauld-Liancourt was a fervent supporter of this. Similarly, the discoveries of René-Théophile-Hyacinthe Laennec permitted the refinement of methods of diagnosis, osculation, and aetiology of illnesses.
Faced with this development of medicine, the Hôtel-Dieu was unable to cope. It was for this reason that new Parisian hospitals appeared, each specialising in one or several clinical specialties. The Hôpital Saint-Louis became a large centre for the study and treatment of dermatology and the Hôpital Pitié-Salpêtrière became a centre for the study and treatment of the central nervous system and geriatrics. Progressively, each hospital developed its own centre of paediatrics.
It was not until 1908 that the Augustinian nuns left the Hôtel-Dieu for good.
Role within the Parisian healthcare system
For the last 50 years has been home to the diabetes and endocrine illnesses clinical department. It deals almost exclusively with the screening, treatment and prevention of the complications associated with diabetes mellitus. It is also a referral service for hypoglycemia. Oriented towards informating the patient (therapeutic education) and technological innovation, it offers a large choice of care facilities for all levels of complications. It is also at the forefront of research in diabetes in areas such as new insulins and new drugs, effects of nutrition, external and implanted pumps, glucose sensors and artificial pancreas.
Notable physicians, researchers, and surgeons who practised at the hospital include Forlenze, Bichat, Dupuytren, Hartmann, Desault, Récamier, Cholmen, Dieulafoy, Trousseau, Ambroise Paré, Marc Tiffeneau, among other notable figures.
- "Hotel Dieu". London Science Museum. Retrieved 2009-09-14.
- Radcliff, Walter. Milestones in Midwifery and the Secret Instrument. Norman Publishing.
- Fosseyeux, Marcel. "L'Hôtel-Dieu de Paris au XVII et au XVIIIe siècle" (in French). Berger-Levrault.
- "AP-HP Hôtel-Dieu official site" (in French).
- Official site (in French)
- Hotel Hospital Dieu concepção artística do East Villa Graphics Jun. 2012
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