? ? This study extends the analysis of my book, Unlikely Entrepreneurs: Catholic Sisters and the Hospital Marketplace, 1865-1925, into the 20th century. The importance of the project lies in its historical approach to the vexed problem of the role that religion should (or should not) play in the American hospital marketplace. It will compare and contrast Catholic hospitals owned and operated by three religious congregations of women and one male order in the Northeast, Midwest, Southwest, and Far West. These include: the Sisters of Providence in the Pacific Northwest, a French-Canadian congregation; the Alexian Brothers in Chicago, who originated in Belgium and Germany as medieval lay mendicants; the Daughters of Charity in Texas, founded by the American-born Elizabeth Seton; and the Sisters of Mercy in the Eastern United States, who initially emigrated from Ireland.
The aim i s to complete a full-length book manuscript that will examine the problem of how Catholic hospitals were and are simultaneously religious and secular institutions. The book will consider the ways in which that paradox has manifested itself over the later 20th century. The project is especially significant since the Catholic Church is the nation's largest group of not-for-profit healthcare sponsors, systems, and facilities. Employing the framework of social and cultural history, this study examines the significant challenges Catholic hospitals encountered as marketplace values, modernization processes, shifts in religious consciousness, healthcare reform efforts, and federal regulation accelerated. How Catholic hospitals' historical dominance in the not-for-profit healthcare delivery system shaped the current healthcare system will also be a major focus. Through archival research and oral histories, the project will probe the diversity in hospital development according to region (place), race, ethnicity, and gender, while at the same time showing how Catholic hospitals developed a subculture that distinguished them from non-religious hospitals. It will provide a complex illustration of what it means for institutions to encounter drastic change and emerge with a new vision and community purpose. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Library of Medicine (NLM)
Type
Health Sciences Publication Support Awards (NLM) (G13)
Project #
1G13LM009691-01
Application #
7343509
Study Section
Special Emphasis Panel (ZLM1-ZH-P (O1))
Program Officer
Vanbiervliet, Alan
Project Start
2008-09-01
Project End
2011-08-31
Budget Start
2008-09-01
Budget End
2009-08-31
Support Year
1
Fiscal Year
2008
Total Cost
$75,917
Indirect Cost
Name
University of Pennsylvania
Department
Other Health Professions
Type
Schools of Nursing
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Kutney-Lee, Ann; Melendez-Torres, G J; McHugh, Matthew D et al. (2014) Distinct enough? A national examination of Catholic hospital affiliation and patient perceptions of care. Health Care Manage Rev 39:134-44
D'Antonio, Patricia; Connolly, Cynthia; Wall, Barbra Mann et al. (2010) Histories of nursing: The power and the possibilities. Nurs Outlook 58:207-13
Wall, Baprbra Mann (2010) Conflict and compromise: Catholic and public hospital partnerships. Nurs Hist Rev 18:100-17
Wall, Barbra Mann (2009) Religion and gender in a men's hospital and school of nursing, 1866-1969. Nurs Res 58:158-65
Wall, Barbra Mann (2009) Catholic nursing sisters and brothers and racial justice in mid-20th-century America. ANS Adv Nurs Sci 32:E81-93
Wall, Barbra Mann (2009) Catholic sister nurses in Selma, Alabama, 1940-1972. ANS Adv Nurs Sci 32:91-102