The routinization of hospice: Charisma and bureaucratization

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Abstract

In 25 years the number of hospices in Britain has multiplied from under 15 in 1965 to over 430 in 1991. During this period, often working out with the mainstream health system, the hospices actively sought to transform terminal care. More recently a process of diversification and legitimation has meant that hospices have become increasingly subject to mainstream influence. Using Webers concept of charisma we examine the development of the hospice movement during this period of expansion. We suggest there are a number of factors leading to the routinization of hospice care including the ways in which it was sponsored and developed at the local level, and pressures toward bureaucratization and professionalization. We make links with recent developments in the health services. Finally we consider whether it is possible for the hospice movement to sustain its founding ideals.

References (73)

  • I. Ilich

    Limits to Medicine

    (1975)
  • Zola I. Medicine as an institution of social control: the medicalising of society. Sociol. Rev. 20,...
  • H. Rose et al.

    Science and Society

    (1970)
  • Arney W. and Bergen B. The anomaly,the chronic patient and the play of medical power. Sociol. Hlth Illness 5,...
  • James N. Vision and system: the maturing of the hospices. In Death Duties (Edited by Morgan D. and Lee R.). RKP,...
  • D. Sudnow

    Passing On

    (1967)
  • R. Veatch

    Death, Dying and the Biological Revolution

    (1976)
  • B.D. Cohen

    Karen Ann Quinlan: Dying in an Age of Eternal Life

    (1976)
  • J. Glover

    Causing Death and Saving Lives

    (1977)
  • W. Sackett

    Death with Dignity

    Med. Opin. Rev.

    (1965)
  • Marie Curie Memorial Foundation

    Forty Years of Caring, An Anniversary Publication

    (1988)
  • P. Townsend

    The Last Refuge

    (1962)
  • J.H. Sheldon

    Report to the Birmingham Regional Hospital Board on its Geriatric Services

    (1961)
  • R. Lam

    Who is concerned about the right to die with dignity? a postal survey of Exit members

    (1981)
  • N. Smith

    Some conflicts and anomolies in terminal care movements

  • R. Fulton et al.

    Hospice in America

  • J. McIntosh

    Communication and Awareness on a Cancer Ward

    (1977)
  • R. Buckingham

    I Don't Know What to Say: How to Help and Support Someone who is Dying

    (1988)
  • R. Bendix

    Max Weber

    (1966)
  • S. Andreski

    Max Weber's Insights and Errors

    (1984)
  • R. Burbaker

    The Limits of Rationality

    (1984)
  • S. Du Boulay

    Cicely Saunders

    (1984)
  • P. DuBois

    The Hospice Way of Death

    (1980)
  • Time Magazine. Profile on Cicely Saunders 12.9.88, pp....
  • R. Hillier

    Terminal care in the United Kingdom

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