Published 18 March 2009, doi:10.1136/bmj.b1080
Cite this as: BMJ 2009;338:b1080

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A Reformation for our times

Joanne Shaw, chair, NHS Direct NHS Trust

joanne.shaw@healthstrategy.org

The first 150 words of the full text of this article appear below.

We are experiencing a healthcare reformation. Traditional paternalistic relationships between patients and doctors are being undermined in much the same way as the religious Reformation of the 16th century empowered the laity and threatened the 1000 year old hierarchy of the Catholic church in Europe. The Reformation had irreversible consequences for Western society; the implications of the healthcare reformation could also be profound.

Before Martin Luther it was the custom for everyone in Catholic Europe to attend church at least weekly. Although church going was an essential part of everyday life, lay people could not participate in services in any meaningful way. Services were held in Latin, not the local language. Bibles were objects of great beauty, hand written by highly skilled craftsmen in monasteries, enormously expensive—and only available in Latin. Nearly all copies of the Bible remained in the hands of monks and priests.

An educated priesthood was seen . . . [Full text of this article]


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