The Research Consortium on Religious Healthcare Institutions: studying the impact of religious restrictions on women's reproductive health.

Catholic hospitals and other religious institutions are a large and growing part of the US health care system. They have specific policies restricting reproductive health care. Despite increased public attention in the media to women denied necessary pregnancy-related care at Catholic hospitals, research on the effects of religious restrictions remains limited. This article summarizes research priorities as generated by 80 attendees at the inaugural meeting of the Research Consortium on Religious Healthcare Institutions. Such research is need to understand the impact of religious health system ownership on women's health.

Religious health care as community benefit: social contract, covenant, or common good?

The public responsibilities of nonprofit hospitals have been contested since the advent of the 1969 community benefit standard. The distance between the standard's legal language and its implementation has grown so large that the Internal Revenue Service issued a new reporting form for 2008 that is modeled on the Catholic Health Association's guidelines for its member hospitals. This article analyzes the appearance of an emerging moral consensus about community benefits to argue against a strict charity care mandate and in favor of directing efficient care delivery and healthy community initiatives to underserved populations. The analysis turns on three moral conceptions of community benefits, the social contract model of hospital critics and the common good and covenantal models of Catholic and Jewish hospitals.

[Evolution of the hospital institutions of Brussels and the progressive individualization of the departments of obstetrics]. / L'évolution des institutions hospitalères bruxelloises et l'individualisation progressive des services d'obstétrique.

The origin of Brussels hospitals goes back to the XIIth century when several institutions created by the Church were only aimed at lodging poor pilgrims. The evolution from ecclesiastic management to municipal direction ended up in the establishment of two main public hospitals devoted to health care : Saint-Jean and Saint-Pierre. The latter, founded under Austrian rule and associated from the start with clinical teaching, gained therefore a prominent position. In 1834, it became a university hospital thanks to an agreement between the recently founded Free University of Brussels and the municipal health authorities. Finally, the administration of the main university clinical infrastructure was totally taken over by the University and moved to the newly erected Erasmus Hospital together with all faculty buildings. Development of the Brussels Maternity occurred rather slowly and underwent several location changes because of varying general politics as well as for sanitary reasons of hygiene. It was not before the XXth century that obstetrical practice progressively shifted from the private domiciliary sphere at the hands of midwives, to the hospital environment and medical control as is the case today.