D'une médecine privée à un problème de santé publique : l'organisation de la lutte contre le cancer au Canada (1914-1950) - From Private Practice to Public Problem: the Organization of Cancer Control in Canada (1900-1950) / Charles Hayter. Dans "Histoire du cancer (1750-1950)", colloque international organisé par le laboratoire FRAMESPA (université Toulouse II-Le Mirail), l'Institut Claudius Regaud et le Centre d'Études d'Histoire de la Médecine. Toulouse : Université Toulouse II-Le Mirail, Institut Claudius Regaud, 20-22 janvier 2011. Thématique 3 : Institutionnalisation de la lutte contre le cancer (1914-1950), 22 janvier 2011.In Canada, as in other western countries, cancer treatment was increasingly institutionalized in the early decades of the twentieth century. A disease formerly treated close to patients’ homes became a condition necessitating admission to a specialized treatment facility -a “cancer clinic". The factors that led to institutionalization included the emergence of radiotherapy, the increasing authority of medical specialists, and the idea of cancer as a public health problem. By the late 1930s, nearly all provinces had some form of cancer control program which varied from radium departments in general hospitals to full-fledged programs such as Saskatchewan’s Cancer Commission. Despite these ventures, statistics consistently showed that the new cancer clinics claimed authority over less than 50% of incident cases. This paper will explore the factors which led to this inadequacy: chiefly, an over-emphasis on geographic centralization, and the resistance of a fiercely independent medical profession. Although their voices were seldom heard, it is likely as well that patients themselves were fearful of these new and less personal venues for care.> [La communication en anglais de M. Charles Hayter est traduite en simultané en français par Madame Solange Hibbs, directrice du Centre de Traduction, d'Interprétation et de Médiation linguistique (CETIM) de l'Université Toulouse II-Le Mirail].
Mot(s) clés libre(s) : cancer (thérapeutique), centres de lutte contre le cancer (Canada), lutte contre le cancer (1930-1940), politique sanitaire (centralisation), services de cancérologie (Canada)