Patient Case Records In Medical And Family History: Examining The Records Of The Royal Free Hospital

The purpose of this article is to highlight the value and potential of patient case records as an historical source. Previous histories of the hospital (and of other healthcare providers more generally) have neglected to consider the patient. This is partly as a result of the 'history from above' approach of past histories which have focused on the founders and medical staff of such institutions and never on the people who were treated. During the early 1990s Porter called for the patient to be brought into the focus of medical history, and Risse and Warner drew attention to patient case records as a means of doing so. In the near twenty years which has passed since, however, patient records have still not been utilized by historians and the patient remains largely absent from history. By using the project 'Royal Free Hospital Patient Case Records' as a working example, this article will illustrate the benefits of using these records as a source as to patient identity, experience of medical treatment, use of the medical market, and life-cycle of individual, family, and community ill-health. The type of information the historian can extract from patient case records will be discussed and the example sampling method explained. The wider use and potential of patient records in history will then be considered and some practical advice given to help prepare historians to use such records to fill the void that is the history of the patient.