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Payment and philanthropy in British healthcare, 1918–48

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ISBN: 9781526114358 Year: Language: English
Publisher: Manchester University Press Grant: Wellcome Trust
Subject: Medicine (General) --- History
Added to DOAB on : 2017-02-17 11:01:15
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"There were only three decades in British history when it was the norm for patients to pay the hospital; those between the end of the First World War and the establishment of the National Health Service in 1948. At a time when payment is claiming a greater place than ever before within the NHS, this book uses a case study of the wealthy southern city of Bristol as the starting point for the first in-depth investigation of the workings, scale and meaning of payment in British hospitals before the NHS. Payment and philanthropy in British healthcare, 1918-48 questions what it meant to be asked to contribute financially to the hospital by the medical social worker, known then as the Lady Almoner, or to subscribe to a pseudo-insurance hospital contributory scheme. It challenges the false assumption that middle-class paying patients crowded out the sick poor. Hopes and fears, at the time and since, that this would have an empowering or democratising effect or that commercial medicine would bring about the end of medical charity, were all wide of the mark. In fact, payment and philanthropy found a surprisingly traditional accommodation, which ensured the rise of universal healthcare was mitigated and mediated by long-standing class distinctions while financial contribution became a new marker of good citizenship. Anyone interested in these changing notions of citizenship, charity and money, as well as the hospital as a social institution within the community in early twentieth-century Britain, will find this book a valuable companion."

Health Care and Government Policy

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ISBN: 9791036534553 DOI: 10.4000/books.cidehus.8271 Language: English
Publisher: Publicações do Cidehus
Subject: Political Science
Added to DOAB on : 2019-12-06 13:15:27
License: OpenEdition Licence for Books

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Government policy refers primarily to the actions planned and implemented by the executive branch of a state to meet its society’s needs. One of the most demanding areas both for policy makers and in terms of people’s expectations is health, which social analysts and historians place among the most dynamic sectors over the last century. This is the focus of this book. It includes examinations of two of the most pressing issues facing national healthcare services today – ‘Health systems at the stage of complexity: the need for collaborative intelligence’ by Constantino Sakellarides et al. and ‘Longer and better lives: the European fountain of youth’ by Patrice Bourdelais – alongside historical analyses covering both earlier periods – ‘Not just one countryside: life chances in pre-industrial Sweden’ by Jan Sundin and ‘Health care and poor relief in Portugal: an historical perspective’ by Laurinda Abreu – and more recent times – ‘The roots of the health reform in Spain’ by Enrique Perdiguero-Gil e Josep M. Comelles. As the authors in this volume show in detail, population growth and increased quality of life have been among the greatest achievements of the second half of the twentieth century, but they should not be taken for granted. The fragility of these gains has been demonstrated statistically. The state has to invest in the public policies that best protect its citizens, particularly at times of low economic growth such as we are now experiencing, and take preventive action to preclude major social and economic costs. Civil society plays no less important a role in protecting the greater good of social cohesion. In short, both state and civil society need to consider future health policy in such a way as to overcome the inefficiencies of the past and make full use of the opportunities offered by science and technology to improve people’s quality of life.

Managing diabetes, managing medicine

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Book Series: Social Histories of Medicine ISBN: 9781526113092 Year: Pages: 256 Language: English
Publisher: Manchester University Press Grant: Wellcome Trust - 100601/Z/12/Z
Subject: History --- Medicine (General)
Added to DOAB on : 2020-05-04 09:10:41
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Through a study of diabetes care in post-war Britain, this book is the first historical monograph to explore the emergence of managed medicine within the National Health Service. Much of the extant literature has cast the development of systems for structuring and reviewing clinical care as either a political imposition in pursuit of cost control or a professional reaction to state pressure. By contrast, Managing Diabetes, Managing Medicine argues that managerial medicine was a co-constructed venture between profession and state. Despite possessing diverse motives – and though clearly influenced by post-war Britain’s rapid political, technological, economic, and cultural changes – general practitioners (GPs), hospital specialists, national professional and patient bodies, a range of British government agencies, and influential international organisations were all integral to the creation of managerial systems in Britain. By focusing on changes within the management of a single disease at the forefront of broader developments, this book ties together innovations across varied sites at different scales of change, from the very local programmes of single towns to the debates of specialists and professional leaders in international fora. Drawing on a broad range of archival materials, published journals, and medical textbooks, as well as newspapers and oral histories, Managing Diabetes, Managing Medicine not only develops fresh insights into the history of managed healthcare, but also contributes to histories of the NHS, medical professionalism, and post-war government more broadly.

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