Medical Practice In Modern England

Medical Practice In Modern England

by Rosemary Stevens
     
 

ISBN-10: 0765809567

ISBN-13: 9780765809568

Pub. Date: 01/01/2003

Publisher: Transaction Publishers

Before World War II, the great majority of practicing doctors in England and Wales were general practitioners. They performed their own surgery, and were accustomed to treating a wide variety of illnesses and symptoms. Specialists were few in number, tended to practice in large towns, and were often associated with major hospitals. But rapidly changing medical

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Overview

Before World War II, the great majority of practicing doctors in England and Wales were general practitioners. They performed their own surgery, and were accustomed to treating a wide variety of illnesses and symptoms. Specialists were few in number, tended to practice in large towns, and were often associated with major hospitals. But rapidly changing medical institutions and services in the twentieth century have compelled specialization even among more modest doctors and hospitals. While medical specialization was not new-for centuries physicians were differentiated from surgeons-twentieth-century science and technology emphasized and accelerated this difference rapidly. Medical care began to shift from services rendered by the general practitioner to the employment of those doctors with a special interest-for example, pathology, neurology, or cardiology. Author Rosemary Stevens, an expert in public health, traces, especially within the last two centuries, the patterns of English medical practice, institutions, staffing, and training, and their influence on specialization, the British National Health Service Act, and post-World War II developments. Stevens discusses the ever-relevant issues of income determination, medical education, and the future of the general practitioner in an age of specialization. Along with its companion volume, Medical Practice in Modern England is a book that will be of lasting value to scholars of medicine, medical care organization, economics, and modern social history. It is of special importance at a time of crisis in the health care systems of many European Societies. "A fine book. Carefully constructed, factual, elaborately researched, gracefully written."-George A. Silver, M.D., professor emeritus of epidemiology and public health, Yale University. Rosemary Stevens is professor emeritus of history and sociology of science at the University of Pennsyvlania. Educated at Oxford, Yale, and Manchester, she has also taught at Yale University and Tulane University. She is the author of American Medicine and the Public Interest and In Sickness and in Wealth: American Hospitals in the Twentieth Century.

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Product Details

ISBN-13:
9780765809568
Publisher:
Transaction Publishers
Publication date:
01/01/2003
Edition description:
W/a New Introduction by the Author
Pages:
436
Product dimensions:
6.00(w) x 9.00(h) x 0.97(d)

Table of Contents

List of Tables
List of Figures
Introduction to the Transaction Edition
Preface
Introduction3
Pt. IThe Professional Background9
1Foundations of Modern Medical Practice 1700-185811
2Medical Practice 1858-191426
3Development of the Specialties 1914-193938
4Problems of Medical Practice in the Late 1930s53
Pt. IISpecialism, Generalism, and the National Health Service Act65
5The Design of a National Health Service67
6The Medical Profession and the Appointed Day80
7The Two Branches: Postwar Realignments 1948-195095
8Specialism and the Royal Colleges in the 1940s106
Pt. IIIEmerging Problems: The National Health Service 1948-1961125
9Determination of Incomes127
10Problems of Hospital Medical Staffing139
11Changes in General Practice: The Question of Status153
12The National Health Service as an Educational Structure169
Pt. IVThe Impact of the National Health Service on Medical Practice: The 1960s181
13Employment in the National Health Service183
14The Consultant, the National Health Service, and the Place of Private Practice197
15The Distinction Awards System212
16The Machinery of Planning and the Distribution of Doctors223
17Medical Manpower: Responsibility and Definition242
Pt. VThe Medical Profession257
18Professional Participation in the National Health Service Structure259
19The British Medical Association and the Royal Colleges270
20Professional Differences and Financial Differentials 1962-1964286
21Arbitration of Incomes: Substitute for Planning?301
Pt. VISpecialization: Problems at the Mid-1960s321
22Problems in Medical Education and Training323
23Specialties in the 1960s: New Dimensions336
24Review and Prospect353
Additional Notes369
Bibliography377
Index383

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