Medical Practice In Modern England

Paperback (Print)
Buy New
Buy New from BN.com
$31.47
Used and New from Other Sellers
Used and New from Other Sellers
from $26.60
Usually ships in 1-2 business days
(Save 19%)
Other sellers (Paperback)
  • All (6) from $26.60   
  • New (4) from $34.50   
  • Used (2) from $26.60   

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.

Read More Show Less

Product Details

  • ISBN-13: 9780765809568
  • Publisher: Transaction Publishers
  • Publication date: 1/1/2003
  • Edition description: W/a New Introduction by the Author
  • Pages: 436
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.97 (d)

Meet the Author

Rosemary A. Stevens is a DeWitt Wallace Distinguished Scholar in social medicine and public policy at Weill Cornell Medical College, and Stanley I. Sheerr professor emeritus in the history and sociology of science at the University of Pennsylvania. Her writings have appeared in Harvard Business Review; Journal of Health Politics, Policies and Law;and American Journal of Public Health. In addition she is the author of numerous books, including The Public-Private Health Care State: Essays on the History of American Health Policy.

Rosemary A. Stevens is a DeWitt Wallace Distinguished Scholar in social medicine and public policy at Weill Cornell Medical College, and Stanley I. Sheerr professor emeritus in the history and sociology of science at the University of Pennsylvania. Her writings have appeared in Harvard Business Review; Journal of Health Politics, Policies and Law;and American Journal of Public Health. In addition she is the author of numerous books, including The Public-Private Health Care State: Essays on the History of American Health Policy.

Read More Show Less

Table of Contents

List of Tables
List of Figures
Introduction to the Transaction Edition
Preface
Introduction 3
Pt. I The Professional Background 9
1 Foundations of Modern Medical Practice 1700-1858 11
2 Medical Practice 1858-1914 26
3 Development of the Specialties 1914-1939 38
4 Problems of Medical Practice in the Late 1930s 53
Pt. II Specialism, Generalism, and the National Health Service Act 65
5 The Design of a National Health Service 67
6 The Medical Profession and the Appointed Day 80
7 The Two Branches: Postwar Realignments 1948-1950 95
8 Specialism and the Royal Colleges in the 1940s 106
Pt. III Emerging Problems: The National Health Service 1948-1961 125
9 Determination of Incomes 127
10 Problems of Hospital Medical Staffing 139
11 Changes in General Practice: The Question of Status 153
12 The National Health Service as an Educational Structure 169
Pt. IV The Impact of the National Health Service on Medical Practice: The 1960s 181
13 Employment in the National Health Service 183
14 The Consultant, the National Health Service, and the Place of Private Practice 197
15 The Distinction Awards System 212
16 The Machinery of Planning and the Distribution of Doctors 223
17 Medical Manpower: Responsibility and Definition 242
Pt. V The Medical Profession 257
18 Professional Participation in the National Health Service Structure 259
19 The British Medical Association and the Royal Colleges 270
20 Professional Differences and Financial Differentials 1962-1964 286
21 Arbitration of Incomes: Substitute for Planning? 301
Pt. VI Specialization: Problems at the Mid-1960s 321
22 Problems in Medical Education and Training 323
23 Specialties in the 1960s: New Dimensions 336
24 Review and Prospect 353
Additional Notes 369
Bibliography 377
Index 383
Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star

(0)

4 Star

(0)

3 Star

(0)

2 Star

(0)

1 Star

(0)

Your Rating:

Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation

Reminder:

  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

 
Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)