Payment and philanthropy in British healthcare, 1918–48

"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...

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1. Verfasser: Gosling, George Campbell
Format: Online
Sprache:Englisch
Veröffentlicht: Manchester University Press 2021
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author Gosling, George Campbell
author_browse Gosling, George Campbell
author_facet Gosling, George Campbell
author_sort Gosling, George Campbell
collection Directory of Open Access Books
description "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."
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spelling doab-20.500.12854ir-395752025-02-13T09:45:36Z Payment and philanthropy in British healthcare, 1918–48 Gosling, George Campbell commercial medicine nhs national health service british healthcare payment medical charity hospitals healthcare Almoner Bristol London Middle class Voluntary hospital Working class thema EDItEUR::N History and Archaeology::NH History::NHT History: specific events and topics::NHTB Social and cultural history thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBX History of medicine "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." 2021-02-10T12:58:18Z 2017-02-16 23:55 2019-12-03 08:32:13 2020-04-01T13:52:08Z 2017 book 624210 OCN: 982229006 http://library.oapen.org/handle/20.500.12657/31877 9781526114358 https://directory.doabooks.org/handle/20.500.12854/39575 eng open access image/jpeg image/jpeg image/jpeg image/jpeg image/jpeg n/a n/a n/a n/a n/a https://library.oapen.org/bitstream/20.500.12657/31877/1/624210.pdf https://library.oapen.org/bitstream/20.500.12657/31877/1/624210.pdf https://library.oapen.org/bitstream/20.500.12657/31877/1/624210.pdf https://library.oapen.org/bitstream/20.500.12657/31877/1/624210.pdf https://library.oapen.org/bitstream/20.500.12657/31877/1/624210.pdf Manchester University Press 10.7765/9781526114358 10.7765/9781526114358 bcb4ab08-c525-4e6c-88e5-a0cf0a175533 Wellcome Trust 9781526114358 Wellcome open access
spellingShingle commercial medicine
nhs
national health service
british healthcare
payment
medical charity
hospitals
healthcare
Almoner
Bristol
London
Middle class
Voluntary hospital
Working class
thema EDItEUR::N History and Archaeology::NH History::NHT History: specific events and topics::NHTB Social and cultural history
thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBX History of medicine
Gosling, George Campbell
Payment and philanthropy in British healthcare, 1918–48
title Payment and philanthropy in British healthcare, 1918–48
title_full Payment and philanthropy in British healthcare, 1918–48
title_fullStr Payment and philanthropy in British healthcare, 1918–48
title_full_unstemmed Payment and philanthropy in British healthcare, 1918–48
title_short Payment and philanthropy in British healthcare, 1918–48
title_sort payment and philanthropy in british healthcare 1918 48
topic commercial medicine
nhs
national health service
british healthcare
payment
medical charity
hospitals
healthcare
Almoner
Bristol
London
Middle class
Voluntary hospital
Working class
thema EDItEUR::N History and Archaeology::NH History::NHT History: specific events and topics::NHTB Social and cultural history
thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBX History of medicine
topic_facet commercial medicine
nhs
national health service
british healthcare
payment
medical charity
hospitals
healthcare
Almoner
Bristol
London
Middle class
Voluntary hospital
Working class
thema EDItEUR::N History and Archaeology::NH History::NHT History: specific events and topics::NHTB Social and cultural history
thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBX History of medicine
url 624210
work_keys_str_mv AT goslinggeorgecampbell paymentandphilanthropyinbritishhealthcare191848