Mutualism and Health Care: Hospital Contributory Schemes in Twentieth-century Britain

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Manchester University Press, Jul 19, 2013 - 256 páginas
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Mutualism and health care, newly available in paperback, presents the first comprehensive account of a major innovation in hospital funding before the NHS. The voluntary hospitals, which provided the bulk of Britain's acute hospital services, diversified their financial base by establishing hospital contributory schemes. Through these, working people subscribed small, regular amounts to their local hospitals, in return for which they were eligible for free hospital care. The book evaluates the extent to which the schemes were successful in achieving comprehensive coverage of the population, funding hospital services, and broadening opportunities for participation in the governance of health care and for the expression of consumer views. It then explores why the option of funding the post-war NHS through mass contribution was rejected, and traces the transformation of the surviving schemes into health cash plans. This is a substantial investigation into the attractions and limitations of mutualism in health care. It is highly relevant to debates about organisational innovations in the delivery of welfare services.
 

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Contenido

The emergence of hospital contributory schemes
18
Mass contribution and hospital finance in interwar Britain
43
The geography of hospital contributory schemes membership reciprocity and integration
70
Hospital contribution and civil society humanity not democracy?
92
Contributory schemes workingclass governors and local control of hospital policy
124
The impending cataclysm the state and hospital contribution 194146
145
The contributory schemes and the coming of the National Health Service
166
Where the shoe pinches reorientation under the National Health Service
189
The health cash plans and the new mutualism in health care
210
Concluding comments
227
Index
235
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Página viii - I he research project on which this book is based was funded by grants from the Andrew W.
Página x - ... person, but whose presence was not only felt on the pages of the printed collections of their personal correspondence, but was literally made tangible when we consulted the hand-written letters in the Manuscripts Reading Room of the British Library, the Public Record Office and the Sheffield Archives. Last but by no means least, we would like to thank our families - Reijo Aulanko, and Borje and Janne Brunberg - for their invaluable contribution: for simply being there every day for the last ten...
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Acerca del autor (2013)

Martin Gorsky is Senior Lecturer in the Contemporary History of Public Health at the London School of Hygiene and Tropical Medicine John Mohan is Professor of Social Policy at the University of Southampton Tim Willis is a Research Officer in the Department for Work and Pensions

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