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Healthcare before Welfare States: Hospitals in Early Twentieth Century England and France

Doyle, Barry M. (2016) Healthcare before Welfare States: Hospitals in Early Twentieth Century England and France. Canadian Bulletin of Medical History, 33 (1). pp. 174-204. ISSN 0823-2105

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Abstract

Following the Second World War, many west European nations developed welfare states to enhance the health and security of their populations, but the systems that were created differed significantly in form and function. This article will provide a comparative overview of the development of hospital services in urban England and France in the first forty years of the 20th century using evidence from two case study cities to enhance our understanding of how these welfare systems developed. It will consider the structure of the two hospital systems; governance and accountability; institutional finance; patients; and the role of the central and local state to argue that the maintenance of two separate providers and the exclusion of hospitals from state health insurance in England prompted a different set of responses to the delivery of hospital care compared to what was found in the unified and increasingly state-funded French system.

Après la Seconde Guerre mondiale, de nombreux pays d'Europe occidentale ont développé des États-providence afin d'améliorer la santé et la sécurité de leurs populations, mais les systèmes mis en place diffèrent considérablement dans leur forme et leur fonction. Cet article offre un aperçu comparatif sur le développement des services hospitaliers dans l'Angleterre et la France urbaines des quarante premières années du 20e siècle, à travers une étude de cas de deux villes dont le témoignage permet d'améliorer notre compréhension du développement de ces systèmes d'assistance sociale. Il étudie la structure des deux systèmes hospitaliers ; la gouvernance et la responsabilité ; les finances institutionnelles ; les patients ; et le rôle de l'État central et local. Il soutient que le maintien de deux prestataires distincts et l'exclusion des hôpitaux du régime d'assurance maladie en Angleterre, ont engendré un ensemble de réponses différentes vis-à-vis la prestation des soins hospitaliers, en comparaison de ce qui peut être observé dans le système français unifié et de plus en plus subventionné par l'État.

Item Type: Article
Subjects: D History General and Old World > D History (General) > D204 Modern History
D History General and Old World > DA Great Britain
D History General and Old World > DC France
Schools: School of Music, Humanities and Media
Related URLs:
Depositing User: Barry Doyle
Date Deposited: 08 Oct 2015 15:57
Last Modified: 06 Dec 2016 12:38
URI: http://eprints.hud.ac.uk/id/eprint/26045

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