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问责制、应享权利、控制权问题与志愿医院资金筹集(1860 - 1939年)

Accountability, entitlement, and control issues and voluntary hospital funding c1860-1939.

作者信息

Cherry S

机构信息

School of History, University of East Anglia, Norwich.

出版信息

Soc Hist Med. 1996 Aug;9(2):215-33. doi: 10.1093/shm/9.2.215.

Abstract

New income sources, revised organizational principles, treatment charges and a broader social range of patients featured in late nineteenth- and twentieth-century voluntary hospitals. Participation in service organization and patient entitlement are neglected themes in discussion of the voluntary hospital system. They complicate presentations of popular support or ideological commitment to voluntarism, or oppositional advocacy of municipal or state services. Utilizing contemporary publications relating to hospital management, publicity, and contributory schemes, tension and conflict within voluntary effort are examined. Financial assistance did not signify full endorsement of voluntarism or deference to established hospital or medical authority, and later support for the NHS may not reflect a sea change in popular opinion concerning healthcare.

摘要

19世纪末和20世纪的志愿医院出现了新的收入来源、修订后的组织原则、治疗费用以及更广泛的患者社会范围。在对志愿医院系统的讨论中,参与服务组织和患者权益是被忽视的主题。它们使对志愿主义的民众支持或意识形态承诺的表述,或对市政或国家服务的反对性倡导变得复杂。利用与医院管理、宣传和缴费计划相关的当代出版物,对志愿工作中的紧张关系和冲突进行了研究。财政援助并不意味着完全认可志愿主义或对既定医院或医疗权威的尊重,后来对国民健康服务体系的支持可能并不反映民众对医疗保健看法的巨大变化。

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