Osborn J, Cattaruzza M S, Silverj F G
Istituto de Igiene G. Sanarelli, Universita de Roma, I, Italy.
Med Secoli. 1998;10(1):1-17.
The nineteenth century was important for medicine in Britain because the foundations of a united medical profession were laid by the Medical Act of 1858. This established the General Medical Council which had the responsibility of maintaining a list of qualified medical practitioners. This not only protected the public from unknowingly using unqualified medical practitioners, but also created a monopoly of medical practice which was protected by law. In the second half of the century, women started to qualify and be registered. The century also saw the development of effective anaesthetics and the idea that the health of the public could be preserved by legislation. The notion of prevention was born, even though after a further one hundred years, the profession is still dominated by the idea that its responsibility is to cure.
19世纪对英国医学而言意义重大,因为1858年的《医疗法案》奠定了统一医学职业的基础。该法案设立了普通医学委员会,其职责是维护合格执业医师名单。这不仅保护公众避免在不知情的情况下使用不合格的执业医师,还创造了受法律保护的医疗执业垄断。在19世纪下半叶,女性开始获得资格并进行注册。这一世纪还见证了有效麻醉剂的发展以及通过立法保护公众健康的理念。预防的概念由此诞生,尽管又过了一百年,该行业仍主要秉持其职责是治疗的观念。