Bloor D U
J R Coll Gen Pract. 1982 May;32(238):310-5.
There were many forms of club or contract practice in the nineteenth century, but the friendly societies were the most important. A brief history of the friendly societies is given. As they grew in numbers and importance so did the dissatisfaction of the doctors who worked with them. Discontent among the doctors led at the end of the century to a battle between the medical profession and the clubs. The issues which divided the clubs and the doctors were clearly defined but, although the battle was protracted, the doctors did not win or manage to change the system of medical provision for the poor. The club system was ended by Lloyd George when he introduced his National Insurance Act, 1911.
19世纪存在多种形式的俱乐部或契约行医模式,但互助会是其中最重要的。本文简要介绍了互助会的历史。随着互助会数量的增加和重要性的提升,与它们合作的医生的不满情绪也与日俱增。医生们的不满在世纪末引发了医疗行业与互助会之间的一场斗争。导致俱乐部与医生产生分歧的问题已明确界定,然而,尽管这场斗争旷日持久,但医生们并未获胜,也未能改变为穷人提供医疗服务的体系。1911年,劳合·乔治颁布《国民保险法》,终结了俱乐部体系。