Voluntarism as Resistance to State Control: A Case Study of the Kingston Victoria Hospital and the Fledgling NHS

IF 0.6 2区 哲学 Q1 HISTORY
Steph Haydon
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引用次数: 0

Abstract

Summary With the launching of the National Health Service (NHS) in 1948, this taxpayer-funded, centralised, universal service seemingly negated the need for new voluntary hospitals to be established in Britain. Within 3 years, however, the former doctors of the Kingston and Malden Victoria Hospital (KMVH) announced a new voluntary hospital (the New Victoria) after the KMVH was closed for repurposing in the NHS. Examining this case reveals stakeholder perceptions of the early NHS, including debates over general practitioner (GP) independence, local democracy and state control which predated and permeated the founding of the Service. I argue the New Victoria was founded as a response to and revolt against centralised bureaucracy and an attempt to restore a sense of GP independence and patient control in the local hospital service. Voluntarism, in the form of a voluntary hospital, was the medium through which these debates took place.
抵制国家控制的自愿主义:金斯顿维多利亚医院和新生国家医疗服务体系案例研究
摘要 1948 年,随着英国国民医疗服务体系(NHS)的启动,这项由纳税人出资、集中管理的全民服务似乎不再需要在英国建立新的志愿医院。然而,在 3 年之内,金斯顿和马尔登维多利亚医院(KMVH)的前医生们宣布,在金斯顿和马尔登维多利亚医院关闭后,新维多利亚医院(New Victoria)将重新用于国民保健服务。对这一案例的研究揭示了利益相关者对早期国家医疗服务体系的看法,包括对全科医生(GP)独立性、地方民主和国家控制的争论,这些争论在该服务体系成立之前就已存在,并渗透其中。我认为,"新维多利亚 "的成立是对中央集权官僚体制的回应和反抗,也是试图在地方医院服务中恢复全科医生的独立性和病人控制权的一种尝试。以志愿医院为形式的志愿主义是进行这些辩论的媒介。
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来源期刊
Social History of Medicine
Social History of Medicine 社会科学-科学史与科学哲学
CiteScore
1.60
自引率
0.00%
发文量
63
审稿时长
>12 weeks
期刊介绍: Social History of Medicine , the journal of the Society for the Social History of Medicine, is concerned with all aspects of health, illness, and medical treatment in the past. It is committed to publishing work on the social history of medicine from a variety of disciplines. The journal offers its readers substantive and lively articles on a variety of themes, critical assessments of archives and sources, conference reports, up-to-date information on research in progress, a discussion point on topics of current controversy and concern, review articles, and wide-ranging book reviews.
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