Article ID: CBB000770540

Practitioners' Income and Provision for the Poor: Parish Doctors in the Late Eighteenth and Early Nineteenth Centuries (2005)

unapi

By the beginning of the nineteenth century, contracts between surgeon-apothecaries and parishes to provide medical care for the poor were replacing bills by item of service. Such agreements were not only an important source of income for practitioners, but also provided a means by which parishes could predict and limit medical spending. This article is a regional study of provision for the poor in east Bedfordshire in the later eighteenth and early nineteenth centuries. By the beginning of the second decade of the nineteenth century, almost three-quarters of parishes in east Bedfordshire were engaged in contractual arrangements with local surgeon-apothecaries to provide a range of services. Remuneration of practitioners, the geographical concentration of poor law practices, and the changing nature of contracts, are all assessed. Interpretation is also undertaken in relation to the status of practitioners, length of service, levels of competition, and how much the contract was worth in real terms to practitioner and parish. It is concluded that the medical market in east Bedfordshire was competitive and that many practitioners used poor law contracts as a means to keep out rivals.

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Authors & Contributors
Arnold, David J.
Paolo Gerbaldo
Whitfield, Michael
Gründler, Jens
Wray, Matt
Weindling, Paul J.
Journals
Bulletin of the History of Medicine
Vesalius
Social History of Medicine
Pennsylvania Magazine of History and Biography
Journal of Literature and Science
Historical Research: The Bulletin of the Institute of Historical Research
Publishers
Morlacchi Editore
University College Dublin Press
Peter Lang
Oldenbourg
John Donald
Hesperus Press
Concepts
Public health
Poverty
Medicine
Physicians; doctors
Medicine and society
Disease and diseases
People
Sacchetti, Vincenzo
Trotter, Thomas
Time Periods
19th century
18th century
20th century, early
17th century
Places
England
London (England)
United States
Great Britain
Philadelphia, PA
Piedmont
Institutions
Royal College of Physicians of Edinburgh
Great Britain. Royal Navy
National Health Service (Great Britain)
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