Article ID: CBB000930676

“Vision and Vested Interests”: National Health Service Reform in South Africa and Britain during the 1940s and Beyond (2008)

unapi

Digby, Anne (Author)


Social History of Medicine
Volume: 21
Pages: 485--502


Publication Date: 2008
Edition Details: Part of a special issue: The NHS at 60: Perspectives on Health Care Systems
Language: English

Both Britain and South Africa considered major health reforms during the 1940s and there was mutual interest in the ideas being generated. In South Africa, the Report of the National Health Services Commission of 1944 advocated a national health service based on health centres that would integrate curative, preventive and promotive work. Parallel with this were plans by the provinces for free hospital treatment. Scarce finance, together with political and medical vested interests, meant that the health centre ideal only survived in minor form. In Britain, a free national health service was created in 1948, in which a reformed structure of hospitals was central, and early plans for health centres were marginalised. In each country, limited financial resources and vested interests---in the form of powerful medical professional associations or (in the case of South Africa) of provincial administrations---delayed, scaled down or reshaped the original reforming vision. Keywords: free treatment; health centre; hospital reform; national health service; medical professional association; social medicine; South Africa; Britain

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Article Moscucci, Ornella (2008) The NHS at 60: Perspectives on Health Care Systems. Social History of Medicine (p. 433). unapi

Citation URI
https://data.isiscb.org/isis/citation/CBB000930676/

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Authors & Contributors
Sarah F. Liebschutz
Welch, Ellen
Bonato, Cinzia
Petralia, Paolo
Macciò, Alberto
Campbell-Miller, Jill
Concepts
Health care
Medicine and government
Public health
Medicine and society
Hospitals and clinics
Medicine
Time Periods
20th century, late
20th century
21st century
19th century
18th century
20th century, early
Places
United States
Great Britain
Genoa (Italy)
Italy
Canada
Saskatchewan (Canada)
Institutions
National Health Service (Great Britain)
American Medical Association
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