“Vision and Vested Interests”: National Health Service Reform in South Africa and Britain during the 1940s and Beyond (2008)
Digby, Anne (Author)
Social History of Medicine
Volume: 21
Pages: 485--502
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
...MoreArticle Moscucci, Ornella (2008) The NHS at 60: Perspectives on Health Care Systems. Social History of Medicine (p. 433).
Similar Citations
Book
Houston, C. Stuart;
(2002)
Steps on the Road to Medicare: Why Saskatchewan Led the Way
(/isis/citation/CBB000930424/)
Article
Siena, Kevin;
(2010)
Hospitals for the Excluded or Convalescent Homes? Workhouses, Medicalization and the Poor Law in Long Eighteenth-Century London and Pre-Confederation Toronto
(/isis/citation/CBB001024899/)
Book
Hoffman, Beatrix Rebecca;
(2012)
Health Care for Some: Rights and Rationing in the United States since 1930
(/isis/citation/CBB001214588/)
Article
Stewart, John;
(2000)
“Science Fights Death”: David Stark Murray, science, and socialism in interwar Britain
(/isis/citation/CBB000110499/)
Article
Paolo Petralia;
Alberto Macciò;
(2020)
Healthcare-related Itinerary in a Multicultural City in Northern Italy
(/isis/citation/CBB240957940/)
Book
Ellen Welch;
(2018)
The NHS at 70: A Living History
(/isis/citation/CBB299066145/)
Book
Hayward, Rhodri;
(2014)
The Transformation of the Psyche in British Primary Care, 1870--1970
(/isis/citation/CBB001422161/)
Book
Sarah F. Liebschutz;
(2013)
Communities and Health Care: The Rochester, New York, Experiment
(/isis/citation/CBB014688647/)
Book
Livingston, Julie;
(2012)
Improvising Medicine: An African Oncology Ward in an Emerging Cancer Epidemic
(/isis/citation/CBB001420179/)
Article
Mullaney, Susan;
(2012)
“A means of restoring the health and preserving the lives of His Majesty's subjects”: Ireland's 18th-Century National Hospital System
(/isis/citation/CBB001211086/)
Article
Alzate Echeveri, A. M.;
(2008)
Militares, marineros y pobres enfermos. Contribución a la historia del Hospital San Juan de Dios de Cartagena de Indias (Siglo XVIII)
(/isis/citation/CBB000931882/)
Article
Stevens, Rosemary A.;
(2008)
History and Health Policy in the United States: The Making of a Health Care Industry, 1948--2008
(/isis/citation/CBB000930675/)
Article
García Ferrandis, Xavier;
(2011)
La asistencia sanitaria en la provincia de Valencia durante la Guerra Civil española (1936--1939)
(/isis/citation/CBB001220800/)
Article
Jill Campbell-Miller;
(2021)
The Proving Ground: Colombo Plan Fellowships and the Changing Landscape of Health Education in Canada, 1951–69
(/isis/citation/CBB181155364/)
Book
Engel, Jonathan;
(2006)
Poor People's Medicine: Medicaid and American Charity Care since 1965
(/isis/citation/CBB000930561/)
Book
Hoyt, Kendall;
(2012)
Long Shot: Vaccines for National Defense
(/isis/citation/CBB001210034/)
Book
McCrea, Heather L.;
(2010)
Diseased Relations: Epidemics, Public Health, and State-Building in Yucatán, Mexico, 1847--1924
(/isis/citation/CBB001200622/)
Book
Kim Price;
(2016)
Medical Negligence in Victorian Britain: The Crisis of Care under the English Poor Law, c.1834-1900
(/isis/citation/CBB326067926/)
Article
Breyfogle, Nicholas B.;
Brooke, John L.;
Otter, Christopher J.;
(2013)
The State and the Epidemiological Transition: An Introduction
(/isis/citation/CBB001201440/)
Article
Helen P. Knight;
(2020)
St. Luke's Hospice: Prioritizing Comfort, Not Cure, in the Hospital Setting
(/isis/citation/CBB480816105/)
Be the first to comment!