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The Evolution of British General Practice, 1850-1948 - Anne Digby

The Evolution of British General Practice, 1850-1948

Hardcover Published: 1st June 1999
ISBN: 9780198205135
Number Of Pages: 376

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This book focuses on a formative period in the development of modern general practice. The foundations of present-day health care in Britain were created in the century before the National Health Service of 1948, when medicine was transformed in its structure, professional status, economic organization, and therapeutic power. In the first full-length study of general practice for these years, Anne Digby deploys an impressive range of hitherto unused archival material and oral testimony to probe the character of general practitioners careers and practices, and to assess their relationships with local communities, a wider society, and the state. An evolutionary approach is adopted to explain the origins and nature of the many changes in medical practice, and the lives of ordinary doctors. The study also explores the gendered nature of medical practice as reflected in the experience of a golden band of women GPs, and examines the hidden role of the doctors wife in the practice.

`The general practitioner has long been the mainstay of the British medical system. Ann Digby deserves our thanks for rescuing the general practitioner's history from oblivion' JAMA, Vol.284, No.2 (2000) `offers some interesting insights into the additional challenges that women physicians had to overcome' JAMA, Vol.284, No.2 (2000) `a work refreshingly national in scope' JAMA, Vol.284, No.2 (2000) `it contains voluminous new material ... A particularly good chapter on women doctors suggests their more extensive and earlier presence in general practice ... than is often assumed ... Anne Digby has produced a monumental work, simultaneously provocative and an essential new reference point. The book represents a considerable achievement, which will be widely used and should trigger further investigation.' Steven Cherry, Twentieth Century British History, 11:4, 2000 `It is ... more than up to standard, combining innovative approaches with comprehensive coverage ... one can be impressed by the breadth and thoroughness of Annd Digby's scholarship' Steven Cherry, Twentieth Century British History, 11:4, 2000 `Enthusiasts have long awaited this final part of the Oxford triology charting the evolution of present-day primary care. They will not be disappointed, for this volume fully equals its companions, and is also as diverse in its form and structure.' Jim Ford, British Jnl of Gen Practice, Feb. 2000. `carefully chosen anecdote brings the work to life.' Jim Ford, British Jnl of Gen Practice, Feb. 2000. `an excellent chronology of the continuous growth in generalist medical practice before the NHS.' Jim Ford, British Jnl of Gen Practice, Feb. 2000. `A major and extremely welcome contribution to our understanding of the details of medical life over nearly 250 years. This is a most lucid and valuable account of general practice that will serve as a benchmark for many years to come.' A Gelling, Bulletin of Historical Medicine. `The book manages to reveal the great diversity of general practice, and it's underlying economic imperatives. This sense of the range of activity - whether single-handede or group, in the 1850s or the 1940s, run by men or wome, located in affluent country areas or in hardpressed colliery districts - is arguably the most striking aspect of the book, and in this respect it is difficult to see how itcould be improved upon.' John Welshman, Lancaster University. `One of the book's many strengths is its sensitivity to local and regional variation in practice type.Impressive archival research is supplemented by innovative use of a database comprised of obituraries from the British Medical Journal ... with considerable care and accuracy.' John Welshman, Lancaster University. `exeptional use of provincial sources ... the result is a work refreshingly national in scope.' L.Margaret Barnett, PhD, Jnl of the American Medical Association, July 2000. `the book offers some interesting insights into the additional challenges that women physicians had to overcome.' L.Margaret Barnett, PhD, Jnl of the American Medical Association, July 2000. `most innovative and interesting ... are thos that describe the day-to-day events in an ordinary physicians life.' L.Margaret Barnett, PhD, Jnl of the American Medical Association, July 2000. `Ann Digby deserves our thanks for rescuing the general practitioners history from oblivion.' L.Margaret Barnett, PhD, Jnl of the American Medical Association, July 2000. `extraordinarily thorough survey ... Digby has interesting, sometimes fascinating information about a very timely subject.' F Van Hartesveldt, CHOICE, February 2000 `...this book is a work of scholarship with copious references and footnotes, while at the same time bringing alive the experience of previous generations of GPs.' Anne Dibgy, Health Service Journal `This authoritative and comprehensive history of British general practice in the century leading up to the introduction of the National Health Service in 1984... a scholarly account brought to life by the personalised references so that this becomes a most readable and entertaining book... a fascinating an most readable book for anyone interested in the unfolding story of British general practice.' A.G. Donald, IHNJ

1: Constructing General Practice Part I: Careers 2: Professional Challenge 3: Recruitment, Education, and Training 4: Re-inventing Roles Part II: In Practice 5: The Medical Market 6: Organizing a Practice 7: Women Practitioners 8: Medical Investigation and Treatment 9: Patients Part III: A Wider World 10: Public Duties and Private Lives 11: Generalists, Specialists, and Others 12: National Health Insurance 13: The National Health Service Select Bibliography; Index

ISBN: 9780198205135
ISBN-10: 0198205139
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 376
Published: 1st June 1999
Country of Publication: GB
Dimensions (cm): 24.13 x 15.88  x 3.18
Weight (kg): 0.75