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Local government health services in interwar England: problems of quantification and interpretation.

机译:两次世界大战期间英格兰的地方政府卫生服务:量化和解释问题。

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摘要

This article provides a critical discussion of recent work on local government health care and health services in interwar England. A literature review examines case study approaches and comparative quantitative surveys, highlighting conventional and revisionist interpretations. Noting the differing selection criteria evident in some works, it argues that studies based upon a limited number of personal health services provide an insufficient basis for assessing local health activity and policy. There follows a regional study demonstrating various discrepancies between health financing data in local sources and those in nationally collated returns. These in turn give rise to various problems of assessment and interpretation in works relying on the latter, particularly with respect to services for schoolchildren and long-stay patients. The case study points to the importance of integrating poor law medical services in evaluations, and of learning more about the role of government subsidy in supporting expanding services.
机译:本文对两次世界大战期间英国地方政府医疗保健和卫生服务的最新工作进行了批判性讨论。文献综述考察了案例研究方法和比较定量调查,突出了传统和修正主义的解释。它注意到一些著作中明显的不同选择标准,认为基于有限数量的个人保健服务的研究为评估地方保健活动和政策提供了不足的基础。随后进行的一项区域研究表明,当地来源的卫生筹资数据与国家核对申报表中的卫生筹资数据之间存在各种差异。这反过来又在依赖后者的作品中引起各种评估和解释问题,特别是在为学童和长期住院病人提供服务方面。案例研究指出了将法律较差的医疗服务纳入评估的重要性,并进一步了解政府补贴在支持扩大服务方面的作用。

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