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April 17, 1967

Medical Practice in Modern England: The Impact of Specialization and State Medicine

Author Affiliations

Chevy Chase, Md


by Rosemary Stevens, 401 pp, $10, New Haven and London: Yale University Press, 1966.

JAMA. 1967;200(3):264. doi:10.1001/jama.1967.03120160130038

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In her study of Medical Practice in Modern England, Mrs. Stevens, who writes from Yale University's Department of Epidemiology and Public Health, reviews current administrative patterns of medical care in England and Wales, with special reference to the impact of specialism and state medicine. The author indicates that the book is the first volume of a three-part study of medical care in England and the United States. Her approach is that of the student of social administration.

The first quarter of the work is devoted to an historical review of British medical practice from 1700 until the start of the National Health Service (NHS) in 1948. The author then examines a series of problems heightened by the operation of the NHS, among them adequate hospital staffing, the role of the general practitioners, determination of physicians' incomes, the place of private medical practice, the geographic distribution of doctors, and the machinery