عنوان

Inequality in nineteenth-century welfare provision :

شماره

TLets271308

عنوان اصلي

Inequality in nineteenth-century welfare provision :

نام عام مواد

[Thesis]

نام نخستين پديدآور

Edwards, Claudia.

عنوان اصلي به قلم نويسنده ديگر

a study of access to and quality of institutional medical care for the elderly in England

نام ناشر، پخش کننده و غيره

London School of Economics and Political Science (University of London)

تاریخ نشرو بخش و غیره

2002

جزئيات پايان نامه و نوع درجه آن

Ph.D.

کسي که مدرک را اعطا کرده

London School of Economics and Political Science (University of London)

امتياز متن

2002

متن يادداشت

My thesis question whether access to and quality of medical care for the elderly deteriorated overthe nineteenth century and thereby contributed negatively to welfare inequality. This hypothesisis based on a reading of the historiography of old age, in which historians and gerontologistsdevelop a picture of declining socio-economic status of the elderly, an erosion of culturalmeanings of ageing, and a scientific emphasis on the pathology and negative physiology of oldage. It is also based on the assumption that Victorian providers were willing and able to allocateresources according to patient characteristics other than medical need. Informed by current healthpolicies in the British National Health Service, I develop a rationing approach to examine thestrategies employed to control supply and demand for scarce resources by the Bristol RoyalInfirmary and Shoreditch Workhouse and Infirmary in London.Case study evidence on care inputs, admissions length of stay and treatment outcomes from bothinfirmaries is analysed for the period 1820-90. The data are correlated with trends in localdemographic profiles and my own estimate of age-based medical need. I show that neither theBristol Royal nor Shoreditch Infirmary allocated resources according to the relative medical needof their local population age groups. Instead, the young and middle-aged were prioritised at theexpense of children and the elderly, most notably at the voluntary hospital. Access for the elderlydid, however, improve at both institutions over time. As regards the quality of medical care,various outcome measures suggest that any differences n treatment content did not translate intoworse survival chances for poor law patients.I conclude that, unlike societal status, medical care provision for the elderly did not deteriorateduring my period, and that further research is needed to explain why they were underrepresentedin the public as well as the private sector.

موضوع مستند نشده

History

مستند نام اشخاص تاييد نشده

Edwards, Claudia.

مستند نام تنالگان تاييد نشده

London School of Economics and Political Science (University of London)

نام الکترونيکي

فرمت انتشار

p

نوع ماده

[Thesis]

کد کاربرگه

276903

سطح دسترسي

a

تكميل شده

Y