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Mutualism and Health CareHospital Contributory Schemes in Twentieth-century Britain$
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Martin Gorsky, John Mohan, and Tim Willis

Print publication date: 2006

Print ISBN-13: 9780719065781

Published to Manchester Scholarship Online: July 2012

DOI: 10.7228/manchester/9780719065781.001.0001

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The geography of hospital contributory schemes: membership, reciprocity and integration

The geography of hospital contributory schemes: membership, reciprocity and integration

(p.70) Chapter 4 The geography of hospital contributory schemes: membership, reciprocity and integration
Mutualism and Health Care

Martin Gorsky

John Mohan

Tim Willis

Manchester University Press

This chapter considers geographical variations in the membership of hospital contributory schemes in Great Britain and the associated issue of variations in the resources generated by the schemes. It offers a geographical disaggregation of membership and finance, as well as a discussion of one of the key problems facing the schemes, namely the extent of cooperation and the demarcation of territory. The analysis reveals that the growth of the contributory schemes was uneven and the resources they generated varied substantially. This chapter suggests that the schemes therefore never attained comprehensive coverage, and a key factor in this was the question of attachments to individual hospitals. It also explains that the schemes played their part in regionalisation initiatives, and reciprocal arrangements were developed to facilitate the availability of services, but the process was not without dissension.

Keywords:   hospital contributory schemes, Great Britain, geographical variations, cooperation, demarcation of territory, hospitals, regionalisation

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