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Medicine transformed: On access to health care
Access to healthcare is important to all of us. Did the arrival...
Access to healthcare is important to all of us. Did the arrival of state medicine in the twentieth century mean that everyone had access to good medical services? If you fell sick in 1930 where could you get treatment – from a GP, a hospital, a nurse? This unit shows that in the early twentieth century, access to care was unequally divided. The rich could afford care; working men, women and children were helped by the state; others had to rely on their own resources.
After studying this unit, you should be able to do the following:
- describe the wide range of methods of promoting health, preventing disease and providing care that were available to patients of different social groups and classes;
- be aware of the inequalities of services – in terms of both quality of care and access to different services – open to different social groups and classes;
- assess the significance of the roles of central and local governments, the private sector and voluntary associations in providing medical services;
- understand the concept of ‘medicalisation’ and assess the degree of power doctors had over people's lives in the early twentieth century.
- Duration: 15 hours
- Published on: Wednesday 22nd June 2011
- Level: Intermediate
- Posted under: History of Medicine
Medicine transformed: On access to health care
Introduction

Access to healthcare is important to all of us. Did the arrival of state medicine in the twentieth century mean that everyone had access to good medical services? If you fell sick in 1930 where could you get treatment – from a GP, a hospital, a nurse? This unit shows that in the early twentieth century, access to care was unequally divided. The rich could afford care; working men, women and children were helped by the state; others had to rely on their own resources.
This unit is an adapted extract from the Open University course Medicine and society in Europe 1500-1930 (A218). [Tip: hold Ctrl and click a link to open it in a new tab. (Hide tip)]
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