The long shadow of charity in the Spanish hospital system, c. 1870–1942.

In the late nineteenth century, in most industrialized countries, the coverage of social risks in general and the risk of sickness in particular came from four basic sectors with different weighting according to country: the state, the market, the traditional family network and solidarity among work...

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Publicado en:Social History Vol. 44; no. 3; pp. 317 - 343
Autores principales: Vilar-Rodríguez, Margarita, Pons-Pons, Jerònia
Formato: Artículo
Publicado: Taylor & Francis Ltd Aug2019
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: The long shadow of charity in the Spanish hospital system, c. 1870–1942.
      aug:
        au:
          Vilar-Rodríguez, Margarita
          Pons-Pons, Jerònia
        affil:
          University of A Coruña
          University of Seville
      su:
        Hospitals
        Mixed economy
        Public welfare
        Health insurance
        Agricultural laborers
        Spain
      sug:
        subj:
          Spain
          Hospitals
          Mixed economy
          Public welfare
          Health insurance
          Agricultural laborers
      keyword:
        Charity
        hospital
        nineteenth and twentieth centuries
        sickness
        welfare
      ab: In the late nineteenth century, in most industrialized countries, the coverage of social risks in general and the risk of sickness in particular came from four basic sectors with different weighting according to country: the state, the market, the traditional family network and solidarity among workers. Historians have shown that, across time, hospital systems tended to be created in developed countries where at least one of these public or private elements was prominent. Spain provides an excellent case study of how a country in Western Europe made modest progress with respect to its hospital system between the 1880s and 1930s in a context of low coverage capacity in all four of the areas that comprise the mixed economy of welfare. Changes to the hospital map occurred above all during the 1920s and 1930s with the emergence of new actors responding to new demands: companies that created hospitals for workplace victims; friendly societies; insurance companies; and medical specialists who set up clinics to attend to an emerging middle class. Despite this, the majority of the working population lacked hospital coverage due to the state's inability to establish a health insurance scheme in a country with a predominance of agricultural workers.
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    language: English
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