British voluntary hospitals, 1871–1938: the geography of provision and utilization

Gorsky, Martin; Mohan, John; Powell, Martin

doi:10.1006/jhge.1999.0162

Cited by 18 publications

(13 citation statements)

References 15 publications

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“…This provision mirrored voluntary efforts in other countries to provide acute health care to the sick and poor (Van Peursem, Pratt and Tower 1996;Berry 1997;Lacombe-Saboly 1997;Gorsky, Mohan and Powell 1999). This early paternalism shaped the pattern of acute hospital service provision particularly in the capital city, Dublin.…”

Section: The Emergence Of Voluntary Hospitalsmentioning

confidence: 92%

“…In both countries, hospitals with university associations were the 'flagship' of the voluntary hospital movement. Whilst there was a proliferation of voluntary hospitals from the 1730s throughout provincial Britain (Gorsky, Mohan and Powell 1999) that diffusion of voluntary hospitals throughout the country did not take place in Ireland. The majority of the acute voluntary hospitals were confined to urban centres -Dublin, Belfast and Cork.…”

Section: The Emergence Of Voluntary Hospitalsmentioning

confidence: 98%

“…The Irish position also differed from that of Britain. There the provincial voluntary hospitals were successful in tapping local wealth to ensure their survival (Gorsky, Mohan and Powell 1999). There was a history of openness and transparency achieved through publication of annual reports.…”

Section: The Financial Pressures On Voluntary Hospitalsmentioning

confidence: 99%

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Irish voluntary hospitals: an examination of a theory of voluntary failure

Robbins

Lapsley

2008

Accounting, Business & Financial History

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This paper examines the success and failure of voluntary hospital organisations in Ireland during the twentieth and twenty-first centuries. The study draws on (and extends) Salamon's theory of voluntary failure by examining the activities of religious organisations responsible for the ownership, management and delivery of acute hospital care. This theoretical perspective identifies a number of dimensions of organisational life for voluntary organisations, which precipitated the demise of organisations as voluntary sector entities, particularly issues of resource-dependency. This study shows that in the Irish hospital context many religiously owned voluntary hospitals have followed the predictable route to failure - culminating either in closure or transfer to public sector ownership, although some others have withstood the difficulties commonly encountered by voluntary organisations (VOs) as outlined by Salamon.voluntary organisations, religious organisations, financial liability, public sector,

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Section: The Emergence Of Voluntary Hospitalsmentioning

confidence: 92%

Section: The Emergence Of Voluntary Hospitalsmentioning

confidence: 98%

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Irish voluntary hospitals: an examination of a theory of voluntary failure

Robbins

Lapsley

2008

Accounting, Business & Financial History

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“…The most systematic attempts to analyse geographical variations in provision and utilization have been by Powell (1992a 1992b) and, latterly, the contribution of Gorsky et al (1999). Powell drew on the ten volumes of the wartime Hospital Surveys to provide a spatially disaggregated picture of pre‐NHS provision.…”

Section: The Historical Geography Of Hospital Provision In Britainmentioning

confidence: 99%

“…Gorsky et al (1999) extended Powell's analysis by compiling statistics on bed provision over a 60‐year period, and assessing changes in the degree of inequality using the coefficient of variation. They demonstrated some convergence in these coefficients, indicating a reduction in disparities between geographical areas over time (though this was partly an artefact of additional hospital foundations).…”

Section: The Historical Geography Of Hospital Provision In Britainmentioning

confidence: 99%

Voluntarism, municipalism and welfare: the geography of hospital utilization in England in 1938

Mohan¹

2003

Trans Inst British Geog

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This paper provides a comprehensive analysis of the pattern of hospital utilization (rather than provision) in England prior to the establishment of the NHS, showing the extent to which the probability of obtaining hospital treatment was a function of residence. Access to hospital care depended on the vigour of voluntarism and the political priorities of local governments. The pattern of voluntary hospital utilization is shown to have been markedly unequal, but the effect of municipal provision was to reduce disparities in access to services. The paper demonstrates variations in hospital utilization and discusses contemporary assessments of the situation. This work contributes to debates about the efficacy of non-profit forms of welfare delivery; it provides a novel British study to complement American work in this field. It also raises questions about the contemporary vogue for partnerships in health care delivery between the public and private sectors, arguing that such proposals rest on an optimistic view of history. key words England voluntarism municipalism mixed economy of welfare hospital utilization territorial justice

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