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The Evolution of British General Practice, 1850–1948$
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Anne Digby

Print publication date: 1999

Print ISBN-13: 9780198205135

Published to Oxford Scholarship Online: October 2011

DOI: 10.1093/acprof:oso/9780198205135.001.0001

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Generalists, Specialists, and Others

Generalists, Specialists, and Others

(p.287) 11 Generalists, Specialists, and Others
The Evolution of British General Practice, 1850–1948

Anne Digby

Oxford University Press

Within a wider medical world, inter- and intra-professional disputes over medical terrain meant that the role of GPs, indeed their survival in a very competitive situation, became problematic. The GP's existence was threatened by an expanding municipal health sector spearheaded by Medical Officers of Health, an increasing takeover of childbirth by midwives, and permeable, shifting boundaries relative to the specialist. This chapter addresses the following questions: Would the evolving division of labour leave the generalist in a contracting, residual position as was happening in some other countries? Alternatively, would the growing practice of referral stabilize the relationship of generalists and specialists?

Keywords:   general practice, general practitioners, medical practice, medical terrain, Medical Officers of Health

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