Cliff, K.S (1982) The development and organisation of accident and emergency services. University of Southampton, Doctoral Thesis.
Abstract
This thesis traces the development and organisation of accident and emergency services from 5000BC to 1980AD, with specific reference to the period 1800-1980 in England and Wales. The method used involved: a study of the literature, including Governmental and other reports; personal involvement in a detailed study of accident and emergency services in the then Wessex Regional Hospital Board's geographic area of responsibility and the publication of a report and papers; and visits to and discussion with professional staff involved in the accident and emergency services. The thesis identified six major problem components directly related to the development and organisation of the accident and emergency services. The problem components were: the internal organisation of the accident and emergency departments with particular reference to the medical staffing; the minor case work load; the overall organisation of accident and emergency services in the community; the role of the general practitioner; the role of the nurse; and the relationship of the ambulance service to the accident and emergency service. The evidence showed that, though there had been major changes during the period reviewed, culminating in the recognition of accident and emergency medicine as a specialty in its own right, the problem components identified still remained to varying degrees, a barrier to the effective and efficient development and organisation of accident and emergency services in England and Wales.
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