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204:(dispensary opened in 1830) where, in the 1840s, members subscribed one penny a week for adults and a halfpenny a week for each of their children. This was seen as a suitable arrangement for working-class people who wanted to be provident and self-reliant, avoiding charitable treatment offered to 'paupers', but with no hope of paying the fees charged to wealthier people. A provident dispensary needed a few hundred 'club' members to pay for one doctor. Some dispensaries had extra funding from philanthropists, and some arranged for hospital specialists to see dispensary patients at reduced fees. Doctors at a few provident dispensaries, in
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Dispensaries were funded by voluntary subscriptions. Subscribers would "recommend" local people to be treated by the dispensary. In the main the medical practitioners engaged by dispensaries offered their services for free.
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There are competing claims to where the first dispensary was founded but it is clear that dispensaries began being established in numbers from 1770 onwards. The
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In
England, from the later 18th Century onwards, there was a growth in Medical Philanthropy. This saw the establishment of voluntary hospitals offering
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organised by the members themselves. Provident dispensaries, on the other hand, were usually set up by prosperous well-wishers and/or by a doctor, as
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Dispensary for the
Medical Relief of the Poor, founded in 1786, is considered to be the first public dispensary in the United States.
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was a clinic offering medical care to people who made a small weekly payment as a kind of medical insurance.
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Krankenversicherung und grenzüberschreitende
Inanspruchnahme von Gesundheitsleistungen in Europa
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Loudon, I. S. (1981). "The origins and growth of the
Dispensary movement in England".
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treatment. By 1800 dispensaries dealt with at least 10,000 admissions per year.
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One of the earlier
English cities to have a provident dispensary was
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gives advice and medicines free-of-charge, or for a small charge.
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Guru Nanak
Punjabi Sabha Charitable Dispensary in Chakala, Mumbai
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276:"The Origins and Growth of the Dispensary Movement in England"
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218:In some places the same need might be met by
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259:The eighteenth century dispensary movement.
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274:Loudon, I. S. L. (Fall 1981).
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331:(655): 63–64. July 19, 1873.
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