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Rosemary A.W. Stevens Papers
1949-1991 (bulk 1960-1991)

UPT 50 S845

4.0 Cubic feet

Prepared by Kaiyi Chen

December 1992

Access to collections is granted in accordance with the Protocols for the University Archives and Records Center.

PROVENANCE

Gift of Dr. Stevens, January 22, 1992 and August, 1995. 

 

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ARRANGEMENT

The Rosemary A. W. Stevens papers consist mainly of research files and manuscripts. 

The collection is divided into the following series: 

1. The study of specialization and national medicine in England, 1949-1966 

2. The study of specialization in the United States, 1959-1968 

3. Health service in Tanganyika and other African countries, 1952-1963 

4. Other academic works, 1968-1991 

 

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BIOGRAPHICAL NOTE

Rosemary Stevens, a native of England, attended Oxford University as an undergraduate majoring in English literature. She pursued graduate studies in epidemiology and public health at Yale University receiving her Ph.D. in 1968. Upon graduation, she taught at Yale for eight years, followed by a two-year appointment at Tulane University. Her teaching career at the University of Pennsylvania began in 1979. She served as chairman of the department of history and sociology from 1980 to 1983, and again, from 1986 to 1991, when she was appointed first woman dean of Penn's School of Arts and Sciences. 

In the early sixties, as a research associate at the medical school of Yale, Stevens started a major research project on a comparative study of specialization in medicine in the United Kingdom and the United States. The research project developed into three separate studies, one on the United Kingdom, mainly England and Wales, one dealing with the United States, and the third on comparative aspects of health care organization in the two countries. Her research resulted in two publications: Medical Practice in Modern England: the Impact of Specialization and State Medicine (1966) and American Medicine and the Public Interest (1971). The comparative study did not proceed as anticipated. Although Dr. Stevens continued to follow closely the development of health service in both countries, she spent increasingly more time on studying the American efforts. In 1974, in conjunction with Robert B. Stevens, she published Welfare Medicine in America: a Case Study of Medicaid. This was followed by In Sickness and in Wealth: American Hospitals in the Twentieth Century (1989), her third major publication on American medicine. Her ongoing research on English medicine resulted in National Health Service in England in 1980: Notes on Comparisons and Stresses in 1981, her second publication on this subject. 

Related research includes the studies of alien doctors and foreign medical graduates in the United States. In 1972, she published Foreign Trained Physicians and American Medicine with Joan Vermeulen and The Alien Doctors, Foreign Medical Graduates in American Hospitals appeared in 1978. 

Her interest in health care, however, goes beyond the United States and the United Kingdom. She has made several trips to Africa to survey health services in Tanganyika, one of the former British colonies. 

Besides numerous teaching, research, and administrative positions, Stevens has been on the boards of the Educational Commission for Foreign Medical Graduates and the Milbank Memorial Fund. She is member of the Institute of Medicine of the National Academy of Science, History of Science Society, American Association for History of Medicine, College of Physicians of Philadelphia, and the Cosmopolitan Club. 

Rosemary Stevens was naturalized in 1968 as a United States citizen. 

 

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SCOPE AND CONTENT

The collection of research files and manuscripts comprises four series. Papers pertaining to the study of specialization and national medicine in England and Wales include material generated in every stage of the research project--from informational material gathered, notes of interviews held with dozens of doctors and administrators in England, notes and clippings on various subjects, rough manuscript drafts, working papers, to the typescript form of the manuscript "Specialization in Medicine". Also included in this collection are the typescripts of table of contents and preface, which were apparently prepared on the occasion of the publication of the work in a book form. 

The study of specialization in the United States consists of the research and reference file of a study project on group practice and the manuscripts under the title of "Specialization in Medicine" prepared in 1968. 

The project on health service in Tanganyika primarily contains informational material, research notes and data gathered, and drafts and manuscripts. The drafts and manuscripts include writings on birth control and health services, and a draft report. 

Other academic works include records of three proposals for researches in the eighties on health care in the Delaware Valley and in the state of Pennsylvania, and for a study of the development of American hospitals in the century; an article on the career patterns of foreign medical graduates done by Stevens with two other authors; course syllabuses and reference material for courses taught by Dr. Stevens in 1968-1970; and a thesis on politics of social welfare done with help from Stevens. 

 

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CONTROLLED ACCESS HEADINGS

Corporate Name(s)

  • University of Pennsylvania. -- General subdivision--Faculty.;

Genre(s)

  • Clippings.
  • Drafts.
  • Interviews.
  • Manuscripts.

Geographic Name(s)

  • England--social conditions.

Occupation(s)

  • Historians of science--Pennsylvania--Philadelphia.
  • Physicians, foreign--United States.
  • Women college administrators--Pennsylvania--Philadelphia.

Subject(s)

  • Community health services.--England.
  • Community health services.--the United States.
  • Public health administration--Research--England.
  • Public health administration--Research--Ghana.
  • Public health administration--Research--Tanzania.
  • Public health administration--Research--Wales.
  • Science--History--Study and teaching--Pennsylvania--Philadelphia.

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INVENTORY

 

SPECIALIZATION AND NATIONAL MEDICINE IN ENGLAND, 1949-1966 

Box

Folder

Conjoint Board Diploma candidates, data, 1961-1963 

1

1

Correspondence, 1960 

1

2

Informational material 

British N.H.S. 

1

3

British United Provident Association, brochures, 1962-1963 

1

4

Clippings, 1963-1964 

1

5

Clippings on British medical care, 1963 July-Dec. 

1

6

General Registrar Office, Quarterly returns, 1964-1966 

1

7

Hospitals and health service 

1

8

Ipswich Group: "Development of Consultant Services" 

1

9

Ministry of Health, Statistic Branch 

Digest of health service, series A, No. 7-9, 1962-1963 

1

10

Hospital medical and dental staff, 1959-1962 

1

11

Hospital medical and dental staff analysis, 1961-1962 

1

12

Miscellaneous 

1

13

National health service, 1949-1961 

1

14

Oxford Regional Hospital Board: operational research unit 

1

15

Wolverhampton: development of hospital service 

1

16

Interviews 

Notes on questioning consultants, [1964] 

17

Center, Miss (Royal Society of Medicine) 

18

College of General Practitioners, 1963 

19

Cope (Royal College of Surgeons) 

1

20

Edward, Harold (consultant surgeon at King's College) 

1

21

Ellis, John R., 1963-1964 

1

22

Firth, John, 1963 

1

23

Hadfield, 1963-1964 

1

24

Hexham: notes and questionnaire, 1964 

1

25

Holland, Dr., 1963 

1

26

Kellock, D. M., 1963 

1

27

Kerr 

1

28

Lambert, John, 1963 

1

29

Laycock, Dr. 

1

30

Lewis, A.A.G., 1964 

1

31

Michael Meacher, research assistant 

Correspondence, 1963 

1

32

Index cards of correspondents 

1

33

Interviews conducted 

1

34

Newman, 1963 

1

35

Platt, Sir Robert, 1963 

1

36

Portsmouth Group, 1963 Sept. 

Correspondence 

1

37

Miscellaneous 

1

38

Questionnaires 1-10 

1

39

Questionnaires 11-20 

1

40

Questionnaires 21-30 

1

41

Questionnaires 31-40 

1

42

Questionnaires 41-44 

1

43

Statistics, hospital beds 

1

44

Wessex Regional Hospital Board, 1964 

1

45

Sheffield Regional Hospital Board, 1964 

1

46

Smart, G.S. 

1

47

Stent, F., 1963 

1

48

St. Thomas Hospital 

1

49

Whitfield, Dr. A.G.W., [1964] 

1

50

Williams, Arthur, 1963 

1

51

Winner, Albertine 

1

52

Miscellaneous notes, 1964 

1

53

Manuscript drafts 

Rough drafts 

"The British Medical Association" 

1

54

British medical education, [1964?] 

1

55

Consultants 

"Appointments Procedure" 

1

56

"Hospital Staffing Structure" 

1

57

"Implications" 

1

58

"Principles" 

1

59

"Terms and Conditions of Service" 

1

60

Employment in National Health Service 

1

61

"General Practitioner and the Community" 

1

62

General Practitioners and the National Health Service, 1964 

1

63

The Great Pay Dispute, with reference material, 1965 

2

1

Medical Practice in England and Wales, 1965 

2

2

Miscellaneous 

2

3

National Health Care, 1963 

2

4

Notes for Chapter 12A (post-war development in specialties) 

2

5

Notes and data for Chapter 12B (Royal Colleges) 

2

6

Notes for Chapter 14 

2

7

Organizational framework 

"Advisory Committee on Distinction Awards" 

2

8

"The Expanding Physician" 

2

9

"Joint Consultant Committee" 

2

10

"The Medical Profession and the State" 

2

11

"Medical Staffing Planning" 

2

12

"...Doctors' and Dentists' Remuneration" 

2

13

Specialization in England, undated 

2

14

Working papers 

Cash before Delivery, etc. 

2

15

I. "Specialism in British Medicine" 

2

16

II. "Patterns of Practice" 

2

17

III. "Relative Standing of the Specialties" 

2

18

IV. "Medical Staffing Structure in the Hospital Service" 

2

19

V. "What does the Specialist do?" 

2

20

VI. "On the Consultant in the 1930s and 1960s" 

2

21

VII. "Specialist Training and Qualifications" 

2

22

Manuscript, "Specialization in Medicine," 1964 

Chapters 1-2 

2

23

Chapter 3 

2

24

Chapters 4-5 

2

25

Chapters 6-7 

2

26

Chapters 8A-8B 

2

27

Chapters 8C-8D 

2

28

Chapters 9-10A 

2

29

Chapters 10B-12A 

2

30

Chapters 12B-13A 

3

1

Table of Contents, [1964-1966?] 

3

2

Preface, [1964-1966?] 

3

3

Notes and clippings 

Advisory Committee on Consultants and Specialists 

3

4

British medical education, 1963-1964, I 

3

5

British medical education, 1963-1964, II 

3

6

British medical education, 1964 

3

7

Finance of National Health Service 

3

8

Fogarty, Michael, and Marry Morris, 1962 

3

9

Haywood, Miss 

3

10

Health care in European and Australasian nations, [1961-1962] 

3

11

Local health services 

3

12

Medical education in Britain 

3

13

Medical insurance in U.S. and U.K. 

3

14

Medical staff planning and consultants 

3

15

Medical staffing in Britain 

3

16

Mental health 

3

17

Nightingale and nursing 

3

18

Pensions and old people in England 

3

19

Royal College of Psychiatrists 

3

20

Social administration 

3

21

Social insurance 

3

22

Statistics on consultants by specialties 

3

23

Taylor, F.W.: his work and influence 

3

24

Titmuss: essays on the welfare state 

3

25

Training of general practitioners 

3

26

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SPECIALIZATION IN THE UNITED STATES, 1959-1968 

Box

Folder

Group Practice Studies 

Articles by Russel V. Lee, 1962-1966 

3

27

Correspondence, 1966 

3

28

Information material, miscellaneous 

3

29

Kaiser Foundation Health Plan 

Brochures and pamphlets 

3

30

Visit notes, 1966-1967 

3

31

Pamphlets, 1959-1965 

3

32

Palo Alto Medical Clinic, visit notes, 1966 

3

33

Permanents Medical Group (San Francisco), visit notes, 1966 

3

34

South California Permanents Medical Group, information material, 1963-1965 

3

35

Manuscript, 1968 

Part I. The Professional Setting (chapters 1-3) 

3

36

Part II. Formal Recognition of the Specialties (chapters 4-8) 

3

37

Part III. The Specialty Boards Come of Age 

Chapters 9-11 

3

38

Chapters 12-13 

3

39

Part IV. Specialization: Structure Re-examined 

Chapter 14 

3

40

Chapter 15 

3

41

Chapters 16-17 

3

42

Part V. Specialization: Problems for the 1970s (chapters 18-20) 

3

43

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HEALTH SERVICE IN TANGANYIKA AND OTHER AFRICAN COUNTRIES, 1952-1963 

Box

Folder

Correspondence, 1962 

3

44

Informational material 

The African Medical and Research Foundation, health service report, 1963 

4

1

Ghana 

Health services report, 1961 

4

2

Ministry of Health report, 1955 

4

3

Gold Coast 

Commission of Enquiry into the Health Needs, report, 1952 

4

4

Government statement on the Commission report, 1955 

4

5

Health service manpower and medical education, 1962-1963 

4

6

Kivukoni College, annual report, 1962-1963 

4

7

"Medical Education in Relation to the Needs of Uganda," undated 

4

8

Memorandum on legal education in Africa, undated 

4

9

Ministry of Health and Labor: health, 1960-1962 

4

10

News clipping, 1962 

4

11

"The Role of the Health Center in Kenya" by Brian Abel-Smith, 1962 

4

12

"Study of the Health Services in Kenya" by Karshaw, [1961-1962?] 

4

13

World Health Organization 

Report on a visit to Tanganyika, 1961 

4

14

Survey by the Biharziasis Advisory Team, 1961 

4

15

Research notes and gatherings 

Cost of health services, [1962] 

4

16

Miscellaneous data collected, 1961-1962 

4

17

Miscellaneous notes, 1962 

4

18

Drafts and manuscripts 

"Birth Control in Dar es Salaam" 

4

19

"Development of the Health Services of Tanganyika" 

4

20

"Health Services and their Problems Today" 

4

21

Report Draft, incomplete, [1962] 

4

22

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OTHER ACADEMIC PAPERS, 1968-1991 

Box

Folder

"The American Hospital in the 20th Century," proposal and correspondence", 1985-1986 

4

23

"Career Patterns of Foreign Medical Graduates," 

4

23

Manuscript, by Goldblatt, Mick, and Stevens, 1974 

4

24

Comments, 1974 

4

25

Course syllabus, Yale Medical School, " Medical Care 277a: Social Policy, "with reference works, 1969-1970 

4

26

Development of Hospital and Outpatient Care in the Delaware Valley," proposal and correspondence, 1981-1982 

4

27

Economic Models Limited, "The Medical Profession and the National Health Service," manuscript, 1971, [authorship unknown] 

4

28

History of the Commonwealth Fund, proposal, etc., 1979-1983 

4

29

Institute of Medicine, "Research and Service Programs in the PHS," 1991 

4

30

Introduction to Medical Care, Course E.P.H. 170 

Syllabus and notes, 1968-1969 

4

31

Reference material (I) 

4

32

Reference material (II) 

4

33

Thesis "Politics of Social Welfare" by Richard Fuchs, 1972 

4

34

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