This reluctance to establish a systematically coordinated division of specialist labour within the hospitals is apparent in the relatively slow development of patient records. Whereas in America by 1920, standardized records cards had been widely adopted as a means of integrating the increasingly disparate tasks of diagnosing, caring and curing — serving, in effect, as a surrogate for the whole patient — in Britain clinical records continued to be held by individual consultants, while their form and content varied widely within as well as between institutions.
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