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Lecture 4

HMED 3075 Lecture Notes - Lecture 4: Flexner Report, Punched Card, Making MoneyPremium

4 pages90 viewsFall 2016

Department
History of Medicine
Course Code
HMED 3075
Professor
Tobbell D
Lecture
4

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HMED 3075 Lecture Notes on 9/26/2016:
Lecture: The Rise of the Modern Hospital
Reading: Joel Howell, “The changing meaning of urinanalysis.”
Traditional Institution: 1800-1850
1800: only two hospitals: Pennsylvania hospital and New York hospital
Most people treated at home by female care givers
Nicer hospitals, needed a medical examination to determine if you would be
admitted to the hospital. Also considered social class and respectability for
treatment.
Hospitals played small role in provision of medical care
Patients
oInsance, indigent, dependent, permanently incapacitated
oSeparate wards for sick patients
oMinority of paying patients
o“last resort” option of hospital. Most wanted to be treated at home
Limited relationship to medical education. Training often wasn’t done in a hospital
1873: 178 hospitals
New York hospital in 1810:
Hospital growth, 1850-1875: The expanding population
oUrbanization
1800, 6% lived in cities: 1860, 20%
Poor urban health: overcrowding, poor sanitation, epidemics
oImmigration
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