Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
History
Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
Medicine, Military; Military hospitals; World War, 1914-1918 -- Veterans -- Medical care -- United States
Under the terms of the Veterans’ Bureau Act, the Director is charged
with the responsibility for proper examination, medical care, treatment,
hospitalization, dispensary and convalescent care, necessary and
reasonable after care, welfare of and nursing service to beneficiaries
of the Veterans’ Bureau, and since he is so charged, the manner in which
dispensary and reasonable necessary after care can be afforded is a
matter of immediate importance. It is therefore proposed to establish in
each District Office and sub-district office a dispensary of standard
type which will vary only in size according to the amount of work in the
city and surrounding territory which it serves. It is proposed to
establish a type of dispensary to be used as a standard which will
provide facilities for a medical clinic, a tuberculosis clinic, a
neuro-psychiatric clinic, a surgical clinic and an eye, ear, nose and
throat clinic. In addition, there will be a dental unit, primarily for
the purpose of making accurate dental examinations, and secondarily for
the purpose of furnishing dental treatment. It is proposed to establish
an X-ray laboratory and a small clinical laboratory and pharmacy. These
are the facilities of the standard type of dispensary proposed.
In the District Offices, and in a few of the largest Sub-offices, this
standard type will be developed to the greatest extent as these offices
bear the greatest burden of making examinations and furnishing
out-patient treatment. In addition to the clinics above mentioned these
Offices will be equipped with complete Physiotherapy Clinics.
The initial expense involved in establishing dispensaries will
necessarily be large, but once established, will not only furnish
medical service of the highest type to patients of this Bureau, but
will, it is believed, result in an actual economy when compared with the
present method of providing similar medical service practically on a
contract basis. X-ray service alone costs the Government large sums
annually which, with the establishment of the dispensary, can be
practically eliminated. Laboratory service is also an expensive item of
out-patient service when performed by contract, which can also be
eliminated. Dental treatment to which patients of the Veterans’ Bureau
are entitled under the law, is a matter of grave concern as it is
handled at the present time on account of the great expenditure
involved. This expense can be very materially reduced if the Bureau
establishes its own dental dispensaries where careful examinations can
be made and definite determination of the dental disability can be made
by trained examiners. Treatment to which the patient is entitled can
then be furnished either by the dispensary or performed by contract
under close supervision.
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