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
(b) Has General Order No, 59 caused any marked fluctuation in the
patient personnel of any of the hospitals? I notice, for example, that
Public Health Service Hospital No. 53, Dwight, Ill., has recently
dropped from occupied beds to 65 in number, giving a surplus of 165
unoccupied beds. Houston, Texas, has dropped from occupied beds to
443 beds, giving a surplus of 528 unoccupied beds. At No. 32, Mount
Alto, Washington, there is a ward for colored patients which will
accommodate 30, in which there are only 6 colored patients at the
present time. Are these fluctuations coincidences or are they the effect
of the Veterans’ Bureau having assumed the functions under discussion.
Of course if we could be sure that these reductions in-patient personnel
are going to be permanent it would not make any difference. We could cut
down our working personnel at a hospital like Houston, Texas, and with
the consent of the Veterans’ Bureau we could close a hospital like
Dwight, Ill., but will the pendulum swing in the other direction again,
and what advance information can the Veterans’ Bureau give these
fluctuations and of their approximate duration?
(c) Have you received very many patients who, owing to their condition
or to the nature of your facilities, or both, should never have been
sent to your hospital?
(d) Has General Order No. 59 tended to delay the turnover in those
general hospitals having special wards for psychoneurotic and psychotic
patients, who are detained for a short time only until they can be
otherwise disposed of?
(e) Should General Order No. 59 be modified, and if so, in what
particulars?
Having delivered this third volley of questions, I shall talk a little
more. I have no idea what opportunities you gentlemen have had to become
familiar with the facilities at hospitals other than your own. I have no
idea what information District Managers and District Medical Officers
have of hospitals and conditions in Districts other than their own.
General Order No. 59 of course attempted to convey some idea of the
facilities in all of the hospitals used by the Veterans’ Bureau, but it
was impossible to incorporate anything like a comprehensive statement
with regard to these facilities. Quite recently, at the request of Dr.
Guthrie, and with the assistance of men in both Bureaus, I prepared a
questionnaire for all the hospitals, asking what your general conditions
and facilities were like. Most of the hospitals have answered this
questionnaire, and the information obtained is exceedingly valuable.
Practically without exception the answers have been concise, complete
and exactly what was asked. Those of you who have not answered please do
so as soon as you can. I wish it were possible to print or mimeograph
these reports and distribute them. Certainly anyone who is charged with
the responsibility of placement and transfer of patients should have
access to these reports.
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