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
The flexibility of hospitals is a matter of importance. The Public
Health Service has divided its hospitals into three general groups, that
is, hospitals for general medicine and surgery, for pulmonary
tuberculosis and for neuro-psychiatry. We have striven, however, even in
these broad groups to make such hospitals available, at least
temporarily, for any class of case which seeks admission. This has been
especially true with regard to pulmonary tuberculosis and we have been
rather insistent that every general hospital should set aside a certain
number of its beds for the care of such cases. A similar policy has been
followed with regard to neuro-psychiatric disorders. Even if the general
hospital can be made no more than a distributing point for these special
classes of cases it is, nevertheless, wise that such provision should be
made. Consideration has been given to the possibility of adopting a
method which was followed by the Army during the war, that is;
specializing in hospitals to much greater degree and organizing certain
hospitals on such a basis that they might be especially prepared, both
in personnel and equipment, to care for one or two classes of disorders.
The patients with which we have to deal, however, are by no means so
easily transported and so easily congregated in special groups. This
method, therefore, while it deserves much consideration, has not been
found feasible in our work. Consideration has also been given to the
establishment of convalescent hospitals, and while such institutions
have much to commend them, they also possess some very serious
disadvantages, especially with the class of patients with which we are
now dealing. We have opened one such hospital which is still in
operation and is giving satisfactory service.
It has been a general policy of the Public Health Service, of course, to
seek in every way to establish in all of its hospitals standards of
professional service in full accord with the best modern practice. At
the same time we have sought to avoid the fostering of radical methods
which might verge on the field of fads. We have preferred to adopt a
somewhat conservative attitude in this regard and have been unwilling to
make use of methods until they had been fairly well tried out and
established as useful.
It has also been a policy, as far as possible, to establish a uniformity
in professional service, at the same time doing nothing which might
interfere with individual initiative. General Uniformity in professional
service is desirable not only for administrative reasons, but for
professional ones as well.
It goes without saying that we have felt the absolute necessity of
establishing a professional service which would be reasonable in cost.
The expenditure of money in professional service is, of course, wise. At
the same time it has seemed to us that any professional service which
could not be justified on the basis of economy was probably more than
necessary.
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