Public health and insurance: American addressesNewsholme, Arthur, Sir
History
Public health and insurance: American addresses
Newsholme, Arthur, Sir
Health insurance -- Great Britain; Public health; Public health -- Great Britain
The tuberculosis officer in order to be able to treat his dispensary
patients with adequate knowledge, and in order to advise as to the
form of treatment—in a residential institution or not,—most fitted to
the patient’s case, must know the sanitary and social circumstances
of the patient’s industrial and domiciliary life. He must, therefore,
have reports on these circumstances respecting each patient. This
raises the general question of the relation of the tuberculosis
officer to the medical officer of health. The medical officer of
health is officially responsible for controlling the tuberculous
patient and his environment from a public health standpoint. As the
tuberculosis officer also needs the information acquired in the
inquiries which it is the duty of the medical officer of health to
make personally or by an authorized agent, coördination of the work
of the two officers is evidently required; and this need cause no
difficulty when the tuberculosis officer is an officer in the Public
Health Department of which the medical officer of health is the chief
administrator.
_The Home Visitation of Patients_
This is important, (_a_) to inquire into the social circumstances
of each patient; (_b_) to instruct him in detail as to the carrying
out of instructions for treatment and in the hygiene of his life;
(_c_) to make a sanitary survey of the dwelling house, and especially
of the patient’s bedroom, and to advise as to any needed reforms;
and (_d_) in certain cases to give actual assistance in nursing the
patient.
The report on these inquiries should be seen by both the medical
officer of health and the tuberculosis officer, and on them in
conjunction with the tuberculosis officer’s knowledge of the medical
condition of the patient, the subsequent course of supervision and
treatment will depend.
Home visitation can be carried out by nurses attached to the
dispensary or by inspectors of the public health department. The
latter will usually be more competent in detecting and remedying
sanitary defects in the home; the former in encouraging the patient
to carry out the needed requirements in personal hygiene and nursing.
Many visitors are equally competent in both directions; and as the
number of women specially trained in tuberculosis work increases this
will more generally be the rule.
Public-domain text, read in full here on John Shaqi.
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