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
2. Detached pavilions of _hospitals for infectious diseases_ have
also been employed for the treatment of tuberculosis, and experience
has demonstrated that in well-conducted institutions consumptives are
not exposed to risk of acquiring acute infectious diseases.
The use of these institutions favours economy of administration. It
possesses the advantage that patients are, as a rule, more accessible
to their relatives than in a sanatorium; and this renders patients
suffering from progressive disease more willing to remain in the
institution than they would otherwise be. Patients can advantageously
be placed in such an institution for observation, before deciding
whether prolonged treatment in a distant curative sanatorium is
indicated.
Occasionally empty _smallpox hospitals_ have also been employed for
the institutional treatment of tuberculosis; but if this plan were to
be generally adopted, tuberculosis work would be seriously crippled
if smallpox became epidemic. The treatment of consumptives in a
smallpox hospital should only be permitted for patients who could be
at once transferred and who can be at once vaccinated.
_General hospitals_ are well fitted to deal with the following
classes of cases of tuberculosis:
(_a_) Patients admitted for observation, with a view to diagnosis;
(_b_) Patients admitted to ascertain the form of treatment best
adapted for the patient’s needs;
(_c_) Emergency cases, e.g., haemoptysis;
(_d_) Patients requiring surgical aid for intercurrent diseases;
(_e_) Patients with advanced disease admitted for special purposes;
(_f_) Patients with non-pulmonary tuberculosis, requiring special
surgical treatment.
In approving arrangements for the treatment of pulmonary tuberculosis
in a general hospital, it should be made a condition that they shall
not be received into general wards of the hospital in which there are
persons suffering from other diseases, unless for a sudden emergency,
or for a short period for operative treatment, or unless there is no
expectoration, or if this, on repeated examinations has been found to
be free from tubercle bacilli.
_Sanatoria and Combined Institutions_
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