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
This fact emphasizes the importance of adequate hospital treatment
for all patients acutely ill or bed-ridden, who cannot be
hygienically treated at home; and the importance becomes evident of
exercising _complete supervision over and provision for the whole
of the sick life of the consumptive, whether he is trending towards
complete recovery or to death_.
Such complete supervision and provision necessitates further
development in three directions in which beginnings have already been
made:
_Industrial Colonies_
These are the provision of “Farm or Industrial Colonies,” the
adaptation of domestic dwellings to meet the special needs of
consumptives, and the more complete organization of “Care” and
“After-care” arrangements.
In a large proportion of cases, the patient on leaving the sanatorium
is unable at once to embark on full work without risk of early
relapse, or to refrain from this without endangering his nutrition
and that of his family. His work, furthermore, may be unsuitable for
a consumptive.
This has led to many tentative efforts to train the consumptive
in a suitable occupation while under sanatorium treatment, or in
an industrial colony which should preferably be attached to or in
close communication with a sanatorium, in order that the patient
may continue under skilled medical supervision. The graduated labour
which forms part of the routine method of treatment in many sanatoria
can be made a preparatory stage in this industrial training.
The training may be made to merge into the pursuit of an actual
livelihood; and then the sanatorium becomes an industrial colony.
Market gardening, pig-keeping, forestry, and other occupations
may be thus pursued for protracted periods, if the patients are
suitably selected. The ex-patients continue to live under protected
conditions, earning part at least of their livelihood. Attempts
in this direction are not likely to have wide success unless the
patient is re-instated in his family; and the most promising efforts
are those which install the ex-consumptive with his family in a
cottage near a sanatorium, where he can remain under partial medical
supervision, while engaged in his daily work. It remains to be seen
to what extent such arrangements are practicable on a considerable
scale, and the experiments now being made will be watched with
interest.
_Special Dwellings and Help in Support_
Public-domain text, read in full here on John Shaqi.
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