Development of the city-county (public) hospital.
Prior to 1966, the United States had a two-tiered system of health care. 1-4 Those patients who could afford the cost of medical care were treated by private physicians in their offices and in private hospitals.
For patients who could not afford care, ie, the indigent and retirees over 65 years of age who developed catastrophic illnesses, the city and county (public) hospitals provided the only health care available.
All counties assumed responsibility for their indigent patients, and all but the smallest counties had their local hospital.
In the larger cities, these hospitals developed teaching programs and affiliations with medical schools that provided a volunteer teaching faculty (Table) (john G. Raffensperger, unpublished data, 1991 ; john E. Salvaggio, unpublished data, 1989) 5-11.
Mots-clés Pascal : Homme, Système santé, Etats Unis, Développement, Hôpital général, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Human, Health system, United States, Development, General hospital, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0641042
Code Inist : 002B30A04A. Création : 09/06/1995.