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Contributions from the Anna M.R. Lauder Department of Public Health, Yale University. School of Medicine Volume 2 (Inglés) Tapa blanda – 6 mar 2012

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Tapa blanda, 6 mar 2012
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1920 Excerpt: ...true ratio of visits per patient and the average length of time for which various classes of patients remain under care. As a general principle it seems clear that the fullest development of clinic service in the future will demand the payment of the physicians who attend the clinics. The City Hospital is fortunate in having a full-time staff which can be utilized so as to secure adequate medical supervision of its clinic service, and the extension of the plan of paid medical service must be given serious consideration in the future for all clinics of this type. Finally it must be recognized that there is a certain proportion of dispensary cases of tuberculosis in which domiciliary visits by a physician are essential to adequate control of the disease. Such domiciliary visits should not be made on an eleemosynary basis but as a part of the duty which the community owes to its citizens in the protection of the public health. The working out of detailed plans for the attainment of these three desiderata, the standardization and extension of clinic records, the reorganization of clinic medical service on a proper financial basis, and the provision of occasional medical service for domiciliary cases is beyond the scope of the present survey. They should form the first duties of the Director of Tuberculosis, whose appointment as an officer of the municipal health department has been recommended above. Outside the city of Providence, conditions in regard to clinic facilities are far less satisfactory. The Pawtuxet Valley is admirably served by the Riverpoint clinic. The Pawtucket and Woonsocket clinics on the other hand are by no means on a satisfactory basis. The attendance per 100,000 population has been low and the ratio 37 t smallpox or rease in the during th...

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