Changing Environment: Decentralized Use of Medical Technology
We tend to forget that the concentration of medical technology in hospitals is a rather recent phenomenon. Until the end of the last century, hospitals provided not only medical care but also shelter, nourishment, and nursing care to the destitute and the homeless in society. Physicians played a minor role in the services offered by hospitals (Querido 1960). The well-off in society had their illnesses treated at home and preferred to have their confinements and even their surgery done there. It was not only more comfortable but also definitely safer as hospitals were cold and plagued by sepsis and vermin.
KeywordsMedical Technology Inpatient Care Finance Health Care Home Dialysis Financial Disincentive
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