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Article
April 26, 1919

HOSPITAL SERVICE IN RURAL COMMUNITIESA PRELIMINARY REPORT

JAMA. 1919;72(17):1219-1223. doi:10.1001/jama.1919.26110170001010
Abstract

PART I. EXTENT OF SICKNESS AND OF DISABILITY DUE TO SICKNESS  Hospital service is obviously closely related to sickness. Its need is reflected in a large way by the number of deaths and number of cases of sickness in a community. Inquiry into the reason for death may throw light on the adequacy of medical care which preceded it. Whether those who survived sickness had adequate care can be determined only by careful study of the treatment received and of the conditions surrounding convalescence.Information on the extent of sickness and on its care is largely lacking. In 1890, the United States Bureau of the Census gave some attention to morbidity statistics. A considerable area and population were covered. Results tended to show that sickness is more prevalent in country districts than in the city. The census statistics, however, are admittedly incomplete. Table 1 summarizes the results of the federal

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