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August 21, 1926


JAMA. 1926;87(8):593. doi:10.1001/jama.1926.02680080059016

Hospitals are by no means what might be designated as modern institutions in their organization. In evidence of this fact we may recall that the oldest existing hospital in London, St. Bartholomew's, has already celebrated its eight hundredth anniversary. It has been pointed out, however, that most of the earlier establishments were to all intents and purposes almshouses for the sick; so that the hospitals of the present day have experienced revolutionary changes of organization, equipment and purpose in contrast with their predecessors of former centuries. They have become more closely linked with medicine, along with the gradual development of this discipline. They have become more obviously devoted to the relief of the effects of disease and less ostensibly mere havens for the reception of the indigent distressed. As a consequence, both personnel and clientele have changed with the times.

In an elucidating address recently delivered at the New Haven