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December 22, 1945

The Road to Recovery from Illness: A Study of Convalescent Homes Serving New York City

JAMA. 1945;129(17):1231. doi:10.1001/jama.1945.02860510097029

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One of the major adjustments with which the medical profession is confronted, both in private practice and in hospital planning and administration, concerns the rapid shift in the character of illnesses with which we have to deal. Acute disease has rapidly given way to chronic disease. The normal aging of the population and the lowering of the birth rate would naturally involve such a change in the balance, but this has been exaggerated by the success of preventive as well as curative methods of treatment in the infectious diseases. As a result we have been caught off balance, with resulting confusion for the administrative and hardship for the patient group that seeks aid.

The private hospital, because of increased occupancy during the war years, resorted to the simple expedient of discouraging the admission of the chronic case and of pushing the convalescent patient out as rapidly as possible. Public hospitals

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