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September 26, 1953


JAMA. 1953;153(4):259-262. doi:10.1001/jama.1953.02940210001001

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Grouping patients with similar diseases and then separating these groups from each other has long been useful and effective in medical practice. Sometimes these groupings have been made on wards or services of hospitals, and sometimes there have been specialized hospitals. With increased understanding of illness, it has been shown in many instances that the degree of segregation and specialization once thought necessary is no longer required; in fact, coordination and consultation become increasingly difficult if specialization is carried too far. Increasingly we see the development of general hospitals that are organized so that they can treat the full range of human ailments through well-planned construction and organization of services. A good example of the reduced use of specialized hospitals is in the field of infectious disease. Medical knowledge now makes it possible to handle the problems of infectious diseases without risk to others in a general hospital. This same

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