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October 30, 1915


Author Affiliations

Superintendent, the Johns Hopkins Hospital BALTIMORE

JAMA. 1915;LXV(18):1497-1500. doi:10.1001/jama.1915.02580180001001

To state that the modern hospital is a factor of great importance in the life of every community is to state a fact so well recognized, so oft repeated, that it seems almost an impertinence to say it again. Yet, strange as it may seem, there exist the greatest differences in standards, in fundamental principles, in organization, in scope of work, together with a great deal of ignorance on the part of the public, of physicians and of hospital administrators as to what hospital efficiency means. It might also be said that there is only one factor common to all and that is the uniform purpose of trying to make sick people well.

Consider for a moment the different methods of support for hospitals. In America we have two main types — the semipublic or endowed and the municipal or city hospital. I am speaking of general hospitals and therefore

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