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August 4, 1906


JAMA. 1906;XLVII(5):318-320. doi:10.1001/jama.1906.25210050002002

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The hospital as an increment in the advances of civilization is worthy of more serious attention than it has received. It is an example of the constant tendency in present social evolution to specialize our activities and standardize our services and public functions. Its growth is inherent in the gradual passage of man from a smaller, lower, simpler, less uniform and coherent family unit to a larger, higher, more complex and more uniform communal unit. Once the house contained and the household managed all the affairs of life; eating, clothing, sleeping, recreation, and the eventful ceremonials of marriage, birth and death. Now much of the preparation of food, almost all the production of clothing and furniture, a large part of the recreations of life, are outside of the household, and the affairs of the home are simplified, while the standard of life is raised and the mechanical efficiency of every

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