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Ambulatory visits to hospital emergency departments: patterns and reasons for use

Article Abstract:

Many people may have nonfinancial reasons for going to a hospital emergency department (ED) when they are sick. In a survey of 6,187 people visiting EDs in 56 hospitals nationwide, 49% had a nonurgent condition. Half said they had nonfinancial reasons for going to the ED. These included problems scheduling an appointment with their regular doctor because of work, lack of transportation and lack of a telephone. Those with insurance or a regular physician had similar reasons for using the ED as those who did not. Five percent were eventually admitted to the hospital.

Surveys, Emergency medical services, Medical care utilization, Ambulatory medical care, Ambulatory care

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History of the infectious disease clinic at the Bulovka Teaching Hospital

Article Abstract:

Poliomyelitis patients were the first to be admitted to the infectious disease clinic of the Bulovka Teaching Hospital in Prague, Czech Republic. Children with scarlet fever were first treated at the clinic in the winter of 1939, followed later by diphtheria and diarrhea patients. During World War II, the clinic treated over 3,000 prisoners of various nationalities from Nazi concentration camps. The clinic, which was launched in May 1939, is the main and biggest diagnostic and therapeutic facility in the country.

History, Health facilities, Communicable diseases, Prague, Czech Republic

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Hospital autonomy

Article Abstract:

Several Middle Eastern countries have instituted hospital-reform measures intended to improve their ability to provide efficient service and their overall administration. Providing hospitals with increased levels of autonomy can be beneficial but requires a closely monitored plan.

Social policy, Middle East, Hospital administration

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