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On some principles of hospital management: part
2
Second part of an article by Dr Colquhoun, Dunedin,
published in NZMJ 1910;9(36):33–37.
Continued from part 1 at http://www.nzma.org.nz/journal/123-1327/4485
Socialism may be right or may be wrong. Socialistic
principles may ultimately prevail in this and other States, but at least let us
not drift into this experiment with our eyes shut. If as an individual class we
are to be extinguished, let other classes clearly understand that their turn
will come quickly, and that the free hospital must be succeeded by free meat,
free clothing, free houses and free land. If these definitions are accepted, and
if it is recognised that it is the truest economy to care for the sick poor in
the most effectual manner possible, then it is clear that the hospital
authorities must make provision for a great variety of cases, and that the same
accommodation will not do for all.
Excluding mental cases, for which the State makes provision,
the local authorities have two great classes of patients to provide
for—1st. Those who are acutely ill and who need constant medical and
nursing supervision ; 2nd. Chronic and convalescent cases which need care but of
a less exacting nature than the first class. There will of course be
sub-classification as between male and female cases, children and adults,
medical and surgical, infectious and non-infectious cases-but for practical
purposes, especially in connection with the cost of the hospital, the first
classification is the most important.
The cost of maintaining each patient in 1906 in Dunedin
Hospital was 5s. 4¼d. per day, or over 37s. 9d. a week An examination of
the wards of the Hospital, made on July 27, 1906, showed that of 121 patients 66
belonged to the acute class and 55 to the second class. If, therefore, there
were a secondary hospital established in one of the near suburbs of Dunedin,
nearly half of the patients could be transferred to it with advantage to
themselves. Their maintenance would be less costly, they would have advantages
of more space and more fresh air, and the relief to the Primary of Central
Hospital would be enormous.
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