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HOME CARE AS AN EXTRAMURAL HOSPITAL FUNCTION

JAMA. 1949;140(9):785. doi:10.1001/jama.1949.02900440027012.
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Home care1 of patients was inaugurated by the Montefiore Hospital of New York City in 1947. The program was limited to 50 patients who could not afford the services of a private physician. Ward patients who can do as well in their own homes as they can in the hospital, as determined by specially trained doctors and social workers, are returned there with a promise of complete hospital care, either in their own homes entirely or by a return to the hospital as necessary. At a later date the patient who can afford the services of a private physician but not the more expensive services which his condition demands will be included. This should result in a form of cooperation between hospital and practitioner in which the practitioner will have the diagnostic and therapeutic facilities at his disposal in the patient's home.

Extramural service provides for carefully selected patients

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