Emergency Medical Care: The Neglected Public Service: The Connecticut Experience

Lawrence L. Hirsch, MD
JAMA. 1978;239(10):972. doi:10.1001/jama.1978.03280370068033.
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Until this book was published, there was no definitive source of information nor cogent analysis of the true emergency function of the health care system in the United States. Certain planners, some hospital administrators, and the general public have viewed the "emergency room" variously as a convenience, an overly expensive triage station, and an abomination. These same people have raised their voices to demand all sorts of changes to meet parochial, if not self-proclaimed, needs. In the meantime, quietly and almost inexorably, others have forged highly effective methods to handle the daily work load of the Emergency Department. The authors have produced an outstanding study of the development, function, and practical limitation of this new concept.

Presenting an in-depth study of a reasonably representative sample of the American medical scene, the book examines the state of Connecticut over a period of three years. Starting with a ten-year retrospect as a


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