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Healthcare: Historical Development of Healthcare in USA and Cuba

Using references other than those contained in this unit, research information on the historical development of health care, and complete the following for your assignment: Trace the major historical developments of hospitals in the United States. Identify the major historical events of hospitals in a country outside of the United States. Compare and contrast the history of both countries’ hospitals, and discuss which one you feel has evolved to more effectively provide patient care. Be sure to provide rationale for your choice of which hospital more effectively provides care

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Healthcare: Historical Development of Healthcare in USA and Cuba

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History of Development of US Healthcare

Introduction

            In order for one to develop a good understanding of the healthcare system in the US, its key milestones and challenges, it is important to understand its history. The present healthcare reforms and key transitions owe much to the key historical milestones in the country’s healthcare system (Jonas, Goldsteen, Goldsteen & Jonas, 2013). The hospitals in the Western world have evolved from charitable home cares into centers of scientific and academic excellence all largely to the influence of cultural and social developments.

. History of Hospitals in the US

            Hospitals in the US can be traced back to the nursing homes that offered patient care to poor patients and they were run by charities (Harrington, 2011). Most of the patients included those who suffered from ailments such as leprosy and retirees. A patient who wanted to be admitted had to show his/her moral worth sufficiently or a benefactor.

            During the 19th century and most of the 20th century, many of the patients in the US received their healthcare needs such as surgical procedures, treatment of diseases and birth at home (Wall, 1998). A large number of the Americans lived in their rural homes and they did not find an opportunity to visit healthcare practitioners who were mostly situated in the urban centres. The charitable traditions in the healthcare participation were deeply rooted. However, in the end, municipalities were developed, which stripped the community of its services of providing care for those patients who suffered from chronic illnesses such as lung diseases as well as from providing care to patients with disabilities.

            In 1736, a six-bed room charity nursing home was founded in New York, which would be turned into Bellevue Hospital. In 1829, one of the country’s oldest hospitals, Regional Medical Center, in Memphis, Tennessee was founded (Galbraith, 2006). The same year witnessed the formation of other institutions and powerful municipalities. Although many will regard the homes for the elderly in the 1960s that developed due to the American civil war as the origin of American’s hospitals, there were hospitals at the time, which were staffed with nurses, doctors and specialized departments. However, the American civil war, industrial revolution, advancement in medicine and social development led to the development of hospitals in the country. In fact, by 1965, over 30% of smaller hospitals and almost 90% of bigger hospitals had intensive care units (Wall, 1998).  In the early and middle 19th century, a period termed as “therapeutic pessimism”, doctors could not treat diseases adequately. However, in 1880s, asepsis opened new era for surgery and this grew the bacteriological revolution. The era was also credited for grow respect for doctors and medicine grew as hospitals represented authority a…………………………………………………………….

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