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EVOLUTION OF THE HOSPITAL IN THE UNITED STATES
The six major stages of hospital evolution in the unite
listed in Exhibit 8.1. 3ta�S are Stage Before ore 1850 or so, only a few hospitals existed, all of which in major U.S. cities. The main health care institutions were the (also called poorhouses) run by local governments. Pesthouses were off° ate Exhibit 8.1 Major Stages of Hospital Evolution 1. Almshouses as primarily institutions of social welfare 2. Community-owned private hospitals as charitable institutions supported by affluent cfm 3. Institutions of medical practice and training serving the needs of members of society to make a profit 4. Emergence of a relatively small number of physician-owned proprietary hospitals 5. University-based centers of medical research 6. Emergence of medical systems providing a large array of health services
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