Whither the specialist hospital?
),
(1) Editor, African Journal of Reproductive Health, Port Louis, Mauritius
Corresponding Author
Abstract
Clinical developments during the nineteenth century having convinced the public of the value of medical specialisation, the concept of the specialist hospital became so popular as to unduly influence the delivery of health care. However, scientific progress after World War II led to an emphasis on a multidisciplinary approach with a major reversal in policy-formulation pertaining to capital building for medical services. Mega hospitals now encompass a comprehensive range of specialties thereby facilitating clinical referrals and research besides community care. As a result, the value of the stand-alone specialist hospital should be reviewed in the context of health service planning.
References
Cule J. A doctor for the people. London: Update Books, 1980: 107-111.
Osler W. An address on the medical clinic: a retrospect and a forecast. Br Med J 1914; 1: 10-16.
Pollock AM, Shaoul J, Vickers N. Private finance and “value for money” in NHS hospitals: a policy in search of a rationale? BMJ 2002; 324: 1205-1209.
Davies O. Cunning-folk in the medical market-place during the nineteenth century. Med Hist 1999; 43: 55-73.
King M. Medical care in developing countries. Nairobi: Oxford University Press, 1966.
World Health Organization. Hospitals and health for all. Report of a WHO Expert Committee on the role of hospitals at the first referral level. Technical Report Series 744. Geneva: World Health Organization, 1987.
Paine LHW, Siem Tjam F. Hospitals and the health care revolution. Geneva: World Health Organization, 1988.
Barnum H, Kutzin J. Public hospitals in developing countries: resource use, cost, financing. Baltimore: Johns Hopkins University Press, 1993: 270-271, 281-284, 287-288.
Guindo G, Dubourg D, Marshall B, Blaise P. Brouwere VD. Measuring unmet obstetric need at district level: how an epidemiological tool can affect health service organization and delivery. Health Policy Plann 2004; 19(Suppl 1): i87-i97.
Stiglitz JE. Scrooge and intellectual property rights. BMJ 2006; 333: 1279-1280.
Anonymous. The Royal Waterloo Hospital for Women and Children. Hospital 1903; 35: 89-90.
Casimir G. Why children’s hospitals are unique and so essential. Front Pediatr 2019; 7: 305.
Jellinek M. Clinical integration of Massachusetts General and Brigham and Women’s Hospitals: a difficult cultural bridge. Acad Med 2025; wvaf109.
Golub SA, Roberts A, McCarty C et al. Availability of inpatient sexual and reproductive health services at US children’s hospitals. J Pediatr Adolesc Gynecol 2025; 38: 572-577.
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