JOSEPH C. SHIPP, M.D.
Teaching hospitals provide good care for the hospitalized patient but are less effective in caring for the ambulatory patient. This dichotomy exists because hospitals were established primarily to care for the hospitalized patient. Clinics and emergency services were established piecemeal to refer patients to the hospital and to support the clinical, educational, and research efforts of the faculty. Teaching hospitals have given little thought to the problem of providing accessible, individualized, continuing, and comprehensive care. The ambulatory patient is often "cared for" in multiple clinics at unnecessary cost to both the patient and the providers.
In recent years several factors
SHIPP JC. Ambulatory Care in Teaching Hospitals. Ann Intern Med. ;86:237. doi: 10.7326/0003-4819-86-2-237
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Published: Ann Intern Med. 1977;86(2):237.
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