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Archives of Disease in Childhood 2005;90:113-114; doi:10.1136/adc.2004.057075
Copyright © 2005 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Archives of Disease in Childhood 2005;90:113-114
© 2005 BMJ Publishing Group & Royal College of Paediatrics and Child Health

PERSPECTIVE

Health care

The evolution of paediatric hospitals

R B Goldbloom

Correspondence to:
Correspondence to:
Dr R B Goldbloom
Dalhousie University, Halifax, Nova Scotia, Canada; richard.goldbloom@iwk.nshealth.ca


Commentary on the paper by Ogilvie (see page 138)

Keywords: acute; emergency; admissions; assessment units; ambulatory care

The first 150 words of the full text of this article appear below.

The words "hospice", "hostel", and "hospital" share the same etymological root. In ancient times, the aged and infirm were often admitted to a hospice as a place to die. Typically the physical environment was spartan—walls bare except perhaps for a crucifix, and help limited to prayer. The spirit was otherwise ignored. Most, but not all, hospitals have overcome their monastic provenance and have evolved into cheerier environments. More and more hospitals now encourage the support of family and friends as an aid to recovery. But in too many adult hospitals, the physical environment still betrays its monastic unicellular roots. In health care, as in life, old traditions die hard.

The mere idea of a hospital dedicated exclusively to the care of children is a relatively recent concept. In the mid-19th century, Charles Dickens was a vigorous campaigner for the support of such a hospital in London—specifically, for The . . . [Full text of this article]


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Relevant Article

Hospital based alternatives to acute paediatric admission: a systematic review
D Ogilvie
Arch. Dis. Child. 2005 90: 138-142. [Abstract] [Full Text] [PDF]

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