3. VI. The hospital
A. High technology
B. Primitive subsistence functions
C. Multiple tasks and lines of authority
D. Complicated community relationships
4. E. Changing social roles
F. Professional group rivalries
G. Does not fit Max Weber’s bureaucratic model
H. Much waste
I. Many hospitals losing money
5. I. Types of hospitals
A. General hospital (private non-profit)
B. Municipal hospital (public non-profit)
C. Proprietary hospital (private for-profit)
1. Dumping of patients from private hospital to
public hospital
6. D. University hospital (can be any type of ownership)
E. Veterans hospital (public non-profit)
F. Military hospital (public non-profit)
7. II. Which patients use hospitals?
A. Need factors
B. Predisposing factors
C. Enabling factors
8. D. Hansell study of which young people get
hospitalized
1. Need factors - no effect
2. Predisposing factor of prior hospitalization - big
effect
3. Enabling factor of insurance - biggest effect
E. Lack of patient insurance contributes to patient
dumping
9. III. Hospice as alternative to hospital
A. Hospital care for dying patients expensive, painful
B. Hospice care
1. For patients who live 6 months or less
10. 2. Extensive nursing care for comfort of patients
3. Emphasis on pain control with drugs
4. Emphasis on spending time with family and
friends
5. Low tech medical care
6. Much cheaper than hospitalization
11. IV. Patient Role in Hospital
A. Hospital rules benefit hospital personnel, not
patients
B. Depersonalization of patient
