PAPERS ON MEDICINE AND PUBLIC HEALTH 



447 



There follows a tabulation of the essential differences between the 

 three types of hospitals: 



1. Source of Control. 



TYPH I 

 Hospitals under con- 

 trol of Federal gov- 

 ernment. State, or 

 Municipality, or pri- 

 vate institutions 

 owned by physicians 

 or hospitals allied 

 with teaching institu- 

 tions and utilized for 

 teaching purposes. 



TYPE II 

 General hospital 

 supported by the com- 

 munity under control 

 of a charity board, a 

 religious community, 

 or owned and con- 

 trolled by a religious 

 organization. 



TYPE III 

 General hospitals sup- 

 ported by the community 

 under control of a charity 

 board or owned and con- 

 trolled by a religious or- 

 ganization or a religious 

 community, but under 

 the direction of a staff of 

 local physicians selected 

 by the Board or Com- 

 munity who make them- 

 selves responsible for 

 professional work In the 

 hospital. 



2. Relation of Attending Physicians to Management. 



Attending staff se- 

 lected by Command- 

 ing Officer according 

 to existing laws of the 

 state or allied teach- 

 ing institutions or by 

 owners. 



Attending p h y s i- 

 cians all licensed phy- 

 sicians practicing In 

 accordance with laws 

 of the State and the 

 ethics of the profes- 

 sion. 



Attending physicians 

 selected by the attending 

 staff. 



3. Limitation of Medical Personnel. 



Personnel limited Medical personnel 



by law. limited by Medical 



Practice Act and ex- 

 isting code of Medical 

 Ethics. 



Medical personnel lim- 

 ited by judgment or prej- 

 udices of Medical Staff. 



4. Responsibility for Medical Care of Patients. 



Governing body re- 

 sponsible for patient. 



Patients' physician 

 is solely responsible 

 for the patients' pro- 

 fessional care. 



Staff of physicians re- 

 sponsible for professional 

 conduct of patients' phy- 

 sician. 



5. Responsibility for Financial Management. 



The governing offi- 

 cer responsible for 

 financial management. 



Governing body re- 

 tains financial man- 

 agement or delegates 

 same to business man- 

 ager. 



Financial manager sub- 

 ject to more or less in- 

 terference by medical 

 staff. 



6. Responsibility for PJiysicians' Professional Qualifications. 



Governing officer 

 responsible for quali- 

 fication of physicians 

 under him. 



State responsible 

 for qualifications of 

 attending physicians. 



Staff responsible for 

 qualifications of attending 

 physicians. 



7. Legal Responsibility for Patients. 



Legal responsibility 

 rests with governing 

 officer. 



Legal responsibility 

 rests with physician 

 selected by the pa- 

 tient. 



Legal responsibility 

 rests with hospital and 

 with the staff. 



8. Source of Financial Siippo7-t. 



Financial support 

 obtained through 

 taxes, from allied 

 teaching institutions 

 or from fees paid by 

 patients. 



Financial support 

 obtained from public 

 contributions, from 

 services of religious 

 communities and mod- 

 erate fees from pa- 

 tients. 



Financial support ob- 

 tained from public con- 

 tributions, from services 

 Df religious communities 

 and moderate fees from 

 patients. 



