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HMP 270 Exam 1[2024] Complete solution Rated A

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- Health Care System Evolution 1850 - First plan for health insurance: Franklin Health Insurance Company of Massachusetts (covered bodily injury not resulting in death) 1860 - Travelers insurance (more like today's plans) Late 1800s - Accident and life insurance companies (mostly covering loss of income and certain acute illnesses) 1873 - American Popular Life Insurance Company New York 1887 - First group practice: Mayo Clinic 1700s - First hospitals: almshouses and poorhouses late 1800's - Infirmities: hospital departments of the city poorhouses, first public hospitals Not until the late 1800's was it felt that a hospital was the best place to get medical care late 1700's to early 1800's - Few early hospitals: community owned or voluntary hospitals, funded by private donations and donations from local governments, to support OB and surgery, admitted both poor and paying patients For contagious diseases and mental illness, city county, and state hospitals established By 1873 - 178 hospitals with 35,604 beds in the US, rapid growth thereafter. - Second Period By 1900 - Introduction of medical science: water, sewage, food and milk, urban housing quality all enhanced In the 1870s - Installation of first sewer lines in Providence, RI - Spread of the influenza around the world World War I - 54,000 deaths among US troops on the battlefield, 43,000 deaths from pneumonia and influenza among US troops in Europe - Severe acute respiratory syndrome (SARS) - November 2002: first cases in Guangdong Province, China 1910 - - Flexner Report (1910): Medical Education in the US and Canada for the Carnegie Foundation for Advancement in Teaching (many medical schools closed, remained affiliated with universities) - Western Clinic of Tacoma Washington (started for lumber mill owners and employees, assured income for the clinic, expanded to 20 sites in Washington and Oregon) 1900s-1940 - In early 1900's, significant growth of group practices By early 1930s, about 150 medical group practices


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