Asibiti eyɛ jie kaŋa baŋ mɛ bee ŋmaa ka o e laafeeloŋ jie ka ba sagena baaleba. O la eyɛ yiri baŋ de tĩĩ booraboora jaa biŋ be kyɛ de tontonneba mine eŋ ka ba maŋ sagena baaleba. Ka enna na nyɛ sori gaa tona a asibiti yiri kaŋa zaa a seŋ ka fo neɛ naŋ gaa sakuuri a te zanne gaa nimitɔɔre a taa teɛroŋ kyaare neŋ lɛ baale ne baala zaa na naŋ baŋ nyɛ sambo yineŋ tĩĩ tori na zaa fo na naŋ de ko o.
Ka fo zu, poɔ, toore, gbɛɛ, nyɔbogiri, eŋbane zie zaa na ba taa laafeɛ ka fo gaa be fo naŋ nyɛ la sambo. A lɛ wuli ka baaloŋ zaa maŋ taa la o toɔre tĩĩ ane o sambo. A yi a tĩĩ naŋ be o poɔŋ, be la ka ba maŋ kyɔge neɛ ka a na Senne lɛ.
A bɔnne vɛŋ la neɛ ne neɛ zaa na be a Ghana poɔ taa foto kaŋa ba naŋ boɔlɔ ka laafeeloŋ gane ka nansaala meŋ maŋ boɔle ka ''National Health Insurance Scheme (NHIS )'' ka fõõ na gaa a asibiti yiri a naŋ nyɛ sambo a seŋ ka ka fo de o ona ka baŋ nyɛ a sambo. Ka fõõ ba taa o ba maŋ eŋ la ka yɔ sama mine kyɛ baŋ nyɛ a sambo.
A teaching asibiti meŋ sonɔ la noba kyaare ne laafeeloŋ zannoo, science karambiiri ane laafeeloŋ toma sakuuri bie zaa. A laafeeloŋ science zie ne o bele zaa kyɛ o e la kpoŋ gaŋ clinic. Asibiti taa ziire gyamaa ( aŋa wɛroo zie ane baaltɔloŋ zie) ane gɔɔloŋ ziire ka a mine la cardiology. A asibiti mine taa outpatient ziire kyɛ ka a mine.e taa chronic baaloŋ sammo zie. Ziire ba naŋ sonno noba la a teɛnɛɛ zie, pathology ane radiology
Asibiti maŋ e la gɔbenneti soɔbo ka ba dere a sama ( ka tɔnɔ bebe bee ka tɔnɔ ba kyɛbe ), laafeeloŋ tontomba nimimaaroŋ zɔrebo lane noba naŋ maŋ de boma kya ne ba. Dasaga na, ŋmepuoribo la da maŋ de a asibiti sama bee nimimaaroŋ zɔrebo ne ba nembɛrɛ.
Asibiti pampana ŋa dere noba naŋ baŋ a laafeeloŋ toma soŋ aseŋphysicians, surgeons, nɛɛsere ane and alliemmaroŋ tontomba. Dasaŋa na, a toma ŋa da maŋ e la noba naŋ baŋ a toma bee noba naŋ de ba mine tonɔ ne a toma. Ama, ŋmempuorbu gyamaa aŋa Catholic ŋmempuoribu ba mine la Alexians ane a Bon Secours Sisters naŋ naŋ moɔ nimire ne a asibiti toma a yuomo 1990 naŋ tɔle ane ŋmpuori noba mine, a lane Methodists ane Lutherans, naŋ kaara a asibiti. A yi o yelbiri pare hospitality ka o pare naŋ bebe wa tɔ zenɛ aŋa a Royal Hospital Chelsea, naŋ da piili a yuoni 1681 ka o e nɛɛsire kpɛzie a veteran zɔɔzɔrebɔ.
Yizie
editWhite H na be blue background, da maŋ e la asibiti wuluu US. A yuori meŋ naŋ yi a kyɛ la, hospitium wa la ka o wuli asibitiri, lɛ la a yitaaloŋ naŋ be a guest ane shelterer, hospitality, friendliness, ane hospitable reception. A metonymy, a Latin yelbiri paaŋ was wuli la guest-chamber, guest's lodging, ane inn.[5] Hospes paaŋ eɛ a nyaga KO Bɔrefɔ yelbie dieŋ (be a p naŋ e ko boɔlɔɔ 'pronunciations') hospitality, hospice, hostel, ane hotel. A yelbiri pampana yi la Old French romance yelbie hostel, naŋ maale maaroŋ, o yelbiri naŋ da yi a yelbie poɔ, a iruŋ zie naŋ wuli ka o e la circumflex a pampana French yelbiri hôtel. A German yelbiri Spital poŋ la ulli na tɔ.
Parɛɛ
editBaaleba mine maŋ gaa la asibiti ka ba te diagnosis, treatment, bee therapy kyɛ yi to gɛrɛ ("outpatients") kyɛ ba maŋ gaŋ veɛ bieuo; kyɛ ka ba mine maŋ gaŋ a asibiti veɛ zie bee beɛ bebie bee dare mine ane kyuue ("inpatients"). Asibitiri maŋ taa la tɛɛtɛɛloŋ neŋ laafeeloŋ yie mine yi ba naŋ maŋ toɔŋ gaale kyɛ sanne neɛ beɛ bieou kyɛ a mine, naŋ e bilii, maŋ baŋ bigiri la asibiti bilii.
General and acute care
editA asibiti pare soŋ neɛzaa naŋ baŋ la a general hospital, meŋ naŋ e a acute-care hospital. A asibitiri ama maŋ sanna la baaloŋ ane perebo, kyɛ gbɛɛ yaga maŋ taa la emergency department (saŋa kaŋa naŋ e "perebo & emergency") bee trauma center naŋ kaara baale kpeɛnne. Tembɛrɛ naŋ baŋ taa la asibitiri gyamaa sɛgroŋ naŋ waa tɛɛtɛɛ ane zimeɛre. Asibitiri, te gaŋ a zaa anaŋ na be a United States ane Canada, taa la a meŋɛ Ambolanse naŋ tona toma.
Asibiti Tɔnɔ
editA Ghana paaloŋ zaa te nyɔge a Africa zaa. Asibiti la ka gɔvemati ne noba mine sommo zuiŋ ka ba maŋ mɛ a yie ama ka a gu a teŋɛ noba. A ziiri ama e la ziiri bee yie ba naŋ maŋ mɛ ka a guro noba te seŋ baaleba bee neɛ naŋ beɛrɛ bee baaloŋ naŋ kpɛ neɛ ka o soba bɛ. A Asibiti yie ama maŋ taa la tēē nɛɛ ba naŋ maŋ de sana ne a baalba bebiri zaa ka banaŋ wa kpɛ o poɔ.
Yizie
editA Middle wagere na, asibiti da erɛ la yɛlɛ gyamaa a yi Zane ziire kyɛ la yie ko nempaaba, kpeziire ko saama bee laafeeloŋ sakue. A yelbiri asibiti la a Latin yelbiri hospes, naŋ wulu kpeɛmo bee saama ama saana. A yuori kaŋa meŋ naŋ nyɛ yi ne a yelbiri ŋa la hospitium naŋ wulu nenesaaloŋ, naŋ taa yitaaloŋ ne saana ane kpɛzie. A yelbiri yitaaloŋ poɔ,a Latin yelbiri muni bee pare la saana ganzie, saana kpɛzie. A Hospes la e a English yelbipeelaa host( be la ka p da iri bare a booloo zuiŋ)hospitality, hospice, hostel, ane hotel. A sɛgebiri a pampana ŋa naŋ yi a Latin via a Old French romance yelbiri hostel, naŋ s ka o boɔlɔ ba saana a wa ta soga ka ba maŋ iri bare a o iribaroo na poɔ la ka parepegeraa maraa wa a pampana French yelbiri hôtel. A German yelbiri Spital meŋ yi a be .
District
editA distiriki asibiti gbɛɛyaga maŋ e la asibiti bɛrɛ laafeeloŋ tontonziire a irigyin poɔ, a taa gadore gyamaa ka kaara ne baaleba,ba naŋ beɛre baaloŋ faa ane ba naŋ na bɛ kɔɔre.
California poɔ, " distiriki asibiti e ziyuori kaŋa a ko baaloŋ zaa ba naŋ da maale a yi a Work War II ka toɔ seŋ a asibiti naŋ ba pure a tembilii. Ane a zenɛ, distiriki asibiti la a nemgyamaa asibiti a 9 Colifornas tenne kyɛ la a asibiti yoŋ naŋ e zie noba naŋ na baŋ ta weɛ a tenne 19 na poɔ, ka ŋa maŋ e nembaaba zie ka a toɔ soŋ a tenne awae naŋ na poɔ ka asibiti yaga leɛ poɔ kyɛ ka pampana ka be tɔɔre zaa a tembilii. California's tembilii lezare ne anii asibiti ane a asibiti lezare na bebe poɔ a disitriki asibiti poɔ. A tembilii deme la maale a taa nembɛrɛa tenne deme naŋ iri ka ba kaara ba yelbilii.
A taa la tɔna a Sana baaleba naŋ ba taa a laafeeloŋ gane ane baaleba na naŋ taa Medi-Cal (naŋ e California's Medicaid yelnyɔgeraa, naŋ kaara noba ba naŋ na ba taa lebie, bibiiri, nembɛrɛ mine,nembatuone, pɔgepɔɔre)
A yuoni 2012 poɔ, distiriki asibiti maŋ kaa baaleba naŋ ta $54 million a California poɔ
Gɔɔloŋ
editAsibiti gɔɔloŋ e la zie naŋ e o toɔraa naŋ maŋ yɛlɛ ayi bee boŋyeni kaŋa zie yoŋ toma. A mine la leɛmaaloo asibiti, bibiiri asibiti, nembɛrɛ ( geriatric ) asibiti, long team acute care asibiti ane asibiti naŋ kaara baaloŋ kaŋa bal naŋ e o toɔraa lɛ ka a mine ; yeŋ baaloŋ,(nyɛ yeŋ baaloŋ yɛlɛ), cancer sammo, baaloŋ mine kaŋa booro, ka a mine la; cardiac, oncology, bee orthopedic yɛlɛ, ane a mine kaŋa. Germany poɔ, asibiti gɔɔloŋ ba boɔlɔ a Fachkrankenhaus; a seŋ mine e la an Fachkrankenhaus Coswig (thoracic surgery). India poɔ, asibiti gɔɔre ba boɔlɔ a la super-specialty hospitals ka a waa a tɔɔraa lɛ ne a taaba na naŋ erɛ yɛlɛ yaga. Asibiti gɔɔre na baŋ soŋ la laafeeloŋ sane siŋ ka foo naane ana ne asibiti yɛrɛɛ lɛ. Aseŋ, Narayana Health's cardiaclaafeeloŋ zie na be Bangalore a ka ba gɔɔloŋ e pecialises in cardiac sugyire wɛroo a maŋ kaa baaleba gyamaa. O taa la gɔdɔre naŋ ta 3,000 a maŋ wɛre noba 3,000 yuoni zaa ba la maŋ taa a noba yaga a ba asibiti na poɔ. Noba naŋ wɛrɛ maŋ yuo la lieba ba naŋ beŋ ko neɛzaa ka noba naŋ wɛrɛ wa e yaga a asibiti maŋ kaa la nankoɔroŋ yɛlɛ kyɛ ŋmaa a daa bare. Gɔɔre asibiti meŋ na baŋ toŋ la toma yeltuuri wɛroo yɛlɛ
Teaching
editA teaching asibiti maŋ Sana la baaloŋ gyamaa ko baaleba kyɛ la wulu ba naŋ na meŋ naŋ boɔrɔ ka ba wa leɛ emaaroŋ tontoneba ka ba mine dɔɔtare karambiiri, nɛɛsire karambiiri. O meŋ na baŋ waa la Medical sakuuri bee nɛɛsere sakuuri, kyɛbee medical peɛpeɛrebɛ. Karambiiri meŋ na baŋ zanne lafeeloŋ toma a asibiti poɔ.
Clinics
edit[edit source] Clinics gbɛɛ yaga maŋ kaara la noba naŋ yi ziire wa kyɛ ta a mne na baŋ taa la baaleba gɔdɔre fee lɛ ane noba naŋ e fee a kaara a baaleba ka fo na baŋ nyɛ a ŋaa meŋ asibiti meŋɛ poɔ.
Departments or wards
editA asibiti taa la ganziire boŋyeni bee ayi naŋ maŋ gɔdɔre ko a baaleba. O meŋ na la baŋ tona la yɛlɛ yaga ka a mine la yelferaa ganzie, wɛroo die, ane intensive care zie, ane medical gɔɔloŋ ziire. Asibiti naŋ taa a boma zaa na baŋ e trauma zie. A meŋ na baŋ tɔna la toma gyamaa ka a mine la teeɛnɛɛ zie, radiology, pathology, ane medical laboratories. A asibiti mine taa la baalegurebo gamziire ka a mine la meŋɛ taabo zie, nyemɛ zie, ane le maaloo ziire. Asibiti meŋ na baŋ yaa la nɛɛsire ziire ka a nɛɛsi kpoŋ maŋ kaara. A zie ŋa e la a tontomba yoŋ ztie, peɛrepeɛreba ane bɛŋɛ ko a asibiti.
A ziire mine taa a nɛɛsire ane a dɔɔtare naŋ maŋ kaara ba bambu ziire. Aseŋ, a intensive care zie, a dɔɔta la seŋ ka o kaara a teɛnɛɛ a medical yɛlɛ kyɛ ka a nɛɛsire kpoŋ kaara a nɛɛsire zaa zu.
Sommo zie meŋ na baŋ poɔ la medical yɛlɛ ziire, a duoro ziire, kompiita bammo ziire clinical engineering, zie kaabo fitindigili yɛlɛ, bondizie ane wɔɔkyimaan ziire.
Remote monitoring
editA COVID-19 pandemic la da wane a ganziire gyamaa maaloo a yi a British NHS. Baaleba da maŋ saŋ la yie poɔ, ka ba kaara ba mine vooroŋ a ne vooroŋ saturation probe ka naŋ wa moɔ ka tagaraa meŋ poɔ. A West Hertfordshire asibitiNHS sagediibu toɔ soŋ la noba 1200 ba yie poɔ a yi March kyuu ane a June kyuu a yuoni 2020 kyɛ naŋ boɔrɔ ka naŋ erɛ la ka a COVID-19 wa baare, a piiluu noba naŋ taa vooroŋ baaloŋ. Mersey Care NHS Foundation Trust piili la a COVID Oximetry@Home toma a April kyuu a yuoni 2020. A ŋaa vɛŋɛɛ ka ba toɔ kaa noba naŋ pare 5000 bebiri zaa ba yie poɔ. A technology vɛŋɔɛ ka nɛɛsire, baaleba ka toɔ kaa yelwonni mine ka mine la vooroŋ semmo.
Yelkɔrɔ
editDakoroŋ yɛlɛ
editDakore saŋa India, Fa Xian, a Chinese Buddhist monk naŋ da tu sori vilikoli a India c. AD 400, da peɛre nyɛ la teseŋ ziiri mine.[1]Yi a Mahavamsa yeluu zie, a saŋa na chronicle ko Sinhalese royalty, naŋ da sɛge century ayoɔbo soba AD, King Pandukabhaya ko Sri Lanka (r. 437–367 BC) da maŋ gaŋ-la-yiri ane asibitiri poɔ (Sivikasotthi-Sala).[2] A asibiti ane tēēne nyooro zie meŋ da be la Gundeshapur, teŋkpoŋ naŋ be southwest a Sassanid Persian Empire a da piili AD 271 yi Shapur I.[3] A dakore saŋa Greece, temples naŋ da bebe ko healer-god Asclepius, ba mine maŋ boɔle ka Asclepeion da tona la tēēne manne-kɔrɔ, prognosis, ane sansanna.[4]A Asclepeia da ŋmɛ yaare la gaa Roman Empire. Kyɛ public healthcare da ba kyebe a Roman Empire, Sogyare asibiti naŋ e valetudinaria da tona la a sogyare barracks a maŋ sanne a sogyare ane gbaŋgbaare naŋ be a zie na.[5]Danseɛ wulluu wuli ka civilian asibitiri mine, naŋ na ba kyebe a Roman noba yagroŋ, da eɛ boma naŋ da mɛ a taa meŋɛ suobo ko noba mine a Roman households naŋ be teŋɛŋ lambogri ko a yiri na, kyɛ ka a yel-eroŋ ŋa na da baare 80 AD.[6]
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View of the Askleipion of Kos, the best preserved instance of an Asklepieion
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Ruins of a two thousand-year-old hospital were discovered in the historical city of Anuradhapura Mihintale Sri Lanka.
Middle Ages
editA yeluu ko a Khristo biiri naŋ da sage yi a ŋmempuoruu noba a Roman Empire da wanne la yɛloŋ ko saabo.[7] Tuuru a kansil dɛndɛŋ ko a Nicaea a AD 325 asibiti meɛbo a cathedral paaloŋ da piilee, te paale a asibiti dɛndɛŋ soba naŋ da mɛ yi Saint Sampson naŋ be Constantinople ane Basil, bishop ko Caesarea a saŋa na Turkey bebiri.[8] Yi a twelfth century, Constantinople da taa la asibitiri ayi naŋ da taa bonzaa, tontonneba naŋ e dɔɔtare naŋ da e dɔɔba ane pɔgeba zaa. Zimeɛre paale la wagere kaŋa zaa neŋ o baaloo sambo ane sambo yeltuuri naŋ senne ane di-zagelaa kaŋa naŋ da deɛre baalsaŋgaraa mine.[9] Qalawun complex kpeɛbo zie naŋ be Cairo, Egypt, naŋ taa Mansuri asibiti.
A neɛzaa asibiti dɛndɛŋ a Islamic tendaa da mɛ 805 a Baghdad yineŋ Harun Al-Rashid.[10][11] A yi 10th century, Baghdad da taa la asibiti gyamaa, kyɛ Damascus meŋ taa asibiti ayoɔbo a 15th century, kyɛ ka Córdoba yoŋ meŋ taa asibi-kpoŋ lezaɛ ayi ne pie (50), gyamaa zie naŋ da taa suobo ko a sogyare, a yuoni baaroo ko a 15th century.[12] A Islamic bimaristan da e la zie meŋ na da e asibiti na maŋ kaara baaleba, kyɛ meŋ da e nɛɛsere zie ane lunatic asylum. O yelnimizeɛ la ka o korɔ nandeme sambo, ka nandaaneba naŋ na boɔrɔ ka ba maŋ wa sanneba ba yieŋ.[13] Asibitiri saŋa na da la a dɛndɛŋ deme naŋ da boɔrɔ dɔɔta kyɛ.[14][15] Asibiti da ba tona yi merɛ mine naŋ maŋ zagera bara baaleba mine naŋ na ba taa sambo libie.[16] A asibitiri ama da taa la libie sommo yi waqfs, meŋ naŋ da e a gɔbena libie.[9]
A India, gɔbena asibitiri da tona a Firuz Shah Tughlaq saŋa 14th century. The Mughal emperor Jahangir a 17th century da mɛ la asibitiri tembɛrɛ poore ane gɔbenɛnte libie ane wuluu kyaare neŋ lɛ a saŋyɔɔ ane sommo mine naŋ maŋ yi a gɔbenɛnte zie.[17]
A China, yi a Song Dynasty, a teŋɛ da piilee deɛrɛ social welfare functions naŋ da maŋ yi Buddhist monasteries ane instituted gɔbenɛnte asibitiri, hospices ane dispensaries.[18]
Early modern and Enlightenment Europe
editA Europe na be a medieval concept of Christian care da paale la a 16th ane 17th centuries. A England, monasteries naŋ da ba la tona a 1540 yi King Henry VIII, a Ŋmeneyiri da iri ba nuuri yineŋ a sommo ko a asibiti, kyɛ da tuuru mere yi a noba naŋ be a London, la da e a asibiti St Bartholomew's, St Thomas's ane St Mary of Bethlehem's (Bedlam) da e a zenneba; ŋaa la da e a sommo dɛndɛŋ soba naŋ da yi ko a asibiti.
A 1682, Charles II la da piili a Royal Asibiti Chelsea a da e sogya naŋ gaa pɛnnoo ka naŋ e Chelsea Pensioners, a saŋa na ba naŋ maŋ yele a yelbiri ka "asibiti" a vɛŋ ka o e almshouse.[19]Yuomo pie saŋa, Mary II piilee a Royal Asibiti ko Seamen, Greenwich, ane yelzu boɔbo yeni.
[22]A voluntary asibitiri toma piilee 18th century, ane asibitiri naŋ da taa sommo London a yi 1720s, te paale Westminster asibiti (1719) naŋ da do saa yi private bank C. Hoare ane Co neŋ Guy's Hospital (1724) naŋ taa sommo yi bequest of the wealthy merchant, Thomas Guy. Asibitiri mine meŋ da la piili la London ane British tenne mine a century mine, gyamaa yaga da nyɛ la yɔɔbo yi private subscriptions. St Bartholomew's naŋ be London da nyɛ la leɛmeɛbo yi1730 te tɔ 1759,[23] ane a London asibiti, Whitechapel, yuobu naŋ da e 1752. A asibitiri ama eɛ a leɛbo ko a piiluu ko a asibiti toma; a piili la neŋ la ka o e zibilee lɛ a sanna baaleba a leɛ e asibiti yiri leɛ maaloo ane zikpoŋ ko zannoo ane nyooro ko noba na boɔrɔ ka leɛ dɔɔtaare ane nɛɛsere. Wagere mine poɔ maŋ toŋ la kyɛ wɛrwɛreba ane dɔɔtare maŋ toŋ la kyɛ de ba bammo ko noba mine a asibiti poɔ.[24]Ba maŋ leɛ la ka ba e nensaama mine a maŋ vɛŋ yelfere mine kpeɛrɛ a asibiti poɔ ka ba ba toɔnɔ kaara kyɛ korɔ baaleba tēēne a asibiti poɔ. A Charité da yi la Berlin naŋ be 1710 yi King Frederick I naŋ be Prussia a taa sagebo yi plague.
Voluntary asibitiri meŋ yɛrɛɛ gaa la Colonial America; Bellevue Asibitiri naŋ be New York City piilee 1736, a da e workhouse dɛndɛŋ soba kyɛ wa tɔsɔgɔ leɛ e asibiti; Pennsylvania asibiti ko Philadelphia naŋ piili 1752, New York asibiti, naŋ leɛ e Weill Cornell Medical Center[25] naŋ be New York City a piili 1771, ane Massachusetts neɛzaa asibiti naŋ be Boston a piili 1811. Vienna General Hospital naŋ da piili 1784 a e a tendaa zaa asibiti kpoŋ, physicians da de la zimeɛre mine naŋ da vɛŋ a zie yuo a leɛ e zie naŋ soma neŋ peɛroo yeltare.[26]
A Enlightenment era charitable nhaabo da eɛ dispensary; a yele ama da naŋ soŋ la nandeme neŋ baalo saamo weɛ lɛ. A London Dispensary yuo la o dendoɛ 1696 a e asibiti bilee kaŋa naŋ da be a British Empire. A teɛroŋ ŋa da nyɛ la eebo yi 1770s,[27] a when organisations ama taa da taa nyaabo, te paale Public Dispensary of Edinburgh (1776), a Metropolitan Dispensary ane Charitable Fund (1779) ane a Finsbury Dispensary (1780). Dispensaries meŋ da piili la New York 1771, Philadelphia 1786, ane Boston 1796.[28]A Royal Naval asibiti, Stonehouse, Plymouth, da eɛ pioneer ko a asibiti a maale taa "pavilions" ko o sigiri a baaloŋ yɛroŋ. John Wesley da wa nyɛ ba la1785, a da yeli ka "N ba nyɛ yelzaa naŋ wuli ka o baarɛɛ la; bonzaa bebe la, kyɛ sereŋ taa veɛloŋ. Kyɛ bonzaa ba kyebe naŋ wuli ka o ba soma, kɛ tesɛlaa kaŋa zaa ba kyebe, naŋ wuli bebe bee ba bebee." A yi revolutionary maalok da vɛŋ la noba baŋ John Howard, a philanthropist. A 1787 a French gɔbenɛnte tere la scholar administrators, Coulomb ane Tenon, naŋ da gaa asibitiri yaga naŋ be Europe.[29] Ba poore zaa da pɛllɛɛ la ba naŋ da nyɛ a "pavilion" maaloo da taa yitaaloŋ neŋ France a Europe gbulli zaa.
19th dakoroŋ
editEnglish physician Thomas Percival (1740–1804) da sɛge la comprehensive system ko medical conduct, Medical Ethics; bee, a Code ko Institutes ane Precepts, naŋ taa sagedēēbo ko Professional Conduct ko Physicians ane Surgeons (1803) naŋ taa gama noɔre ba naŋ noɔrɔ.[30] A 19th century yuonkyɛlɛɛ poɔ, asibitiri ane a medical profession da maale eɛ professionalised, neŋ a reorganisation ko a asibiti wederebɛ a yi bureaucratic ane administrative lines. A Apothecaries Act 1815 da vɛŋ la k o e kparaama ko a medical students na zanne yuonkyɛlɛɛ na paale a ba zannoo dɔlɔ.[31]
Florence Nightingale pioneered a modern profession ko nɛɛsere a saŋa na a Crimean War na da e onaŋ da maale bondemannewulaa ko compassion, commitment ko baalba ane diligent eŋ poɔ thoughtful hospital administration. A nɛɛse dɛndɛŋ sakuuri, a Nightingale School ko nɛɛsere, da piilee la 1860, neŋ ba boɔbo ka ba wuli nɛɛsere ka ba maŋ tona asibitiri poɔ, a naŋ tona korɔ nandeme kyɛ naŋ kaara ba meŋ.[32]Nightingale da eɛ instrumental onaŋ da leɛrɛ a asibitiri waaloŋ, yi o naŋ da maala dɛgere yeltare kyɛ naŋ leɛrɛ a asibiti enfuomo yineŋ zie na baalba naŋ na kpi, te eŋ zie naŋ e recuperation ane healing. O paaŋ da la kaa la a tona kyaare neŋ statistical measurement yineŋ lɛnɛɛ ba naŋ na nyɛ intervention kyɛ daa tɔle nimitɔɔre ko administrative reform a asibitiri poɔ.[33]A 19th century baaroo, a saŋa na asibitiri da piilee deɛre la waaloŋ neŋ public ane private asibitiri yele. A 1870s, asibitiri taa la baalba naŋ na baŋ gaŋ 3,000. A continental Europe naŋ e asibiti paala da mɛ la kyɛ naŋ boɔrɔ sommo. A National Health Service, naŋ e a sɛkyiri ko laafeeloŋ yele a United Kingdom, da piilee 1948. A saŋa na ko a nineteenth century, a ayi soba ko a Viennese Medical sakuuri da eɛ sommo ko a physicians teseŋ Carl Freiherr von Rokitansky, Josef Škoda, Ferdinand Ritter von Hebra, ane Ignaz Philipp Semmelweis. Basic medical science expanded ane specialisation advanced. Na yelpaale meŋ, a dermatology dɛndɛŋ, nimiri, toori, nyɛboori, ane kɔkɔre asibiti a tendaa da piilee a Vienna, naŋ da e a dɔgebo ko tēēnsonne mine.[34]
20th dakoroŋ Kyɛ Naŋ Gɛrɛ
editA 19th baaro saŋa ane 20th centuries piiluu saŋa, mɛdikal zɛge duobu teseŋ anesthesia ane sterile gɔɔloŋ naŋ na baŋ e wɛroŋ ka ba e tuo, ane maasumɛ mine naŋ bebe teseŋ X-rays, naŋ kyaa vɛŋ la a asibiti ka o taa ennyagre kyaare neŋ baalba sambo.[35]
Saŋa na Asibitiri maŋ manne la ziiri faŋa naŋ bebe teseŋ kpeɛbo semmo, Lɛ fo naŋ na be seŋ, wagere kɔɔroŋ semmo a toma poɔ, baala sanne taabo, baalba gaaloo noɔre, poɔŋ baalba kuuŋ.[36]
A United States, a asibiti poɔ kpeɛbo zɛge do la saa a 1981 neŋ 171 baalba kpeɛbo neŋ 1,000 Americans ane 6,933 baalba.[50] A kpeɛbo da la sigi la leɛ la puor, ane baalba kpeɛbo sigi puli te gaŋ 10% ane semmo a US asibitiri sigi puli yi 6,933 a 1981 te tɔ 5,534 a 2016.[37] Ba naŋ na be a asibiti poɔ meŋ sigi puli neŋ 77% a 1980 te tɔ 60% a 2013.[38] A ananso ko a yele ama la baalkpeɛne sannebo ziiri mine teseŋ yiiri poɔ bee ɔfere poɔ ane a therapeutic neŋ life-threatening yaga enfuomo a asibitiri poɔ a nimie poɔ a public.[39][37]A US, baala naŋ baŋ gaŋ la a asibiti godo-zuŋ, kyɛ naŋ baŋ wuli ka ba bare o la ane "under observation" bee naŋ ba naŋ baŋ gaale o la a asibiti poɔ.[40]
A U.S., inpatient maŋ gaŋ la a deɛrɛ sannebo Part A, kyɛ ka asibiti na baŋ gaale la baala ka o be kaanyaabo naŋ na baŋ nyɛ sannebo yi Medicare Part B, kyɛ vɛŋ a baala eŋ additional coinsurance costs.[41] A 2013, a zie ko laafeeloŋ ane Medikad sɛvese (CMS) la piili a "two-midnight" merɛ ko a baalba gaaloŋ,[56] a taa teɛroŋ ka o sigiriŋ a kɔgroŋ kyaare "kaanyaabo wagere" gaaloo naŋ de e neŋ barebo.[39] A merɛ ŋa da ba la tonɔ 2018.[38] A 2016 ane 2017, laafeeloŋ leɛmaaloo ane sigiroŋ a gaaloo nyaabo a US asibiti poɔ laafeeloŋ yeltare naŋ na ba nyɛ libie.[42]Asibiti-bili, na taa godori yaga a yi anii te tɔ lezaɛ ayi ne pie, la yɛrɛɛ la United States.[43] Yitaaloŋ, baale kpaarema di zagelaa mine, na maŋ leɛre baalba naŋ seŋene inpatient sambo a asibiti, da taa la neɛzaa nyaabo a 1970s[44] kyɛ na yɔle a vilikoli a have since United States zaa poɔ.[44]
A Katoli ŋmendie la e la boŋkpoŋ naŋ be a non-government terebo ko a laafeeloŋ terebo yelgare a tendaa.[45] O taa la asibitibilii naŋ na baŋ ta 18,000, 16,000 yie ko nembɛrɛ ane bana naŋ boɔrɔ maale kaabo, ane 5,500 asibitiri, neŋ 65% naŋ be a tenne naŋ na baara.[46] A yuoni 2010 poɔ, a tendaa laafeeloŋ zimeɛre.[47]
Sommo
editAsibiti bile Dubrava naŋ be Zagreb, Croatia
Pampanna asibiti nyɛ la sommo yineŋ ziiri gyamaa. Ba maŋ baŋ nyɛ la sommo yi meŋɛ yɔɔbo ane laafeeloŋ ganne bee gɔbena bondaare, charitable sommo.
A United Kingdom, a laafeeloŋ ganne maŋ tere la laafeeloŋ ko noba naŋ yi a be kyɛ naŋ kpeɛrɛ a be ka sommo ba yi a teŋɛŋ " ka maŋ e weɛlɛ a teroŋ poɔ", ane baale feraa kaabo mɔlɔ ko neɛ la neɛzaa ka fooŋ gba ba yi a be. Yi a asibiti boɔbo ka ba wuli a ba bontare naŋ seŋ lɛ, yele be la a teŋɛ naŋ kyɛlɛ ka ba nyɛ a 'yɛlɛ na' kyɛ la a baaloo naŋ ba maale e nimizeɛ sammo, lɛ wuli ka banaŋ na toɔŋ nyɛ a na taa la meŋɛ laafeeloŋ sammo wieouŋ wieouŋ lɛ.[48]
A United States, asibitiri maŋ yuo la somennoŋ kyɛ ta wagere kaŋa e tonɔ boɔbo bone, teseŋ a HCA asibiti.[49]a yeltuuri ane a libiyɔɔ maŋ wuli la yineŋ sanne ŋmara; azuiŋ, a daaro ama naŋ bar sigi la puli ko a asibiti ka o nyɛ asibitiri nyɔgetaaloŋ.[50] Merɛ wuli la asibitiri maŋ bɔ laafeeloŋ ko baalba a nyɔvore sammo yele ka a paaŋ wuli ka a baala na baŋ yɔɔ la a sanne bee kombaŋ yɔɔ a.[51] Someŋɛ sommo ko asibitiri naŋ gaale baalba e naŋ ba sereŋ baŋ a kparaama yeltare maŋ baŋ nyɛ la bondaaneŋ leebo, teseŋ a yele baaro ko a Hurricane Katrina.[52]
Yelsonne ane Laafeeloŋ
editA yelsonne naŋ be a asibiti poɔ saa duobu maale e la yeli naŋ be a tendaa poɔ, asibitiri saa duobu seŋ ka a maale eŋ tobo kyɛlebo ko a yelzu ŋa. Meŋɛ nyooroo ko yelsonne e la bone naŋ seŋ ka o yelnimizeɛ ka ba peɛre a asibiti yele ama poɔ, ane asibiti e la bone naŋ na baŋ vɛŋ a yele nyɛ eebo. A tendaa lamboori mine a accreditation maŋ yi la a teŋɛŋ, ziwaaloŋ naŋ e tendaa laafeeloŋ bambo, yi laŋgbullo teseŋ Accreditation Canada naŋ be Canada, a Joint Commission naŋ be U.S., a Trent Accreditation Scheme naŋ be Great Britain, ane a Haute Autorité de santé (HAS) na be France. A England, asibiti maŋ nyɛ la kaabo yi a laafeeloŋ kaabo faŋa naŋ ta. A 2020, ba leɛ la ba teɛroo kyaare asibiti ko bondiiri semmo a yi baalba ayoɔpoi naŋ da kpi a listeria linked ko pre-packaged sandwiches ane salads a 2019, yeli ka " bondisonne ba diibu ane koɔnyuuri meŋ paale la a baalba baaloŋ laafeeloŋ ."[53]
A World Health Organization da tere la duoruu a 2011 ka gaaloo asibiti poɔ ba maŋ soma gaŋ fo naŋ na bare o. Tenda gbulli zaa, a baala zunoɔ o naŋ na nyɛ ba maale sammo a asibiti da na baŋ taɛ la 10%, kyɛ a vuo o naŋ na kpi a yi ba maale sammo meŋ na baŋ e 300. Yeluu yi Liam Donaldson. 7% baalba gaaloo tenne naŋ na baara, ane 10% tembaare, nhɛ la acquire health care-associated infection yeni. A U.S., 1.7 million baalba la be a asibiti yuoni zaa, naŋ gɛrɛ ka o e 100,000 kūūni, nambare naŋ zɛge do saa gaŋ a Europe be o naŋ e 4.5 million baalba ane 37,000 kuuni.[54]
Meɛbo guuluŋ
Pampanna asibitiri meɛroŋ taa la kããma mine naŋ na sigiri a toma ko tontonneba kyɛ vɛŋ ka a e contamination naŋ na maŋ vɛŋ a e nyageroŋ a zie zaa. Sori tuubu ko tontonneba naŋ be a asibiti poɔ ane a sortuubu ko baalba na be ziiri. A meɛroŋ meŋ seŋ ka o mɛ a toɔŋ vɛŋ dɔlɔ gyamaa kpɛ o poɔ teseŋ radiology ane wɛroŋ deri kyɛ naŋ taa vuo ko special wiring, plumbing, ane waste disposal seŋ ka o e kparaama ko a maaloo poɔŋ.[55]
A yi a be, asibiti gyamaa, teseŋ a ana naŋ wuli ka a e la "dakore boma", e la boma naŋ yi continual kyɛ gbɛɛ yaga ba maŋ maale taa duobu yuomo mine, ane utilitarian new sections naŋ e boɔbo ane libie taabo feroŋ. Azuiŋ, Dutch architectural historian Cor Wagenaar boɔle la asibitiri gyamaa:
"... mɛ catastrophes naŋ taa kaabo yi vast bureaucracies, kyɛ na taa tona yi o tonnoɔre zieŋ banaŋ maale o ... A maŋ eɛ tuo ka a baŋ toŋ toma, anaŋ maŋ soma ka a vɛŋ baalba maŋ taa teɛrsonne ka na yiriŋ ba be, a maŋ waana ne la stress ane anxiety."[56]
Asibiti-paala mine boɔrɔ la pampana ka ba la leɛ maale naŋ na baŋ kaa a baala yɛŋ boɔbo nyaabo, teseŋ maŋ boɔrɔ sase-sonne, maale nyaamo ane yele waaloŋ nimipɛl mine. A teɛroŋ ama leɛ gaa la a eighteenth century, be a teɛroŋ kyaare neŋ sase-sonne boɔbo ane nyaabo kyaare 'healing powers ko nature' da la a dɛndɛŋ soba naŋ da taa deɛbo a asibiti architects ka la leɛ mɛ ba zimeɛre.[56]
A peɛroo ko a British mɛdikal kpaaroŋ wuli ka asibiti sonne maaloo naŋ baŋ sigiri la baalba sammo wagere. Wulluu ko a bebiri ŋmenaa eɛ bone naŋ na baŋ soŋ a sigiri depression.[57] maŋ soŋ la baalba ka ba taa meŋɛ tɛgɛ sammo ane gyeremɛ. Asibiti ane ziwaaloŋ wuluu meŋ eɛ yelsoŋ – naŋ boɔrɔ ka ba sanne baalba poteɛte kyɛ sigiri ba zēē ane ba balebo semmo. Maŋ yuo la toŋkori a baalba dieŋ maŋ wuli la tonɔ nyaabo mine naŋ na maŋ vɛŋ sase-sonne kpeɛrɛ ane sigiri microbial diversity.[55][54]Varanda wogroŋ meŋ maŋ sigiri la yi nɛɛsere fatigue ane stress.[58] Ziyuo yele mime naŋ la erɛ la a leɛroo ko a ward-based yele (be baalba na maŋ gaŋ a communal deri, na e tɛɛtɛɛ neŋ a di lanne mine) a ko ona ba naŋ kpeɛre yoŋ yoŋ. A ward-based yele has da taa bigiruu ka nimizeeloŋ toma, te gaŋ a zaa a tontonneba, khɛ o paaŋ eɛ zie naŋ taa balebo yaga ko baalba ane kuɛ ba meŋɛ sammbo. Zie ba naŋ maŋ korɔ baalba neŋ bamenne deri daaroŋ pāā la be la saazu a zimeɛre ane a toma a asibiti naŋ poɔ; ŋaa vɛŋɛɛ la a asibitiri
Mine maŋ tere daaroŋ ko sommene deri mine
Sommo yizie
editPampana asibiti maŋ nyɛ ba sommo yi ne ziire gyamaa. Ba na baŋ nyɛ la sommo yi noba naŋ yɔɔrɔ bee laafeeloŋ susu bee gɔbenneti sommo ane nimimaaroŋ zorebu sommo. A United Kingdom poɔ laafeeloŋ susu gane maŋ Sana noba naŋ e a teŋɛ deme naŋ maŋ e a gɔbenneti sane kyɛ yeluraa baaloŋ eŋ maŋ e weɛlɛ ko neɛ la neɛ zaa, ka fo yi be bee ka fo ba yi be. A naŋ paa seŋ ka a asibiti maŋ kaara libie naŋ ba seŋ bone zuiŋ , tenne mine maŋ kyɛle ba naŋ ba taa a baaloŋ uraa,a lɛzuiŋ ba naŋ na baŋ yɔɔ maŋ gaa la sommeŋɛ asibiti ka ba daŋ ba. A United State poɔ asibiti e la sommeŋɛ yoŋ ka a ziire mine e tona yoŋ asibiti ka a mine la HCA laafeeloŋ. A yeltuuri sama ne a sama ba naŋ ŋmaa ko a noba e la yelsɛgebinni, ama, a sama ama na baŋ ŋmaabare. Bɛŋɛ wuli ka maŋ kaa baala naŋ baalekpaŋkpaŋ ka a baala na baŋ yɔɔ. Sommeŋɛ asibiti naŋ kaara baalekpaŋkpaŋ noba maŋ ŋmɛ la sane ka a mine la a Hurricane Katrina.
Quality and safety
edit-
The medical center at the University of Virginia shows the growing trend for modern architecture in hospitals.
-
The National Health Service Norfolk and Norwich University Hospital in the UK, showing the utilitarian architecture of many modern hospitals
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Hospital chapel at Fawcett Memorial Hospital (Port Charlotte, Florida)
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An intensive care unit (ICU) within a hospital
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Uniklinikum Aachen in Germany
-
Tampere University Hospital in Tampere, Finland
-
All India Institute of Medical Sciences in Delhi, India
Asibiti Yie mine la
editKorle-bu[38]
Hamile Dɔɔta yiri
Nandom Dɔɔta yiri
Meŋ Nyɛ A Kyɛ
editNotes
editBibliography
editHistory of hospitals
edit- Brockliss, Lawrence, and Colin Jones. "The Hospital in the Enlightenment", in The Medical World of Early Modern France (Oxford UP, 1997), pp. 671–729; covers France 1650–1800
- Chaney, Edward (2000), [1], in: The Evolution of the Grand Tour: Anglo-Italian Cultural Relations since the Renaissance, 2nd ed. London, Routledge, 2000.
- Connor, J.T.H. "Hospital History in Canada and the United States", Canadian Bulletin of Medical History, 1990, Vol. 7 Issue 1, pp. 93–104
- Crawford, D.S. Bibliography of Histories of Canadian hospitals and schools of nursing.
- Gorsky, Martin. "The British National Health Service 1948–2008: A Review of the Historiography", Social History of Medicine, December 2008, Vol. 21 Issue 3, pp. 437–60
- Harrison, Mar, et al. eds. From Western Medicine to Global Medicine: The Hospital Beyond the West (2008)
- Horden, Peregrine. Hospitals and Healing From Antiquity to the Later Middle Ages (2008)
- McGrew, Roderick E. Encyclopedia of Medical History (1985)
- Template:Wp/wlx/Citation
- Porter, Roy. The Hospital in History, with Lindsay Patricia Granshaw (1989) Template:Wp/wlx/ISBN
- Risse, Guenter B. Mending Bodies, Saving Souls: A History of Hospitals (1999); world coverage
- Rosenberg, Charles E. The Care of Strangers: The Rise of America's Hospital System (1995); history to 1920
- Scheutz, Martin et al. eds. Hospitals and Institutional Care in Medieval and Early Modern Europe (2009)
- Wall, Barbra Mann. American Catholic Hospitals: A Century of Changing Markets and Missions (Rutgers University Press, 2011). Template:Wp/wlx/ISBN
External links
editTemplate:Wp/wlx/Wiktionary Template:Wp/wlx/Commons
Template:Wp/wlx/Hospital articles Template:Wp/wlx/Health care Template:Wp/wlx/Public infrastructure topics Template:Wp/wlx/Authority control
Sombo Yijie
edit- ↑ "Hospitals". World Health Organization. Retrieved 24 January 2018
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-15
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-16
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-17
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-ziegler-18
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-19
- ↑ https://en.wikipedia.org/wiki/Encyclop%C3%A6dia_Britannica
- ↑ http://www.newadvent.org/cathen/07480a.htm
- ↑ 9.0 9.1 https://en.wikipedia.org/wiki/Byzantine_medicine
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-Glubb-24
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-23
- ↑ https://web.archive.org/web/20170321170327/http://www.aramcoworld.com/en-US/Articles/March-2017/The-Islamic-Roots-of-the-Modern-Hospital
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-nlm-26
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-29
- ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1676324
- ↑ https://web.archive.org/web/20240121222733/https://www.nlm.nih.gov/exhibition/islamic_medical/islamic_12.html
- ↑ https://en.wikipedia.org/wiki/Special:BookSources/978-0-231-02580-5
- ↑ https://doi.org/10.1097%2FMC9.0000000000000041
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-32
- ↑ Template:Wp/wlx/Cite web
- ↑ Template:Wp/wlx/Cite web
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-33
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-39
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-40
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-41
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-42
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-43
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-44
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-45
- ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1081608
- ↑ https://en.wikipedia.org/wiki/Roy_Porter
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-48
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-49
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-50
- ↑ https://www.nytimes.com/2018/02/25/opinion/hospitals-becoming-obsolete.html
- ↑ https://guidingmetrics.com/content/hospital-industrys-10-most-critical-metrics/
- ↑ 37.0 37.1 https://www.aha.org/statistics/fast-facts-us-hospitals
- ↑ 38.0 38.1 38.2 https://kbth.gov.gh
- ↑ 39.0 39.1 https://web.archive.org/web/20111015060229/http://www.cdc.gov/HAI/pdfs/hai/infections_deaths.pdf
- ↑ http://www.cmsdocs.org/news/two-midnight-and-observation-rule
- ↑ 41.0 41.1 https://en.wikipedia.org/wiki/Hospital#cite_ref-38
- ↑ https://hbr.org/2017/10/how-u-s-hospitals-and-health-systems-can-reverse-their-sliding-financial-performance
- ↑ https://www.beckershospitalreview.com/facilities-management/5-common-questions-about-micro-hospitals-answered.html
- ↑ 44.0 44.1 https://www.modernhealthcare.com/article/20140927/MAGAZINE/309279952/when-the-tiny-hospital-can-t-survive-free-standing-eds-with-primary-care-seen-as-new-rural-model
- ↑ https://api.semanticscholar.org/CorpusID:144793259
- ↑ https://en.wikipedia.org/wiki/Hospital#cite_note-World_Development_p.40-62
- ↑ https://www.catholicnewsagency.com/news/18624/catholic-hospitals-comprise-one-quarter-of-worlds-healthcare-council-reports
- ↑ http://www.nzherald.co.nz/organisation/story.cfm?o_id=366&objectid=10487870
- ↑ https://www.usatoday.com/money/industries/health/2006-04-25-new-orleans-hospitals-usat_x.htm
- ↑ https://www.ajmc.com/journals/issue/2017/2017-vol23-n4/battling-the-chargemaster-a-simple-remedy-to-balance-billing-for-unavoidable-out-of-network-care
- ↑ https://en.wikipedia.org/wiki/Centers_for_Medicare_%26_Medicaid_Services
- ↑ https://www.usatoday.com/money/industries/health/2006-04-25-new-orleans-hospitals-usat_x.htm
- ↑ https://www.hsj.co.uk/quality-and-performance/cqc-to-inspect-hospitals-on-food-standards-after-patient-deaths/7028974.article
- ↑ 54.0 54.1 https://en.wikipedia.org/wiki/Hospital#cite_note-69
- ↑ 55.0 55.1 https://en.wikipedia.org/wiki/Annmarie_Adams
- ↑ 56.0 56.1 https://web.archive.org/web/20071017220150/http://www.odemagazine.com/doc/35/healing_by_design
- ↑ https://hbr.org/2015/10/better-healing-from-better-hospital-design
- ↑ https://en.wikipedia.org/wiki/British_Medical_Association