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“places where people could die� (by isolating them from the rest of society). Well after
that – from the 19th century onwards – hospitals evolved more and more into places
where symptom-based, treatment-oriented care was administered. Important in the last
two centuries (19th and 20th century) was the development of aseptic and anti-septic
techniques, better understanding of infections and the development of effective
anesthesia. Overall, the development of the hospital in these two centuries was driven
largely by technology. But unfortunately, other roles and service line strategies on the
other hand developed with little conscious thought.
Where is the hospital today? The link with the environment of the (Dutch) hospital is
mostly determined by its “neighboring medical institutions�, such as GPs or other
hospitals. There is a structure that determines the position of the hospital based on the
complexity of care and level of specialization. We discern 5......

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Approximate Word Count: 287
Approximate Pages: 2 (250 words per double-spaced page)

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