Community Hospital
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A community hospital can be purely a nominal designation or have a more specific meaning. When specific, it refers to a
hospital A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergen ...
that is accessible to the general
public In public relations and communication science, publics are groups of individual people, and the public (a.k.a. the general public) is the totality of such groupings. This is a different concept to the sociology, sociological concept of the ''Öf ...
, and provides a general or specific medical care which is usually short-term, in a cost-effective setting, and also focuses on preventing illnesses and not only treating them. The word ''community'' often occurs in the name of the hospital. The word ''community'' is used in the sense of a ''location-based community'' for a community hospital. The following sections describe community hospitals when referred to in specific countries.


Singapore

In Singapore, community hospitals are a class of hospitals that provide continuation of care after discharge from acute hospitals, including rehabilitation and therapy.


Thailand

In Thailand, ''community hospital'' is a specific classification of public hospitals with a capacity of 150 beds or fewer. They serve local populations in provincial districts, providing
primary care Primary care is the day-to-day healthcare given by a health care provider. Typically this provider acts as the first contact and principal point of continuing care for patients within a healthcare system, and coordinates other specialist care ...
.


United Kingdom

An older term " cottage hospital" is now no longer applicable, having falling from use because it inadequately describes the wide range of services being offered by their more modern equivalents. For many years the development of community hospitals was ad hoc, reflecting history rather than any rational planning.


England

The (non-statutory) phrase is used in England in a similar manner to Scotland. Actual arrangements will be under legislation applicable to the English NHS.


Northern Ireland

In Northern Ireland the phrase has similar use to Scotland but official publications give the appearance of ''community hospitals'' being more recent as a concept rather than a mere description.


Scotland

"Community Hospital" is not a statutory phrase but it is often used where there is "a unit or centre providing an appropriate range and format of accessible health care facilities and resources". Medical care is normally led by GPs, in liaison with
consultant A consultant (from la, consultare "to deliberate") is a professional (also known as ''expert'', ''specialist'', see variations of meaning below) who provides advice and other purposeful activities in an area of specialization. Consulting servi ...
,
nursing Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health ...
and allied health professional colleagues as necessary. These hospitals are typically small, using either purpose-built new premises or smaller general hospitals which have been retained to provide non-emergency services after general hospital services have been transferred to more centralised facilities; in some cases the services include in-patient care. Community hospitals can assist multidisciplinary working and can be used as an extended primary care resource. Community hospitals provide over 2,900 inpatient beds and over 750,000 outpatient, allied health professional and nurse led appointments. In many rural and remote communities this allows access to more specialised services and inpatient facilities closer to home.


Wales

The (non-statutory) phrase is used in Wales in a similar (but possibly less restricted) manner to Scotland. Some are named as community hospitals and many more are also listed as having this function. Some community hospitals have been chosen to act as a hub for services. Actual arrangements will be under legislation applicable to NHS Wales/Gig Cymru.


United States

The American Hospital Association (AHA) defines community hospitals as “all nonfederal, short-term general, and other special hospitals.” Health associations and hospital rating organizations, however, typically also say that
teaching hospitals A teaching hospital is a hospital or medical centre that provides medical education and training to future and current health professionals. Teaching hospitals are almost always affiliated with one or more universities and are often co-locate ...
are not community hospitals. Some further restrict the community hospital definition to only include independently run facilities serving a local demographic. A basic definition, therefore, is a hospital serving a local community, run by local leaders, providing financial opportunities for the local economy. A community hospital can be either rural or urban.


Africa

Many of the rural hospitals in Africa are small, community hospitals. ''Algeria'' Algeria has 273 community hospitals denoted EPSP, which stands for ''etablissement de sante de publique de proximite'' in French. Polyclinics are also used at the community level. There is an average of one polyclinic per 25,000 inhabitants in Algeria.


References


External links

* * {{Hospital articles Hospitals Types of hospitals