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Texas Medical History  ||  Texas Medical Center: The Hospital Study 1946-1947  ||  Index
  •  Abstract
  •  Section I - The Survey Area
  •  Section II - The Community Program
  •  Section III - The Texas Medical Center
  •  Section IV - Special Studies (all)   •  Section IV - Special Studies : Chronic Illness   •  Section IV - Special Studies : School of Public Health   •  Section IV - Special Studies : Needs and Educational Facilities for Nurses
  •  Appendix A   •  Appendix B   •  Charts Appearing in Text

  1. Copyright Information
  2. The Hospital Study 1946-1947 (complete Study)
  3. The Hospital Study 1946-1947 (Appendices A & B)


  1. Abstract
    1.       Introduction page I-1
    2.      Survey Area page I-2
      1. Population, Social and Economic Factors
      2. Health Data
      3. Present Hospital Facilities
      4. Other Health Facilities
    3.      Community Program page I-11
      1. Hospital Bed Requirements
      2. Types of Facilities
      3. Special Patient Services
      4. Professional Education
      5. Medical Library
      6. The Texas Medical Center
      7. Group Community Action
    4.      The Texas Medical Center page I-39
      1. Bed Requirements
      2. Bed Requirements for Educational Purposes
      3. Centralizations
      4. Medical Center Units
    5.      Summary of Recommendations page I-52
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  1. Section I - The Survey Area
    1.      The Hospital Survey Area Determined page SA-1
    2.      The Outer Area page SA-3
    3.      General page SA-4
    4.      Population Characteristics page SA-7
      1. Rural and Urban
      2. Sex and Racial Groups
      3. Age Groups
      4. Major Occupational Groups
      5. Economic Factors
    5.      Vital Statistics page SA-15
      1. Births and Deaths
      2. Births and Deaths in Hospitals
      3. Stillborn
      4. Maternal Deaths
      5. Deaths of Infants under One Year
      6. Deaths from Principal Causes
      7. Chronic Diseases
    6.      Population Trends page SA-25
    7.      Transportation Facilities page SA-35
    8.      Hospitals of the Survey Area page SA-36
      1. Goose Creek Hospital
      2. Heights Hospital
      3. Hermann Hospital
      4. Houston Negro Hospital
      5. Jefferson Davis Hospital
      6. Lillie and Duke Hospital
      7. Memorial Hospital
      8. Methodist Hospital
      9. Park View Hospital
      10. Pasadena Hospital and Clinic
      11. St. Joseph's Infirmary
      12. Greenwood's Sanitarium
      13. Houston Tuberculosis Hospital
      14. Keightley Hospital
      15. Southern Pacific Hospital
    9.      Other Health Organizations page SA-51
      1. City of Houston Health Department
      2. Harris County Health Unit
      3. The Mexican Clinic
      4. Bureau of Mental Hygiene of Houston
      5. Houston Anti-Tuberculosis League
      6. Houston Independent School District - Division of Health
      7. City-County Welfare Board
      8. Visiting Nurses Association
      9. Nursing Homes and Instituitions
      10. M.D. Anderson Hospital for Cancer Research
    10.      Recapitulations of Hospital and Health Facilities page SA-68
      1. Approvals and Accreditations
      2. Age of Buildings and Investment
      3. Bed Capacity - Type of Accommodation and Race
      4. Patient Types Admitted
      5. General Facilities Available
      6. Training Facilities Available
      7. Patient Days, Discharges, and Length of Stay
      8. Patient Births, Deaths and Autopsies
      9. Actual and Optimum Patient Days and Occupancy Rates
      10. Hospital Income, Expense and Per Diem Costs
      11. Out-Patient Facilities
    11.      Recommendations page SA-94
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  1. Section II - The Community Program
    1.      Introduction
    2.      Patient Bed Facilities - By Medical Type page CP-10
      1. Acute General Hospital Care
      2. Hospital Care of Tuberculosis
      3. Hospital Care of Communicable Diseases
      4. Hospital Care of Nervous and Mental Diseases
      5. Hospital Care of Chronic Diseases
      6. Recapitulation of Bed Requirements and Shortages
    3.      Patient Bed Facilities by Type and Distribution page CP-31
      1. The Non-Metropolitan Area
      2. Metropolitan Houston
    4.      Special Patient Services page CP-37
      1. Negro Hospital Facilities
      2. Dental Care
      3. Veteran's Care
      4. Convalescent Care and Rehabilitation
      5. Chronic Care
      6. Children's Hospital Facilities
      7. Health Education
    5.      Professional Education page CP-51
      1. Medical Education
      2. Dental Education
      3. School of Public Health
      4. School of Nursing
      5. School of Hospital Administration
      6. School for Clinical Laboratory Technicians
      7. School for Hospital Dietitians
      8. School for X-Ray Technicians
      9. School for Pharmacy
      10. School for Physical Therapy Technicians
      11. School for Medical Social Workers
      12. School for Medical Record Librarians
    6.      Medical Library page CP-81
    7.      The Texas Medical Center page CP-81
    8.      Group Community Action page CP-82
      1. Hospital Council of Houston
      2. Integration of Public Health Units
      3. An Inclusive Rate System for Hospitals
      4. Group Hospital Service Plan
      5. Ambulance Service in the Area
    9.      Recommendations page CP-94
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  1. Section III - The Texas Medical Center
    1.      Introduction page TMC-1
    2.      Total Bed Facilities page TMC-4
      1. Requirements
      2. Planned Facilities
      3. Conclusions
    3.      Bed Requirements for Eductional Purposes page TMC-13
    4.      Centralizations page TMC-17
      1. Central Out-Patient
      2. Central Laundry and Linen Service
      3. A Central Maintenance of Buildings and Grounds Service
      4. Central Heating and Power Plant Service
      5. Central Purchasing and Storing Office
      6. Central Personnel Service
      7. Central Public Relations Service
      8. Pharmaceutical Manufacturing Unit
      9. Central Dining Service
      10. Communication System
      11. Organization
    5.      Medical Center Units page TMC-36
      1. Baylor University College of Medicine
      2. University of Texas Dental Branch
      3. University of Texas School of Public Health
      4. University of Texas Post Graduate Medical School
      5. M.D. Anderson Hospital for Cancer Research
      6. Hermann Hospital
      7. Methodist Hospital
      8. St. Luke's Episcopal Hospital
      9. Tuberculosis Hospital
      10. Medical Library of Houston Academy of Medicine
      11. Texas Medical Center Out-Patient Department
      12. Hospital and Research Institute for Children
      13. Chronic Hospital
      14. Rehabilitation Center
      15. Continuation Center
      16. Administration Building
      17. College of Nursing
      18. Service Building
      19. Housing
      20. Central Restaurant
    6.      Recommendations page TMC-40
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  1. Section IV - Special Studies(all)
  2. Section IV - Special Studies: Chronic Illness
    1.      Deaths from Chronic Disease page CH-1
    2.      Extent of Chronic Illness in Houston and Harris County page CH-1
    3.      Diagnostic Distribution page CH-6
    4.      Facilities and Services Needed for Prevention and Control of the Chronic Diseases and the Care of Patients Disable by Them page CH-8
    5.      Existing Facilities and Services in Houston and Harris county page CH-13
    6.      Summary page CH-39
    7.      Recommendations page CH-41
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  1. Section IV - Special Studies: School of Public Health
    1.      Need for a School of Public Health page PH-1
    2.      Scope of a School of Public Health page PH-4
    3.      Institute of Geographical Medicine page PH-6
    4.      General Organization of Program page PH-7
    5.      Programs of Instruction and Budgets page PH-14
    6.      Recommendations page PH-18
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  1. Section IV - Special Studies: Needs and Educational Facilities for Nurses
    1.      Summary of Existing Facilities page N-1
    2.      Types of Nurses Needed to Serve in Expanding Health Facilities and Preparation Needed by These Nurses page N-5
    3.      Increase in Available Clinical Experience through Plans for Medical Center page N-7
    4.      Other Available Educational Facilities page N-10
    5.      Number of Nurses Needed page N-12
    6.      Number of Professional Nurses Now Availabl page N-15
    7.      Production of Number and Types of Nurses Needed page N-16
    8.      Description of Alternate Plans for Meeting These Needs - Basic Programs page N-20
    9.      Recommended Advanced Programs in Nursing page N-32
    10.      Recommended Programs in Vocational or Practical Nursing page N-32
    11.      Sources of Enrollees in Schools of Nursing - Current and Potential page N-35
    12.      Summary of Report page N-38
    13.      Recommendations page N-39
    14.      Appendix - Descriptive Sketches of Five Schools in Houston page N-42
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  1. Appendix A
    1.      Map - General Beds Available in Outer Area page A-1
    2.      Exhibits No. page A2 - A17
      1. Admissions by Residence, Year Ended June 30, 1946
      2. Counties of Houston Retail Trade Area
      3. Counties of Houston Trade Area
      4. Population by Age and Sex, Houston, 1940
      5. Population by Age and Sex, Harris County, 1940
      6. Birth and Birth Rates by Race
      7. Deaths All Ages by Race
      8. Stillbirths by Race
      9. Maternal Deaths by Race
      10. Deaths of Infants under One Year by Race
      11. Deaths from Principal Causes - State of Texas
      12. Deaths from Principal Causes by Race and Sex, 1945
      13. Five Leading Causes of Death by Age Groups, 1940, State of Texas
      14. Distance from Major Cities of Outer Area to Houston
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  1. Appendix B
    1.      Map - City of Houston Divided into Census Tracts page A-1
    2.      Exhibits No. page B2 - 4
      1. Census Tract Data
      2. Census Tract Data
      3. Definition of Economic Areas by Comparative Data
    3.      Hospital Sketches page B5 - 96
      1. Goose Creek Hospital
      2. Heights Hospital
      3. Hermann Hospital
      4. Houston Negro Hospital
      5. Jefferson Davis Hospital
      6. Lillie and Duke Hospital
      7. Memorial Hospital
      8. Methodist Hospital
      9. Park View Hospital
      10. Pasadena Hospital and Clinic
      11. St. Joseph's Infirmary
      12. Greenwood's Sanitarium
      13. Houston Tuberculosis Hospital
      14. Keightley Hospital
      15. Southern Pacific Hospital
    4.      Other Sketches page B97 - 121
      1. City of Houston Health Department
      2. Harris County Health Unit
      3. Houston Anti-Tuberculosis League
      4. City-County Welfare Board
      5. Visiting Nurse Association
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  1. Charts Appearing in Text
    1.      Population Characteristics, Harris County: 1940 page SA-14
    2.      Birth and Death Rates, Harris County: 1930, 1940, 1945 page SA-25
    3.      Stillbirth, Infant and Maternal Deaths, Harris County: 1930, 1940, 1945 page SA-24
    4.      Percentage of State Population in Major Cities: 1870-1940 page SA-32
    5.      Population, Harris County: 1900-1970 page SA-36
    6.      Hospital Bed Requirements, Harris County: 1945-1970 page CP-30
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