The document discusses definitions and classifications of hospitals. It provides definitions from WHO, Steadman's Medical Dictionary, and Blakiston's New Gould Medical Dictionary. Hospitals are classified based on length of stay, clinical focus, ownership, objectives, size, management, and medical system. They can be acute care/short-term or chronic care/long-term facilities and are also differentiated based on whether they are teaching, general, specialized, or isolation hospitals.

1. BY: MS. RINKAL PATEL

2.  The English word ‘Hospital’ originates from the Latin
word “HOSPILE” and also some viewed that it comes
from the French word ‘Hospitale’ as do the words
‘Hostel’ and ‘Hotel’.
 The three words hospital, hostel, all are derived from
some source, are used in different sense but basically
the meaning of the word will be the same.

3.  According to WHO, “the hospital is an integral part of
a social and medical organizations, the function of
which is to provide for the population complete health
care, both ‘curative’ and ‘preventive’ and whose
outpatient services reach out of the family and it’s
environment; the hospital is also a center for the
training of health workers and biosocial research”.

4.  According to Steadman’s Medical Dictionary, “
Hospital is an institute for the care, cure and treatment
of sick and wounded, for the training of doctors and
nurse”.
 According to blakiston’s New Could Medical
Dictionary, “ hospital is an institution for medical
facility primarily intended, appropriately staffed, and
equipped to provide diagnostic and therapeutic
services in general medicine and surgery or in
circumscribed field or fields of restorative medical
care, together with bed care & dietic service to the
patients requiring such care & treatment”.

5. 1. Provide optimum health services to all people
irrespective of race, color, caste & creed, &
regardless of socioeconomical status.
2. Provide care, cure, & preventive services to all
people irrespective of race, color, caste, creed &
economic & social status.
3. Protect the human rights of clients while taking care
in its jurisdiction in all areas of its services.
4. Provide training for professional’s, ex; doctors,
nurses, pharmacists, dentist & other technical
personnel who are involving in health care services.

6. 5. Provide in-service / continuing education in all discipline
professional/ technical personnel involving personnel
involving health care. For updating their knowledge,
skills, etc.
6. Participate/ conduct research & investigations in basis &
applied biomedical, social & technological sciences that
will benefit patient care, improve the community health
status, the management of hospital services & the
education of individual who perform the required service.
7. Define its leadership role in the community & possibly
the region depending upon its size, type & facilities in
relation to regional are planning of hospital.

7. scope
Team Approach
Contents of
services
Co-
ordination
Continuity
of care
Integration
Evaluation &
research

8.  The care of needy person will be taken by the team of
professional members (Doctors, Nurses, etc.) arid
paraprofessionals, technical under the leadership of
medically qualified persons with integration & co-
ordination.

9.  A spectrum of services that includes diagnosis, specific
treatment, rehabilitation, education & prevention.

10.  Client's care will cover the co-ordinated efforts of all
agencies which have the required facilities at all levels.

11.  Continuity of client care will be available & rendered
by the particular agency with specific services
whenever needed.

12.  Organization of the hospital care of both ambulatory
and non-ambulatory patients into a continuum with
common integrated services.

13.  Periodical evaluation program and provision of
conducting research included in the optimum health
services for adequacy in meeting needs of the patients
and the community.

14. Functions
Patient care
Diagnosis &
treatment
of disease
Out-patient
services
Medical
education &
training
Medical &
nursing
research
Prevention of
disease &
promotion
of health

15.  Care of the sick and injured, and restoration of the
health of a diseased person without any discrimination.

16.  There are diagnosis & treatment services to in-patients.
 Within this broad function there are many subdivision
of medical, surgical, obstetrical, gynec, pediatric,
psychiatric & other forms of rehabilitation.
 Involved in the entire inpatient services are various
modalities, including nursing, dietics, pharmaceutical
skills, laboratory & X-ray services & varying
refinement of diagnosis& therapy.

17.  There are services to out-patients with an equality wide
range of specialties and technical modalities.

18.  Hospital provides professional & technical education
for many classes of health personnel.
 They must work in hospital to receive proper training
of their choice, ex: medical, nursing, pharmacy, dental,
laboratory technicians, X-ray technicians etc.

19.  Science accumulation of difficult types of patients, the
hospital provides the basis for scientific investigation
into causes, diagnosis, treatment and nursing
management of diseases & hospital administration,
ward/ unit administration in hospitals.

20.  Hospital provides services to surrounding populations
that may be preventive care & promotive care &
promoting their health. There are many ways that
hospitals as centers for technical skills can offer
services to people before they are sick or can protect
patients from the hazards of disease beyond that for
which they have come to the hospital.

21.  Hospital has been classified in many ways.
 Each hospital is distinct in its characteristic as In
differs in structure, functions, performance and the
community it serves.
 However, we can accepted criteria for classify of the
hospitals into different types, depending upon different
criteria.
 The most commonly accepted criteria for classification
of the modern hospital according to:

22. Hospital
Length of stay
of patient
(long-term &
short term)
Clinical basis
Ownership/
control basis
Objective
Size
Management
System of
medicine

23.  A patient stays for a short-term in a hospital for
treatment of disease that is acute in nature, such as
pneumonia, peptic ulcer, gastroenteritis, etc.
 A patient may stay for a long-term in a hospital for
treatment of diseases that are chronic in nature, such as
tuberculosis, leprosy, cancer, psychosis.
 The hospital according to long-term & short-term also
known as chronic-care hospital & acute care hospitals
respectively.

24.  These are hospital licensed as general hospital; treat all
kinds of disease but major focus on treating speed
disease or conditions such as heart diseases, or cancer,
or ophthalmic or maternity, etc.

25. Public Hospital
Voluntary Hospital
Private/ charitable/
nursing homes
Corporate
Hospital
On the basis of ownership or control, hospitals can be
divided into four categories:

26.  According to the objectives, hospitals can be classified
into three categories:
1. Teaching- cum-research hospital.
2. General hospital.
3. Specialized hospital.
4. Isolation hospital.

27.  Teaching cum research hospital is a hospital to which a
college is attached for medical nursing/ dental/
pharmacy education.
 The main objective of these hospitals is teaching based
on research and the provision of health care is
secondary, ex: AIIMS, JIPMER, KR Hospital, belong
to this type.

28.  General hospitals are those which provide treatment for
common diseases and conditions.
 All establishment permanently staffed by at least two or
more doctors which an offer inpatient accommodation
and provide active medical discipline such as general
surgery, obstetrics and gynecology, pediatrics etc.
 The main objective of these hospitals is provide
medical care to the people.
 While teaching and research is secondary & incidental
ex: all district & taluka or PHC or rural hospital belong
to this type.

29.  Specialized hospitals are hospitals providing medical &
nursing care primarily for only one discipline or a
specific diseases or condition of one system.
 In other words, these concentrate on a particular aspect
or organ of the body and providing medical & nursing
care in filed, ex: ENT, Leprosy, oncology, pediatric.

30.  Isolation hospital is a hospital in which the person are
suffering from infections/ communicable diseases
requiring isolation of the patients, ex: epidemic
Diseases hospital, Bangalore.

31.  On the basis of health committee report, it is
recommended that the following pattern of
development of hospitals to be adopting to size, ex: bed
strength.

32. • Bed to be increased according to
the number of student.
Teaching
hospital 500
• May be raised up 300 beds
depending upon population.
District hospital
200
• May be raised depending upon
population to be served.
Taluka hospital
50
Primary health
centers 6

33. Management
Union
government/
government of
India
State
government
Local bodies
Autonomous
bodies
Private
Voluntary
agencies

34.  All hospitals administered by the government of India.
Ex: hospital run by the railway, military/defense, or
public sector undertakings of the central government.

35.  All hospitals administered by the state/ union territory.
 Government authorities & public sector undertaking
operated by the state/ union territories including the
police, prison, irrigation department etc.

36.  All hospitals administered by local bodies ex:
municipal corporation, municipality, zilla panchayat.

37.  All hospitals established under special act of parliament
or state legislation & founded by the central/ state
government/union territory ex: AIIMS, ESIC

38.  All private hospitals owned by an individual or by a
private organization.

39.  All hospitals operated by a voluntary body/ a trust/
charitable society registered or recognized by the
appropriate authority under central/ state government
laws.
 This includes hospitals run by missionary bodies and
cooperatives.

40.  According to the system of medicine, we can classify
the hospital as follows:
1. Allopathic hospital
2. Ayurvedic hospital
3. Homeopathic hospital
4. Unani hospital
5. Hospitals of other systems of medicine.