Болниците – минало и настояще
Hospitals – history and future

Summary/Abstract: Medical care is constantly improving, following the advancements in medicine and science. Hospitals changed from shelters and place of ‘last resort’ associated with poverty, infections and death to centers for specialized medical care. The aim of our research is to investigate in historic plan the development of hospital care, some of the problems concerning contemporary hospitals and the vision for the future through the prism of worldwide initiatives for safety medical care. Materials: We used the accessible historic documents representing the development of health care form antiquity (the dark ages) to modern days, periodical reports from the World Health Organization (WHO) for safety medical care. Discussion: First hospitals – from shelters involved with care for the sick and suffering pass through the test of the great pandemics evolving in places for isolation and finally emerging as the modern hospital structure with separate units delivering the best possible care. The benefits are followed along with some adverse events as for patients, medical staff: health care-Associated Infections, complications during/ after surgical interventions, rapidly growing multidrug resistance etc. Conclusion: Hospitals-the backbone structures of the healthcare systems – have to ensure at very high level safe medical care and diagnostics for the patients, and comfort for the medical personal.

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