Community hospital

A community hospital can be purely a nominal designation or have a more specific meaning. When specific, it refers to a hospital that is accessible to the general public, and provides a general or specific medical care which is usually short-term, in a cost-effective setting, and also focusses on preventing illnesses as on treating them.^[1][2][3] The following countries have specified definitions for a community hospital:

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.

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An older term "cottage hospital" is now no longer applicable, having falling from use because it inadequately describes the wide range of services being offered by their more modern equivalents.^[4] For many years the development of community hospitals was ad hoc, reflecting history rather than any rational planning.^[5]

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 local hospital, unit or centre providing an appropriate range and format of accessible health care facilities and resources".^[6] Medical care is normally led by GPs, in liaison with consultant, nursing 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.^[7] 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.^[8]

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.^[9] Some community hospitals have been chosen to act as a hub for services.^[10] Actual arrangements will be under legislation applicable to NHS Wales/Gig Cymru.

United States

In the United States, hospitals that are not part of a university, a health system or a chain of private hospitals are often called "community hospitals".^[11]

References

External links

• The Community Hospitals Association - deals with all UK countries