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P. 4 542.
First, as to economy, it is manifest that it admits of whatever profits
are derivable in this respect in the increase of skill and
devision of labour. Thus, were the pharmaceutical business
of each hospital wholly performed in each establishment, it
would be more expensive and worse executed. The public
would also lose the great advantages of a pharmaceutical
school, such as is possessed by no other metropolis in Europe,
not even by the British metropolis.
Secondly, there is great gain in the efficiency of management.
There central administration of the French charities
allows immediate measures to be taken throughout the
whole of them, to meet the exigencies, or to arrest the progress
of any public calamity. Were any fever or epidemic
suddenly to arrise, and spread to a great extent
amongst the poor in London, the fever hospitals would
most probably be found in a neglected condition,
and the malady might extend far & wide before any
efficient arrangements to cheque it could be made at
the other establishments, or by the public at large. In
Paris arrangements might be made and carried into
execution at all the establishments, and the whole sanitary
force put into operation within twenty four hours.
In the ordinary course of events the funds of the charities
are more evenly spread, and the burthens more equally
imposed upon them. One hospital is not there in a plethoric
state of prosperity, whilst another, the objects of
which are equally important and the management
equally good, is struggling for existence. The Bureau
Central distributes the objects not only to those establishments
where there is the best accomodation,
but to those where the patients may obtain the most
skilful treatment of their particular disorders. The administration
can also make, without loss of time,
any changes in the ordinary management which
circumstances may require or at once put into general
execution any improvement for which they may receive
sufficient evidence.
Thirdly, whatever knowledge is gained in one
department, is gained to a greater degree than would otherwise
be the case for the whole. We shall hereafter
illustrate the advantages derivable to medical science
from centralization.
Further, the great and acknowledged advantages of
publicity are increased by the arrangement intendant
on centralization, which brings the whole of the establishments
into view as one system, and enables the public
Identifier: | JB/149/335/001 "JB/" can not be assigned to a declared number type with value 149.
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149 |
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335 |
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001 |
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collectanea |
1 |
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recto |
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street & co 1830 |
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antonio alcala galiano |
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1830 |
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50189 |
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