Thomson's manual of Pacific Northwest finance

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Monograph

Identifikator:: 1838857176

URN:: urn:nbn:de:zbw-retromon-229226

Document type:: Monograph

Title:: Thomson's manual of Pacific Northwest finance

Place of publication:: Seattle

Publisher:: Thomson's Statistical Service

Year of publication:: 1930

Scope:: XXX, 487 Seiten

Digitisation:: 2022

Collection:: Economics Books

Usage license:: Get license information via the feedback formular.

Chapter

Document type:: Monograph

Structure type:: Chapter

Title:: Section XI. Appendix

Collection:: Economics Books

MAJORITY REPORT. 19¢€ avail themselves of such facilities. Beyond this, there is a certain amount of evidence that many insured persons are reluctant to go to the out-patient departments, as a charity, while they would not hesitate to avail themselves of the same specialist services if included in medical benefit, as they would then feel that they had a full legal and moral right to receive these services when needed. Some are deterred by the crowded state of the out-patient departments and the long time they may have to wait for attention. Others are deterred by the charges made. Again, some of the insured persons whose income brings them near the limit of insurability, prefer, when specialist advice is necessary, to emploly the specialist privately, thinking that in this way they will receive more careful attention than if they obtained gratuitous advice. 975. It is clear that under existing conditions many insured persons do not obtain from the out-patient departments the specialist treatment that is needed, and, in respect of those who do, the attending practitioner frequently does not obtain the second opinion on diagnosis or treatment which is desirable in the interest of his patient. (GENERAL, CONDITIONS FOR THE NEW SCHEME. 276. .1f expert out-patient services are to be provided as part of medical benefit, it is necessary, in the first place, that’ these services should be sufficiently accessible in all parts of the country, specialists being employed to attend at frequent intervals in central places in those districts in which there are at present no physicians or surgeons who possess the necessary qualifica- tions. Further, travelling expenses of insured persons referred to specialists under the scheme should be defrayed as part of the service. These two provisions would not add a relatively large amount to the cost of the scheme, and would remove the present deterrent effects of distance. 277. Taking all these matters into consideration, we come to the conclusion that the new system should be built up, not by way of supplementation of the existing out-patient work of the hospitals, but as an independent scheme organised effectively throughout the whole country, providing for the closest consulta- tion and reciprocal communication between the general prac- tioner and the specialist, and giving the title to the service to all insured persons as part of the consideration for which they are paying their compulsory contributions. 278. Under such a scheme, there would be laid upon the Insurance practitioner an obligation to refer a case for specialist advice and treatment when the circumstances rendered such a course appropriate. He would also have to furnish a statement of the history and the present condition of the patient, as known

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