Abstract
WHAT is a hospital? It is easy to delineate a as one directly associated with a university medical school. Most community hospitals lack this affiliation. Usually, they are nonprofit voluntary organizations providing primary and general medical care to a geographically defined surrounding area. Of the nearly 6,800 general hospitals in the country, some 1,600 have fewer than 25 beds, and only 2,300 have more than 100 beds.1 The vast majority have no university affiliation. A 50-bed hospital staffed almost entirely by general practitioners in a town of 5000 is a for that community. It may . . .
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