Clinincal medicine or community health care
Dr. Thakkar, U
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Regarding the provision of personal services it seems that these would be more efficiently provided by more diffuse community services than by hospitals. For example, the capital costs of a single teaching hospital in Africa may exceed the entire annual recurrent health budget of the country in which it is situated. In principle such hospitals should function not only as a teaching base but as the peak of a medical care referral system. They do not do so in many parts of Africa.