History of Singapore General Hospital - 1946-1950s: Institution of The Unit System and Outpatient Services

1946-1950s: Institution of The Unit System and Outpatient Services

The years following the Japanese Occupation saw a surge in the demand for medical treatment as a result of Singapore’s rapid growth and the post-war baby boom. The hospital therefore shifted its focus to expanding its facilities and services, and rebuilding its manpower infrastructure. In 1947, the Unit System- widely practiced in Europe- was formally instituted in the hospital. All medical and surgical wards were divided into units, each of which was helmed by its own specialist chief. The patients of each specialist and his staff were then grouped into adjacent wards according to ailments. Under this system, patients were no longer segregated according to gender or economic status; hence treatment efficiency was improved.

By the 1950s, the prolific rise in patient load had overstretched both the manpower and facilities in the hospital. The hospital subsequently addressed this constraint by introducing a system of early patient discharge coupled with an outpatient clinic service. The establishment of outpatient clinics- each specializing in a specific discipline- facilitated the treatment of a large number of patients without having to admit them directly to the hospital. Consequently, the manpower burden was alleviated slightly as fewer doctors were required to man 24-hour watches on patients.

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