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182 was described. In 1963, the first kidney transplant was hospitals. Uninterrupted economic growth, which lasted until performed in Boston. Each year brought new medical the middle of the 1970s created funding for health care in the milestones. In 1964, chlorothiazide and propanolol, the first Netherlands. Prosperity increased markedly, patients were able effective drugs in the treatment of high blood pressure became to pay for treatment as a result of the introduction of available. From 1964, bypass surgery of the coronary artery compulsory sick fund insurance in 1941 and the expansion of could be performed, in 1979 followed by coronary angioplasty the social security system as a result of measures like the sick and percutaneous angioplasty. The potential of diagnostic law and the general law on special health care costs (AWBZ). radiology increased by Hounsfield's development of computer These social and medical developments brought huge tomography, CT scanning, in 1973. The world was enormously changes in the patterns of morbidity and mortality. Before the impressed by the first results of cancer treatment. Around Second World War, child mortality and infectious diseases, like 1970, the first cure of acute leukaemia in children was typhoid fever, Spanish influenza, poliomyelitis (infantile announced and cures were achieved in young patients with paralysis) and tuberculosis were the most common causes of Hodgkin's disease as well. morbidity and mortality. After 1950 this pattern changed As a consequence of these developments hospitals completely. Cardiovascular diseases, cancer, arthritis, trauma were equipped with large laboratories and impressive technical and psychiatric diseases determined sickness and life equipment. There was an expansion of specialists and expectancy now. Hospital care had a great deal to offer in those specialised departments. Gradually, hospitals became the areas. Within a short time, for instance, mortality due to cardiac central provider of treatment of sick people or, perhaps more infarction halved. aptly, of the treatment of diseases. There was huge confidence Psychiatry was a clear exception to the picture in hospital medicine. This was a new phenomenon, and a described above. During the period before and immediately transitory one for that matter. Apart from medical progress, after the Second World War, the number of beds for psychiatric there were other developments that facilitated the expansion of patients increased substantially, but this was not the result of


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