PREFACE AND ACKNOWLEDGEMENTS
INTRODUCTION
The cottage hospital: what comes to mind?
Differing perspectives
Writing this account
I: THE EARLY YEARS: 1939–1960
1. Outside the hospital
What do we mean by “cottage”?
The janitor’s territory
A “hospital without walls”
Working with nurses. Public health
and health education.
Dental health. A social hub.
A sense of community ownership
The building. Salaried physicians.
The “book” system.
From community “duty” to “volunteerism.”
2. Walking through the hospital
The kitchen
Kitchen smells. Nutrition and the
general state of health
of Bonne Bay residents, especially those in Norris
Point.
The wards
Medical and nursing care. The
Cottage Hospital Reference
Manual. Trends toward standardization and stricter
evaluation.
The X-ray room and laboratory
The operating/delivery room
Operations. Hospital births.
The dispensary and changing therapies
Self-treatment
II: CHANGE AND UNCERTAINTY: THE 1960S ONWARD
The tide of regionalization
What changes took place at the Bonne Bay Cottage Hospital?
Shifting ground: reactions and perceptions
EPILOGUE: WHAT CAN BE LEARNED FOR FUTURE HEALTH CARE?
The changing scene
“Healthy Communities”
Listening
The need for proactive rather than reactive thinking
for health care in rural communities
APPENDIXES
1. Cottage Hospital Rules and Regulations 1950
2. Photos of the Bonne Bay Area
3. Interior Photos of the Bonne Bay Cottage Hospital
4. Dietetics Quality Assurance Program (Tray Audit)
5. An Excerpt from the 1952 Neergaard Report
NOTES AND REFERENCES
INDEX OF NAMES
INDEX OF SUBJECTS
