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105-516: A hotel is an establishment that provides paid lodging on a short-term basis. Facilities provided inside a hotel room may range from a modest-quality mattress in a small room to large suites with bigger, higher-quality beds, a dresser, a refrigerator , and other kitchen facilities, upholstered chairs, a television, and en-suite bathrooms . Small, lower-priced hotels may offer only the most basic guest services and facilities. Larger, higher-priced hotels may provide additional guest facilities such as

210-478: A business degree , and/or certification programs formally prepare hotel managers for industry practice. Most hotel establishments consist of a general manager who serves as the head executive (often referred to as the "hotel manager"), department heads who oversee various departments within a hotel, middle managers , administrative staff, and line-level supervisors. The organizational chart and volume of job positions and hierarchy varies by hotel size, function, and

315-421: A chargemaster ; however, these prices may be lower for health care obtained within healthcare networks . Legislation requires hospitals to provide care to patients in life-threatening emergency situations regardless of the patient's ability to pay. Privately funded hospitals which admit uninsured patients in emergency situations incur direct financial losses, such as in the aftermath of Hurricane Katrina . As

420-449: A general manager who serves as the head executive (often referred to as the " hotel manager "), department heads who oversee various departments within a hotel (e.g., food service), middle managers , administrative staff, and line-level supervisors. The organizational chart and volume of job positions and hierarchy varies by hotel size, function and class, and is often determined by hotel ownership and managing companies. The word hotel

525-620: A medical records department , release of information department , technical support , clinical engineering , facilities management, plant operations , dining services, and security departments. The COVID-19 pandemic stimulated the development of virtual wards across the British NHS . Patients are managed at home, monitoring their own oxygen levels using an oxygen saturation probe if necessary and supported by telephone. West Hertfordshire Hospitals NHS Trust managed around 1200 patients at home between March and June 2020 and planned to continue

630-468: A pharmacy , pathology , and radiology . Hospitals are typically funded by public funding , health organizations ( for-profit or nonprofit), health insurance companies, or charities, including direct charitable donations. Historically, hospitals were often founded and funded by religious orders , or by charitable individuals and leaders. Hospitals are currently staffed by professional physicians, surgeons, nurses, and allied health practitioners . In

735-416: A production line . A teaching hospital delivers healthcare to patients as well as training to prospective medical professionals such as medical students and student nurses . It may be linked to a medical school or nursing school, and may be involved in medical research . Students may also observe clinical work in the hospital. Clinics generally provide only outpatient services, but some may have

840-429: A block of hours typically between 8 am and 5 pm, before the typical night shift. These are similar to transit hotels in that they appeal to travelers, however, unlike transit hotels, they do not eliminate the need to go through Customs. Garden hotels , famous for their gardens before they became hotels, include Gravetye Manor, the home of garden designer William Robinson , and Cliveden , designed by Charles Barry with

945-401: A few inpatient beds and a limited range of services that may otherwise be found in typical hospitals. A hospital contains one or more wards that house hospital beds for inpatients . It may also have acute services such as an emergency department , operating theatre , and intensive care unit , as well as a range of medical specialty departments. A well-equipped hospital may be classified as

1050-481: A few related medical specialties . Subtypes include rehabilitation hospitals , children's hospitals , seniors' ( geriatric ) hospitals, long-term acute care facilities , and hospitals for dealing with specific medical needs such as psychiatric problems (see psychiatric hospital ), cancer treatment , certain disease categories such as cardiac, oncology, or orthopedic problems, and so forth. In Germany , specialised hospitals are called Fachkrankenhaus ; an example

1155-486: A form of property ownership also referred to as a vacation ownership involving the purchase and ownership of an individual unit of accommodation for seasonal usage during a specified period of time. Timeshare resorts often offer amenities similar that of a full-service hotel with on-site restaurants, swimming pools, recreation grounds, and other leisure-oriented amenities. Destination clubs on the other hand may offer more exclusive private accommodations such as private houses in

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1260-652: A guest with lifestyle or personal image in specific locations. They are typically full-service and classified as luxury. A key characteristic of lifestyle resorts is focus on providing a unique guest experience as opposed to simply providing lodging. Lifestyle luxury resorts are classified with a Five Star hotel rating depending on the country and local classification standards. Example brands include: Waldorf Astoria , St. Regis , Wynn Resorts , MGM , Shangri-La , Oberoi , Belmond , Jumeirah , Aman , Taj Hotels , Hoshino , Raffles , Fairmont , Banyan Tree , Regent and Park Hyatt . Upscale full-service hotels often provide

1365-604: A hospital bed, but be considered outpatient and "under observation" if not formally admitted. In the U.S., inpatient stays are covered under Medicare Part A, but a hospital might keep a patient under observation which is only covered under Medicare Part B, and subjects the patient to additional coinsurance costs. In 2013, the Center for Medicare and Medicaid Services (CMS) introduced a "two-midnight" rule for inpatient admissions, intended to reduce an increasing number of long-term "observation" stays being used for reimbursement. This rule

1470-449: A hospital just for diagnosis , treatment, or therapy and then leave (" outpatients ") without staying overnight; while others are "admitted" and stay overnight or for several days or weeks or months (" inpatients "). Hospitals are usually distinguished from other types of medical facilities by their ability to admit and care for inpatients whilst the others, which are smaller, are often described as clinics . The best-known type of hospital

1575-770: A hospital since the Middle Ages . The French spelling, with the circumflex , was also used in English, but is now rare. The circumflex replaces the 's' found in the earlier hostel spelling, which over time took on a new, but closely related meaning. Grammatically, hotels usually take the definite article – hence "The Astoria Hotel" or simply "The Astoria". Facilities offering hospitality to travellers featured in early civilizations. In Greco-Roman culture and in ancient Persia , hospitals for recuperation and rest were built at thermal baths . Guinness World Records officially recognised Japan's Nishiyama Onsen Keiunkan , founded in 705, as

1680-692: A hospital; Pennsylvania Hospital in Philadelphia opened in 1752, New York Hospital , now Weill Cornell Medical Center in New York City opened in 1771, and Massachusetts General Hospital in Boston opened in 1811. When the Vienna General Hospital opened in 1784 as the world's largest hospital, physicians acquired a new facility that gradually developed into one of the most important research centers. Another Enlightenment era charitable innovation

1785-459: A limited amount of on-site amenities. Economy hotels are small to medium-sized hotel establishments that offer basic accommodations with little to no services. Extended stay hotels are small to medium-sized hotels that offer longer-term full-service accommodations compared to a traditional hotel. Timeshare and destination clubs are a form of property ownership involving ownership of an individual unit of accommodation for seasonal usage. A motel

1890-457: A limited number of on-site amenities that only cater and market to a specific demographic of travelers, such as the single business traveler. Most focused or select service hotels may still offer full-service accommodations but may lack leisure amenities such as an on-site restaurant or a swimming pool. Examples include Hyatt Place , Holiday Inn , Courtyard by Marriott and Hilton Garden Inn . Small to medium-sized hotel establishments that offer

1995-412: A neighborhood-style setting. Examples of timeshare brands include Hilton Grand Vacations , Marriott Vacation Club International , Westgate Resorts , Disney Vacation Club , and Holiday Inn Club Vacations . A motel , an abbreviation for "motor hotel", is a small-sized low-rise lodging establishment similar to a limited service, lower-cost hotel, but typically with direct access to individual rooms from

2100-489: A particularly important provider of healthcare to uninsured patients and patients with Medi-Cal (which is California's Medicaid program, serving low-income persons, some senior citizens , persons with disabilities , children in foster care , and pregnant women). In 2012, district hospitals provided $ 54 million in uncompensated care in California. A specialty hospital is primarily and exclusively dedicated to one or

2205-922: A phenomenon known as international healthcare accreditation , by groups such as Accreditation Canada in Canada , the Joint Commission in the U.S., the Trent Accreditation Scheme in Great Britain , and the Haute Autorité de santé (HAS) in France . In England , hospitals are monitored by the Care Quality Commission . In 2020, they turned their attention to hospital food standards after seven patient deaths from listeria linked to pre-packaged sandwiches and salads in 2019, saying "Nutrition and hydration

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2310-406: A private home (commercial, i.e. a bed and breakfast , a guest house , a vacation rental , or non-commercially, as in certain homestays or the home of friends), in a tent, caravan/ campervan (often on a campsite ). Lodgings may be self-catering, whereby no food is provided, but cooking facilities are available. Lodging is offered by an owner of real property or a leasehold estate , including

2415-410: A room and board arrangement. In Japan , capsule hotels provide a tiny room suitable only for sleeping and shared bathroom facilities. The precursor to the modern hotel was the inn of medieval Europe . For a period of about 200 years from the mid-17th century, coaching inns served as a place for lodging for coach travelers. Inns began to cater to wealthier clients in the mid-18th century. One of

2520-525: A rose garden by Geoffrey Jellicoe . The Ice Hotel in Jukkasjärvi , Sweden , was the first ice hotel in the world; first built in 1990, it is built each winter and melts every spring. The Hotel de Glace in Duschenay, Canada , opened in 2001 and it is North America's only ice hotel. It is redesigned and rebuilt in its entirety every year. Ice hotels can also be included within larger ice complexes; for example,

2625-462: A significantly greater number of patients. It has 3,000 beds and performs 3,000 paediatric cardiac operations annually, the largest number in the world for such a facility. Surgeons are paid on a fixed salary instead of per operation, thus when the number of procedures increases, the hospital is able to take advantage of economies of scale and reduce its cost per procedure. Each specialist may also become more efficient by working on one procedure like

2730-845: A stay or re-admission through security checkpoints. Some hotels are built with living trees as structural elements, for example the Treehotel near Piteå , Sweden, the Costa Rica Tree House near the Jairo Mora Sandoval Gandoca-Manzanillo Mixed Wildlife Refuge , Costa Rica ; the Treetops Hotel in Aberdare National Park , Kenya ; the Ariau Towers near Manaus , Brazil, on the Rio Negro in

2835-445: A swimming pool, a business center with computers, printers, and other office equipment, childcare, conference and event facilities, tennis or basketball courts, gymnasium , restaurants, day spa, and social function services. Hotel rooms are usually numbered (or named in some smaller hotels and B&Bs ) to allow guests to identify their room. Some boutique, high-end hotels have custom decorated rooms. Some hotels offer meals as part of

2940-572: A traditional hotel. Extended stay hotels may offer non-traditional pricing methods such as a weekly rate that caters towards travelers in need of short-term accommodations for an extended period of time. Similar to limited and select service hotels, on-site amenities are normally limited and most extended stay hotels lack an on-site restaurant. Examples include Staybridge Suites , Candlewood Suites , Homewood Suites by Hilton , Home2 Suites by Hilton , Residence Inn by Marriott , Element , and Extended Stay America . Timeshare and destination clubs are

3045-411: A trauma center. They may also have other services such as a hospital pharmacy , radiology , pathology , and medical laboratories . Some hospitals have outpatient departments such as behavioral health services, dentistry , and rehabilitation services . A hospital may also have a department of nursing , headed by a chief nursing officer or director of nursing . This department is responsible for

3150-496: A type of booking for less than 24 hours where the customer chooses the check in time and the length of the stay. This allows the hotel increased revenue by reselling the same room several times a day. They first gained popularity in Europe but are now common in major global tourist centers. Hotel management is a globally accepted professional career field and academic field of study. Degree programs such as hospitality management studies ,

3255-547: A type of economical hotel first introduced in Japan, where people sleep in stacks of rectangular containers. In the sleeping capsules, beside the bed, the customer can watch TV, put their valuables in the mini safes, and the customers also can use the wireless internet. Some hotels fill daytime occupancy with day rooms , for example, Rodeway Inn and Suites near Port Everglades in Fort Lauderdale, Florida . Day rooms are booked in

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3360-613: A very limited number of on-site amenities and often only offer basic accommodations with little to no services, catering to the budget-minded traveler seeking a "no frills" accommodation. Limited service hotels often lack an on-site restaurant but in return may offer a limited complimentary food and beverage amenity such as on-site continental breakfast service. Examples include Ibis Budget , Hampton Inn , Aloft , Holiday Inn Express , Fairfield Inn , and Four Points by Sheraton . Extended stay hotels are small to medium-sized hotels that offer longer-term full-service accommodations compared to

3465-879: A wide array of guest services and on-site facilities. Commonly found amenities may include: on-site food and beverage (room service and restaurants), meeting and conference services and facilities, fitness center, and business center. Upscale full-service hotels range in quality from upscale to luxury. This classification is based upon the quality of facilities and amenities offered by the hotel. Examples include: W Hotels , Sheraton , Langham , Kempinski , Pullman , Kimpton Hotels , Hilton , Swissôtel , Lotte , Renaissance , Marriott and Hyatt Regency brands. Boutique hotels are smaller independent non-branded hotels that often contain mid-scale to upscale facilities of varying size in unique or intimate settings with full-service accommodations. These hotels are generally 100 rooms or fewer. Small to medium-sized hotel establishments that offer

3570-463: Is Fachkrankenhaus Coswig (thoracic surgery). In India, specialty hospitals are known as super-specialty hospitals and are distinguished from multispecialty hospitals which are composed of several specialties. Specialised hospitals can help reduce health care costs compared to general hospitals. For example, Narayana Health 's cardiac unit in Bangalore specialises in cardiac surgery and allows for

3675-943: Is a healthcare institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital typically is the major health care facility in its region, with many beds for intensive care and additional beds for patients who need long-term care. Specialized hospitals include trauma centers , rehabilitation hospitals , children's hospitals , geriatric hospitals, and hospitals for specific medical needs, such as psychiatric hospitals for psychiatric treatment and other disease-specific categories. Specialized hospitals can help reduce health care costs compared to general hospitals. Hospitals are classified as general, specialty, or government depending on

3780-482: Is a hotel chain that offers branding to independently operated hotels; the chain itself is founded by or owned by the member hotels as a group. Many former referral chains have been converted to franchises; the largest surviving member-owned chain is Best Western . The first recorded purpose-built railway hotel was the Great Western Hotel , which opened adjacent to Reading railway station in 1844, shortly after

3885-428: Is a small-sized low-rise lodging with direct access to individual rooms from the car parking area. Boutique hotels are typically hotels with a unique environment or intimate setting. A number of hotels and motels have entered the public consciousness through popular culture. Some hotels are built specifically as destinations in themselves, for example casinos and holiday resorts . Most hotel establishments are run by

3990-646: Is a type of short-stay hotel found around the world, operated primarily for the purpose of allowing guests privacy for sexual activities , typically for one to three hours, but with overnight as an option. Styles of premises vary from extremely low-end to extravagantly appointed. In Japan, love hotels have a history of over 400 years. In 2021 a New York-based company introduced new modular and movable hotel rooms which allow landowners and hospitality groups to create and easily scale hotel accommodations. The portable units can be built in three to five months and can be stacked to create multi-floor units. A referral hotel

4095-843: Is built into the remains of an opal mine. Located on the coast but high above sea level, these hotels offer unobstructed panoramic views and a great sense of privacy without the feeling of total isolation. Some examples from around the globe are the Riosol Hotel in Gran Canaria, Caruso Belvedere Hotel in Amalfi Coast (Italy), Aman Resorts Amankila in Bali, Birkenhead House in Hermanus (South Africa), The Caves in Jamaica and Caesar Augustus in Capri. Capsule hotels are

4200-544: Is derived from the French hôtel (coming from the same origin as hospital ), which referred to a French version of a building seeing frequent visitors, and providing care, rather than a place offering accommodation. In contemporary French usage, hôtel now has the same meaning as the English term, and hôtel particulier is used for the old meaning, as well as "hôtel" in some place names such as Hôtel-Dieu (in Paris), which has been

4305-705: Is often determined by hotel ownership and managing companies. Boutique hotels are typically hotels with a unique environment or intimate setting. Some hotels have gained their renown through tradition, by hosting significant events or persons, such as Schloss Cecilienhof in Potsdam , Germany, which derives its fame from the Potsdam Conference of the World War II allies Winston Churchill , Harry Truman and Joseph Stalin in 1945. The Taj Mahal Palace & Tower in Mumbai

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4410-849: Is one of India's most famous and historic hotels because of its association with the Indian independence movement . Some establishments have given name to a particular meal or beverage, as is the case with the Waldorf Astoria in New York City , United States where the Waldorf Salad was first created or the Hotel Sacher in Vienna , Austria, home of the Sachertorte . Others have achieved fame by association with dishes or cocktails created on their premises, such as

4515-493: Is part of a patient's recovery." The World Health Organization reported in 2011 that being admitted to a hospital was far riskier than flying. Globally, the chance of a patient being subject to a treatment error in a hospital was about 10%, and the chance of death resulting from an error was about one in 300. according to Liam Donaldson . 7% of hospitalised patients in developed countries, and 10% in developing countries, acquire at least one health care-associated infection . In

4620-538: Is the general hospital, also known as an acute-care hospital. These facilities handle many kinds of disease and injury, and normally have an emergency department (sometimes known as "accident & emergency") or trauma center to deal with immediate and urgent threats to health. Larger cities may have several hospitals of varying sizes and facilities. Some hospitals, especially in the United States and Canada, have their own ambulance service. A district hospital typically

4725-432: Is the major health care facility in its region, with large numbers of beds for intensive care , critical care , and long-term care. In California, "district hospital" refers specifically to a class of healthcare facility created shortly after World War II to address a shortage of hospital beds in many local communities. Even today, district hospitals are the sole public hospitals in 19 of California's counties, and are

4830-566: The Mahavamsa , the ancient chronicle of Sinhalese royalty, written in the sixth century AD, King Pandukabhaya of Sri Lanka (r. 437–367 BC) had lying-in-homes and hospitals (Sivikasotthi-Sala). A hospital and medical training center also existed at Gundeshapur , a major city in southwest of the Sassanid Persian Empire founded in AD 271 by Shapur I . In ancient Greece , temples dedicated to

4935-725: The Amazon ; and Bayram's Tree Houses in Olympos , Turkey. Some hotels have accommodation underwater, such as Utter Inn in Lake Mälaren , Sweden. Hydropolis , project in Dubai , would have had suites on the bottom of the Persian Gulf , and Jules' Undersea Lodge in Key Largo , Florida , requires scuba diving to access its rooms. Lodging Lodging is done in a hotel , motel , hostel , or inn ,

5040-642: The George and the Tabard . A typical layout of an inn featured an inner court with bedrooms on the two sides, with the kitchen and parlour at the front and the stables at the back. For a period of about 200 years from the mid-17th century, coaching inns served as a place for lodging for coach travellers (in other words, a roadhouse ). Coaching inns stabled teams of horses for stagecoaches and mail coaches and replaced tired teams with fresh teams. Traditionally they were seven miles apart, but this depended very much on

5145-617: The Great Western Railway opened its line from London. The building still exists, and although it has been used for other purposes over the years, it is now again a hotel and a member of the Malmaison hotel chain . Frequently, expanding railway companies built grand hotels at their termini, such as the Midland Hotel, Manchester next to the former Manchester Central Station , and in London

5250-804: The Hotel de Paris where the crêpe Suzette was invented or the Raffles Hotel in Singapore , where the Singapore Sling cocktail was devised. A number of hotels have entered the public consciousness through popular culture, such as the Ritz Hotel in London , through its association with Irving Berlin's song, " Puttin' on the Ritz ". The Algonquin Hotel in New York City is famed as

5355-507: The Latin hospes , signifying a stranger or foreigner, hence a guest. Another noun derived from this, hospitium came to signify hospitality, that is the relation between guest and shelterer, hospitality, friendliness, and hospitable reception. By metonymy , the Latin word then came to mean a guest-chamber, guest's lodging, an inn . Hospes is thus the root for the English words host (where

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5460-602: The hotel industry , hospitality industry , real estate investment trusts , and owner-occupancy houses. Lodging can be facilitated by an intermediary such as a travel website . Regulation of short-term rentals can include requirements for hosts to have business licenses, payment of hotel taxes and compliance with building, city and zoning standards. The hotel industry has lobbied for stricter regulations on short-term home rental and in addition to government-imposed restrictions, many homeowner associations also limit short term rentals. Hospital A hospital

5565-489: The p was dropped for convenience of pronunciation) hospitality , hospice , hostel, and hotel . The latter modern word derives from Latin via the Old French romance word hostel , which developed a silent s , which letter was eventually removed from the word, the loss of which is signified by a circumflex in the modern French word hôtel . The German word Spital shares similar roots. Some patients go to

5670-544: The 1970s and have since expanded rapidly across the United States. The Catholic Church is the largest non-government provider of health careservices in the world. It has around 18,000 clinics, 16,000 homes for the elderly and those with special needs, and 5,500 hospitals, with 65 percent of them located in developing countries. In 2010, the Church's Pontifical Council for the Pastoral Care of Health Care Workers said that

5775-625: The 19th century. Luxury hotels, including the 1829 Tremont House in Boston , the 1836 Astor House in New York City , the 1889 Savoy Hotel in London, and the Ritz chain of hotels in London and Paris in the late 1890s, catered to an ever more-wealthy clientele. Title II of the Civil Rights Act of 1964 is part of a United States law that prohibits discrimination on the basis of race, religion, or national origin in places of public accommodation. Hotels are included as types of public accommodation in

5880-435: The 2000s as hotel chains have been building economy-priced, limited-service franchised properties at freeway exits which compete for largely the same clientele, largely saturating the market by the 1990s. Motels are still useful in less populated areas for driving travelers, but the more populated an area becomes, the more hotels move in to meet the demand for accommodation. While many motels are unbranded and independent, many of

5985-524: The Act. Hotels cater to travelers from many countries and languages, since no one country dominates the travel industry. Hotel operations vary in size, function, and cost. Most hotels and major hospitality companies that operate hotels have set widely accepted industry standards to classify hotel types. General categories include the following: International luxury hotels offer high-quality amenities, full-service accommodations, on-site full-service restaurants, and

6090-581: The Church manages 26% of the world's health care facilities. Modern hospitals derive funding from a variety of sources. They may be funded by private payment and health insurance or public expenditure , charitable donations . In the United Kingdom , the National Health Service delivers health care to legal residents funded by the state "free at the point of delivery", and emergency care free to anyone regardless of nationality or status. Due to

6195-615: The French government sent two scholar administrators, Coulomb and Tenon , who had visited most of the hospitals in Europe. They were impressed and the "pavilion" design was copied in France and throughout Europe. English physician Thomas Percival (1740–1804) wrote a comprehensive system of medical conduct, Medical Ethics; or, a Code of Institutes and Precepts, Adapted to the Professional Conduct of Physicians and Surgeons (1803) that set

6300-524: The Islamic world was built in 805 in Baghdad by Harun Al-Rashid . By the 10th century, Baghdad had five more hospitals, while Damascus had six hospitals by the 15th century, and Córdoba alone had 50 major hospitals, many exclusively for the military, by the end of the 15th century. The Islamic bimaristan served as a center of medical treatment, as well nursing home and lunatic asylum . It typically treated

6405-1093: The Mammut Snow Hotel in Finland is located within the walls of the Kemi snow castle; and the Lainio Snow Hotel is part of a snow village near Ylläs , Finland. There is an arctic snowhotel in Rovaniemi in Lapland , Finland, along with glass igloos. The first glass igloos were built in 1999 in Finland , they became the Kakslauttanen Arctic Resort with 65 buildings, 53 small ones for two people and 12 large ones for four people. Glass igloos, with their roof made of thermal glass, allow guests to admire auroras comfortably from their beds. A love hotel (also 'love motel', especially in Taiwan)

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6510-577: The Roman population, were occasionally privately built in extremely wealthy Roman households located in the countryside for that family, although this practice seems to have ended in 80 AD. The declaration of Christianity as an accepted religion in the Roman Empire drove an expansion of the provision of care. Following the First Council of Nicaea in AD 325 construction of a hospital in every cathedral town

6615-489: The Strip, with a total of over 67,000 rooms. The Null Stern Hotel in Teufen , Appenzellerland , Switzerland, and the Concrete Mushrooms in Albania are former nuclear bunkers transformed into hotels. The Cuevas Pedro Antonio de Alarcón (named after the author ) in Guadix , Spain, as well as several hotels in Cappadocia , Turkey, are notable for being built into natural cave formations, some with rooms underground. The Desert Cave Hotel in Coober Pedy , South Australia,

6720-407: The U.S., 1.7 million infections are acquired in hospital each year, leading to 100,000 deaths, figures much worse than in Europe where there were 4.5 million infections and 37,000 deaths. Modern hospital buildings are designed to minimise the effort of medical personnel and the possibility of contamination while maximising the efficiency of the whole system. Travel time for personnel within

6825-449: The administration of professional nursing practice, research , and policy for the hospital. Many units have both a nursing and a medical director that serve as administrators for their respective disciplines within that unit. For example, within an intensive care nursery, a medical director is responsible for physicians and medical care, while the nursing manager is responsible for all the nurses and nursing care. Support units may include

6930-404: The average length of stay, time to service, patient satisfaction, physician performance, patient readmission rate, inpatient mortality rate, and case mix index . In the United States , the number of hospitalizations grew to its peak in 1981 with 171 admissions per 1,000 Americans and 6,933 hospitals. This trend subsequently reversed, with the rate of hospitalization falling by more than 10% and

7035-404: The birth of specialised medicine. By the late 19th and early 20th centuries, medical advancements such as anesthesia and sterile techniques that could make surgery less risky, and the availability of more advanced diagnostic devices such as X-rays , continued to make hospitals a more attractive option for treatment. Modern hospitals measure various efficiency metrics such as occupancy rates,

7140-404: The car park. Motels were built to serve road travellers, including travellers on road trip vacations and workers who drive for their job (travelling salespeople, truck drivers, etc.). Common during the 1950s and 1960s, motels were often located adjacent to a major highway, where they were built on inexpensive land at the edge of towns or along stretches of freeway. New motel construction is rare in

7245-447: The crown; this was the first instance of secular support being provided for medical institutions. In 1682, Charles II founded the Royal Hospital Chelsea as a retirement home for old soldiers known as Chelsea Pensioners , an instance of the use of the word "hospital" to mean an almshouse . Ten years later, Mary II founded the Royal Hospital for Seamen, Greenwich , with the same purpose. The voluntary hospital movement began in

7350-455: The defining characteristic of a resort hotel is that it exists purely to serve another attraction, the two having the same owners. On the Las Vegas Strip there is a tradition of one-upmanship with luxurious and extravagant hotels in a concentrated area. This trend now has extended to other resorts worldwide, but the concentration in Las Vegas is still the world's highest: nineteen of the world's twenty-five largest hotels by room count are on

7455-406: The early 18th century, with hospitals being founded in London by the 1720s, including Westminster Hospital (1719) promoted by the private bank C. Hoare & Co and Guy's Hospital (1724) funded from the bequest of the wealthy merchant, Thomas Guy . Other hospitals sprang up in London and other British cities over the century, many paid for by private subscriptions. St Bartholomew's in London

7560-606: The first hotels in a modern sense was opened in Exeter in 1768. Hotels proliferated throughout Western Europe and North America in the early 19th century, and luxury hotels began to spring up in the later part of the 19th century, particularly in the United States. Hotel operations vary in size, function, complexity, and cost. Most hotels and major hospitality companies have set industry standards to classify hotel types. An upscale full-service hotel facility offers luxury amenities, full-service accommodations, an on-site restaurant , and

7665-483: The healer-god Asclepius , known as Asclepeion functioned as centers of medical advice, prognosis, and healing. The Asclepeia spread to the Roman Empire . While public healthcare was non-existent in the Roman Empire, military hospitals called valetudinaria did exist stationed in military barracks and would serve the soldiers and slaves within the fort. Evidence exists that some civilian hospitals, while unavailable to

7770-560: The highest level of personalized and professional service in major or capital cities . International luxury hotels are classified with at least a Five Diamond rating or Five Star hotel rating depending on the country and local classification standards. Example brands include: Grand Hyatt , Conrad , InterContinental , Sofitel , Mandarin Oriental , Four Seasons , The Peninsula , Rosewood , JW Marriott and The Ritz-Carlton . Lifestyle luxury resorts are branded hotels that appeal to

7875-443: The highest level of personalized service, such as a concierge , room service , and clothes-ironing staff. Full-service hotels often contain upscale full-service facilities with many full-service accommodations, an on-site full-service restaurant , and a variety of on-site amenities . Boutique hotels are smaller independent, non-branded hotels that often contain upscale facilities. Small to medium-sized hotel establishments offer

7980-517: The hospital and the transportation of patients between units is facilitated and minimised. The building also should be built to accommodate heavy departments such as radiology and operating rooms while space for special wiring, plumbing, and waste disposal must be allowed for in the design. However, many hospitals, even those considered "modern", are the product of continual and often badly managed growth over decades or even centuries, with utilitarian new sections added on as needs and finances dictate. As

8085-477: The hospitals. They also changed from being mere homes of refuge to being complex institutions for the provision and advancement of medicine and care for sick. The Charité was founded in Berlin in 1710 by King Frederick I of Prussia as a response to an outbreak of plague. Voluntary hospitals also spread to Colonial America ; Bellevue Hospital in New York City opened in 1736, first as a workhouse and then later as

8190-512: The insulation values of the walls it needs no conventional heating or air conditioning system, although the Maya Guesthouse is built at an altitude of 1,300 metres (4,300 ft) in the Alps. Transit hotels are short stay hotels typically used at international airports where passengers can stay while waiting to change airplanes. The hotels are typically on the airside and do not require a visa for

8295-417: The medieval concept of Christian care evolved during the 16th and 17th centuries into a secular one. In England , after the dissolution of the monasteries in 1540 by King Henry VIII , the church abruptly ceased to be the supporter of hospitals, and only by direct petition from the citizens of London, were the hospitals St Bartholomew's , St Thomas's and St Mary of Bethlehem's (Bedlam) endowed directly by

8400-527: The meeting place of the literary group, the Algonquin Round Table , and Hotel Chelsea , also in New York City, has been the subject of a number of songs and the scene of the stabbing of Nancy Spungen (allegedly by her boyfriend Sid Vicious ). Some hotels are built specifically as a destination in itself to create a captive trade, example at casinos , amusement parks and holiday resorts . Though hotels have always been built in popular destinations,

8505-620: The mid-18th century, and consequently grew in grandeur and in the level of service provided. Sudhir Andrews traces "the birth of an organised hotel industry" to Europe's chalets and small hotels which catered primarily to aristocrats. One of the first hotels in a modern sense, the Royal Clarence , opened in Exeter in 1768, although the idea only really caught on in the early-19th century. In 1812 Mivart's Hotel opened its doors in London , later changing its name to Claridge's . Hotels proliferated throughout Western Europe and North America in

8610-481: The modern hospital was beginning to take shape with a proliferation of a variety of public and private hospital systems. By the 1870s, hospitals had more than trebled their original average intake of 3,000 patients. In continental Europe the new hospitals generally were built and run from public funds. The National Health Service , the principal provider of health care in the United Kingdom, was founded in 1948. During

8715-529: The modern profession of nursing during the Crimean War when she set an example of compassion, commitment to patient care and diligent and thoughtful hospital administration. The first official nurses' training programme, the Nightingale School for Nurses, was opened in 1860, with the mission of training nurses to work in hospitals, to work with the poor and to teach. Nightingale was instrumental in reforming

8820-399: The nature of the hospital, by improving sanitation standards and changing the image of the hospital from a place the sick would go to die, to an institution devoted to recuperation and healing. She also emphasised the importance of statistical measurement for determining the success rate of a given intervention and pushed for administrative reform at hospitals. By the late 19th century,

8925-499: The need for hospitals to prioritise their limited resources, there is a tendency in countries with such systems for 'waiting lists' for non-crucial treatment, so those who can afford it may take out private health care to access treatment more quickly. In the United States , hospitals typically operate privately and in some cases on a for-profit basis, such as HCA Healthcare . The list of procedures and their prices are billed with

9030-494: The nineteenth century, the Second Viennese Medical School emerged with the contributions of physicians such as Carl Freiherr von Rokitansky , Josef Škoda , Ferdinand Ritter von Hebra , and Ignaz Philipp Semmelweis . Basic medical science expanded and specialisation advanced. Furthermore, the first dermatology, eye, as well as ear, nose, and throat clinics in the world were founded in Vienna , being considered as

9135-457: The number of US hospitals shrinking from 6,933 in 1981 to 5,534 in 2016. Occupancy rates also dropped from 77% in 1980 to 60% in 2013. Among the reasons for this are the increasing availability of more complex care elsewhere such as at home or the physicians' offices and also the less therapeutic and more life-threatening image of the hospitals in the eyes of the public. In the US, a patient may sleep in

9240-493: The oldest hotel in the world. During the Middle Ages , various religious orders at monasteries and abbeys would offer accommodation for travellers on the road. The precursor to the modern hotel was the inn of medieval Europe , possibly dating back to the rule of Ancient Rome . These would provide for the needs of travellers, including food and lodging, stabling and fodder for the traveller's horses and fresh horses for mail coaches . Famous London examples of inns include

9345-584: The ones above St Pancras railway station and Charing Cross railway station . London also has the Chiltern Court Hotel above Baker Street tube station , there are also Canada's grand railway hotels . They are or were mostly, but not exclusively, used by those traveling by rail. The Maya Guesthouse in Nax Mont-Noble in the Swiss Alps, is the first hotel in Europe built entirely with straw bales. Due to

9450-594: The original meaning of the word, hospitals were original "places of hospitality", and this meaning is still preserved in the names of some institutions such as the Royal Hospital Chelsea , established in 1681 as a retirement and nursing home for veteran soldiers. During the Middle Ages, hospitals served different functions from modern institutions in that they were almshouses for the poor, hostels for pilgrims , or hospital schools. The word "hospital" comes from

9555-512: The other motels which remain in operation joined national franchise chains, often rebranding themselves as hotels, inns or lodges. Some examples of chains with motels include EconoLodge , Motel 6 , Super 8 , and Travelodge . Motels in some parts of the world are more often regarded as places for romantic assignations where rooms are often rented by the hour. This is fairly common in parts of Latin America . Hotels may offer rooms for microstays ,

9660-573: The past, however, this work was usually performed by the members of founding religious orders or by volunteers . However, there are various Catholic religious orders, such as the Alexians and the Bon Secours Sisters that still focus on hospital ministry in the late 1990s, as well as several other Christian denominations, including the Methodists and Lutherans, which run hospitals. In accordance with

9765-406: The poor, as the rich would have been treated in their own homes. Hospitals in this era were the first to require medical licenses for doctors, and compensation for negligence could be made. Hospitals were forbidden by law to turn away patients who were unable to pay. These hospitals were financially supported by waqfs , as well as state funds. In India, public hospitals existed at least since

9870-412: The quality of health care has increasingly become an issue around the world, hospitals have increasingly had to pay serious attention to this matter. Independent external assessment of quality is one of the most powerful ways to assess this aspect of health care, and hospital accreditation is one means by which this is achieved. In many parts of the world such accreditation is sourced from other countries,

9975-513: The reign of Firuz Shah Tughlaq in the 14th century. The Mughal emperor Jahangir in the 17th century established hospitals in large cities at government expense with records showing salaries and grants for medicine being paid for by the government. In China, during the Song dynasty , the state began to take on social welfare functions previously provided by Buddhist monasteries and instituted public hospitals, hospices and dispensaries . In Europe

10080-432: The sole locally accessible hospital within nine additional counties in which one or more other hospitals are present at a substantial distance from a local community. Twenty-eight of California's rural hospitals and 20 of its critical-access hospitals are district hospitals. They are formed by local municipalities, have boards that are individually elected by their local communities, and exist to serve local needs. They are

10185-470: The sources of income received. A teaching hospital combines assistance to people with teaching to health science students and auxiliary healthcare students. A health science facility smaller than a hospital is generally called a clinic. Hospitals have a range of departments (e.g. surgery and urgent care ) and specialist units such as cardiology . Some hospitals have outpatient departments and some have chronic treatment units. Common support units include

10290-402: The standard for many textbooks. In the mid-19th century, hospitals and the medical profession became more professionalised, with a reorganisation of hospital management along more bureaucratic and administrative lines. The Apothecaries Act 1815 made it compulsory for medical students to practise for at least half a year at a hospital as part of their training. Florence Nightingale pioneered

10395-555: The system after COVID-19, initially for respiratory patients. Mersey Care NHS Foundation Trust started a COVID Oximetry@Home service in April 2020. This enables them to monitor more than 5000 patients a day in their own homes. The technology allows nurses, carers, or patients to record and monitor vital signs such as blood oxygen levels. In early India , Fa Xian , a Chinese Buddhist monk who travelled across India c.  AD 400 , recorded examples of healing institutions. According to

10500-425: The terrain. Some English towns had as many as ten such inns and rivalry between them became intense, not only for the income from the stagecoach operators but for the revenue from the food and drink supplied to the wealthy passengers. By the end of the century, coaching inns were being run more professionally, with a regular timetable being followed and fixed menus for food. Inns began to cater to richer clients in

10605-426: Was a pioneer of hospital design in having "pavilions" to minimize the spread of infection. John Wesley visited in 1785, and commented "I never saw anything of the kind so complete; every part is so convenient, and so admirably neat. But there is nothing superfluous, and nothing purely ornamented, either within or without." This revolutionary design was made more widely known by John Howard , the philanthropist. In 1787

10710-456: Was begun, including among the earliest hospitals by Saint Sampson in Constantinople and by Basil, bishop of Caesarea in modern-day Turkey. By the twelfth century, Constantinople had two well-organised hospitals, staffed by doctors who were both male and female. Facilities included systematic treatment procedures and specialised wards for various diseases. The earliest general hospital in

10815-410: Was later dropped in 2018. In 2016 and 2017, healthcare reform and a continued decline in admissions resulted in US hospital-based healthcare systems performing poorly financially. Microhospitals, with bed capacities of between eight and fifty, are expanding in the United States. Similarly, freestanding emergency rooms, which transfer patients that require inpatient care to hospitals, were popularised in

10920-522: Was rebuilt from 1730 to 1759, and the London Hospital, Whitechapel, opened in 1752. These hospitals represented a turning point in the function of the institution; they began to evolve from being basic places of care for the sick to becoming centers of medical innovation and discovery and the principal place for the education and training of prospective practitioners. Some of the era's greatest surgeons and doctors worked and passed on their knowledge at

11025-850: Was the dispensary; these would issue the poor with medicines free of charge. The London Dispensary opened its doors in 1696 as the first such clinic in the British Empire . The idea was slow to catch on until the 1770s, when many such organisations began to appear, including the Public Dispensary of Edinburgh (1776), the Metropolitan Dispensary and Charitable Fund (1779) and the Finsbury Dispensary (1780). Dispensaries were also opened in New York 1771, Philadelphia 1786, and Boston 1796. The Royal Naval Hospital, Stonehouse , Plymouth ,

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