CLINIC

an organized medical service offering diagnostic, therapeutic, or preventive treatment to ambulatory patients. Often in Europe and occasionally in the United States the term covers the entire teaching centre, including the hospital and the ambulatory-patient facilities. The medical care offered by a clinic may or may not be connected with a hospital. The term clinic may be used to designate all the activities of a general clinic or only a particular division of the work; e.g., the psychiatric clinic, neurology clinic, or surgery clinic. The entire activity when connected with a hospital is called the outpatient department, and the specific subdivisions are referred to as clinics. The first clinic in the English-speaking world, the London Dispensary, was founded in 1696 as a central means of dispensing medicines to the sick poor whom the physicians were treating in the patients' homes. The New York City, Philadelphia, and Boston dispensaries, founded in 1771, 1786, and 1796, respectively, had the same objective. Later, for the sake of convenience, physicians began to treat their free patients at the dispensary. The number of such clinics did not increase rapidly, and as late as 1890 only 132 were operating in the United States. The impetus for the mushroomlike growth that has occurred since that time came with the rapid growth of hospitals and also from the public health movement.