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Hospital administration has evolved significantly over the years in response to changes in medical science, societal needs, technology, and healthcare policies. In the early stages, hospitals were primarily charitable institutions managed by religious organizations or local communities. Administration during this period was informal and focused mainly on custodial care rather than organized medical treatment. Record keeping was minimal, decision-making was centralized with senior physicians or trustees, and there was little emphasis on efficiency, planning, or patient-centered services. With the advancement of medical science in the late nineteenth and early twentieth centuries, hospitals began transforming into __________ _____ _____ _____ _____ ___ _________.
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