Another major change was the nature of the staff that ran hospitals. Often, these hospitals were still paid for by subscriptions of the wealthier members of society, yet how the money was being spent began to change. There were less volunteer and religious undertones as more and more specialization became a key evolution in the hospital's history. Thus, hospitals in this period saw the implementation of a highly skilled and trained nursing staff. This more specialized and trained staff could go much further beyond the capabilities of the predominately religious-based volunteer nurses of the past hospitals. There was a specialization of doctors and nurses who worked within very specific fields.

Hospitals became the "main provider of specialized care"

and essentially a precursor to the concept of specialized care. In this new hospital setting, specialized staff could focus on providing expert skill in therapies directed specifically for certain conditions or injuries....
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