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The NHS had planned to concentrate care in fewer, bigger centres.
Plans to close one of four inpatient mental health units in Kent and concentrate care in the three remaining centres have been approved.
Its main recommendation was to concentrate care into the hands of site-specialist, multi-disciplinary teams.
Since the Calman and Hile report in 1995 [ 18], the trend in European countries is to concentrate care supply in specialized cancer-care centres.
An individualised approach to follow-up is likely to be important to concentrate care for those perceived to be at a greater risk of recurrent disease or other issues of survivorship.
Regionalization policies that concentrate care at a smaller number of providers should lead to higher volumes and therefore improved patient outcomes, with little or no consequences for patient travel [ 10].
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Concentrated care of multi-chronic patients by a single physician often results in unsatisfactory care outcomes.
Concentrating care through regionalization policies at a smaller number of providers should lead to higher volumes and therefore improved patient outcomes.
Regionalization of critical care may reduce practice variation by concentrating care into fewer centres with highly-skilled staff and improved implementation of best-practices [ 21], with a resulting improvement in patient outcomes.
By concentrating care management efforts on about one-quarter of patients with HF we were able to demonstrate a 26% relative reduction in the odds of readmission and an absolute reduction of 5.0 readmissions per 100 index admissions.
Restricting healthcare services this way forces the movement of patients between healthcare institutions, however, and the projected benefits of concentrating care must be weighed against the risks and costs of patient transport as well as the ensuing potential barriers to longitudinal care.
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