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Concentrating care through regionalization policies at a smaller number of providers should lead to higher volumes and therefore improved 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.
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.
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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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.
In line with the limited literature, the results of this study seem to show that interpreter services lead to more targeted health care, concentrating higher health care utilisation into a smaller number of visits.
This has paid dividends in areas such as stroke care and major trauma where significant benefits have been gained by concentrating specialist care.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com