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The data suggest that MSM outreach in sub-Saharan Africa (SSA) is both possible and widely geographically accessible, but that there are multiple small foci and little or no centralisation.
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19 No hospitals stopped providing stroke services entirely as a result of the centralisation process in Greater Manchester.
But centralisation often works no better.
Ever greater fragmentation and atomisation, more schools with unqualified teachers and no local oversight, the centralisation of power in an unwieldy Department for Education can only exacerbate the risk of further problems.
"I have consistently made it clear to ministers in London that there is no justification for the centralisation of these services and jobs in Swansea.
Degree centralisation shows no significant correlation with hospitalisation cost and negative correlation with readmission rate.
Indeed, the last 30 years have seen a dramatic centralisation of power towards No 10.
This study puts into question the risk:benefit ratio for centralisation, as we detected no benefit on mortality with treatment in high volume units for all admissions with severe sepsis.
He was no believer in detailed controls and restrictive centralisation.
In the second study [ 16], there was no increase in mortality due to the centralisation of acute surgical services in the Mid-West of the republic of Ireland in the year before compared with the year after surgical service reconfiguration.
She abolished the Labour run GLC and other Labour controlled metropolitan councils but left big cities with no form of accountable government, an act of centralisation almost unique in the Western world.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com