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44 45 A wide variability of care arrangements may support specialisation of clinicians and teams or personal continuity of care.
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Although these cities have experienced slowdowns and setbacks in the last 25 years, they have successfully preserved a culture of knowledge and innovation to support specialisations with global reach.
In each country, care approaches supporting specialisation and personal continuity coexist.
Care approaches supporting specialisation or personal continuity of care which are assessed in this study are already established as routine services and are not just pilot experimental services.
Although we cannot exclude entirely the possibility of bias or confounding, our results add to a growing body of evidence supporting specialisation of surgery for pancreatic malignancy.
This will be a methodological safeguard from the 'novelty bias' found in the existing literature in which the newly established approaches (either supporting specialisation or continuity of care) tend to have better outcomes than the traditional ones.
The service arrangements supporting specialisation or personal continuity of care may vary substantially among the countries, which will make our findings more robust and increase their generalisability to other countries and contexts.
It therefore supports the specialisation of early breast cancer care.
In all these countries, care approaches supporting either specialisation or personal continuity of care coexist.
This gives directors an impartial occupational health service and otherwise supports the specialisation".
This guidance supports surgical specialisation and team working but does not define a lower threshold for new breast cancer cases per individual clinician.
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