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Nobody does it better!

Issue 29 Synovium (Spring 2010)

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It is generally accepted that specialists in high-volume centres deliver the best care. This has been demonstrated for surgical and other invasive procedures and in acute illness, for example myocardial infarction. However, a review recently published in the International Journal for Quality in Health Care comparing treatment outcomes in 3 chronic diseases – rheumatoid arthritis, diabetes mellitus and cystic fibrosis – in 22 studies published between 1987 and 20081 found no evidence to suggest that care in specialist centres was superior to care provided by primary care generalists.

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