Hospitals must become “focused factories”BMJ 2000; 320 doi: https://doi.org/10.1136/bmj.320.7239.942/a (Published 01 April 2000) Cite this as: BMJ 2000;320:942
- Gabriel M Leung, assistant professor (firstname.lastname@example.org)
- Department of Community Medicine, Faculty of Medicine, University of Hong Kong, Hong Kong
EDITOR—I agree with Wilson that we will see many more specialised, niche-type healthcare facilities in the future rather than the all purpose giant mammoths that dominate the hospital landscape currently.1 I believe, however, that this paradigm change will be brought about for reasons of operational efficiency as much as through technological advances.
There is a steep learning curve for most medical interventions. Centres that have a higher volume of cases generally report better clinical outcomes at a lower cost than …