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If devolved facilities are used, processes may be streamlined

BMJ 1998; 317 doi: (Published 19 September 1998) Cite this as: BMJ 1998;317:818
  1. Tim Heymann, Consultant physician
  1. Kingston Hospital, Kingston upon Thames, Surrey KT2 7QB

    EDITOR—New healthcare technologies are often expensive. Maximising their use may become an objective in its own right, with the equipment centralised and protected by a host department—the radiology department in the case of magnetic resonance imaging, for example. The convenience of staff and patients takes second place.

    The legacy of early, appropriate centralisation may persist long after the economic and technical arguments have lapsed as prices come …

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