Intended for healthcare professionals


Hospitals must become “focused factories”

BMJ 2000; 320 doi: (Published 01 April 2000) Cite this as: BMJ 2000;320:942
  1. Gabriel M Leung, assistant professor (
  1. 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 …

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