Higher hospital volume and specialisation

Lyman, Stephen
February 2010
BMJ: British Medical Journal (Overseas & Retired Doctors Edition;2/13/2010, Vol. 340 Issue 7742, p325
Academic Journal
The author discusses a study by T. P. Hagen and colleagues which investigated the association between hospital specialization and outcomes. The study showed that hospitals that specialize in orthopedic surgery have better outcomes for total joint replacement compared to less specialized hospitals. The author commends the study researchers for demonstrating the relevance of specialization to clinical outcomes. He argues that more research should be done to find the elements of process of care that lead to improved outcomes.


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