Increased specialization and more “centers of excellence”

Increased specialization improves quality and increases productivity, since greater specialization increases the expertise of doctors, nurses and other medical staff, enabling them to develop and maintain their core competences. Developed healthcare systems are, therefore, seeking to concentrate volumes at levels where the numbers of treatments or interventions per doctor are sufficiently high to achieve quality and productivity gains. The trend for increased specialization is in line with the shift from inpatient to outpatient care and the increased application of LEON. The development is also driving the greater prevalence of centers of excellence.