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Prof. Masako Ii 1 (Japan) - Tokyo Development Learning Center

Prof. Masako Ii 1 (Japan) - Tokyo Development Learning Center

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Hospital-centrism: health systems built around<br />

hospitals and specialists<br />

For most of the 20 th century, hospitals, with<br />

their technology and sub-specialists have<br />

gained a pivotal role in most health systems<br />

throughout the world.<br />

Today, the disproportionate focus on hospitals<br />

and sub-specialization has become a major<br />

source of inefficiency and inequality.<br />

“ Primary Health Care: Now More Than Ever”, WHO (2008)<br />

32

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