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May 16, 2012

Specialization in Health Care

Author Affiliations

Author Affiliations: Department of Public Health, University of Amsterdam, Amsterdam, the Netherlands (tplochg@amc.uva.nl).

JAMA. 2012;307(19):2025. doi:10.1001/jama.2012.3582

To the Editor: Dr Detsky and colleagues1 suggested that medical specialization may have gone too far because it leads toward escalating costs without clear benefits. However, we believe the authors could have been more firm and provocative in their conclusions. A population-based approach toward assessing the appropriateness of specialization also needs to assess the responsiveness and flexibility of the existing licensing and certification mechanisms and consider the whole health care workforce instead of just the medical profession.

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