We tried to analyze in this study the outcomes that have been reported in the literature and in databases from large academic institutions, smaller academic institutions, and community outcomes because we realized that the settings, the populations that we treat, the availability of resources, from monitoring tools, and all of these are very different. And indeed we find that the outcomes seem to be much better in the very large referral institutions compared to the smaller institutions...
We tried to analyze in this study the outcomes that have been reported in the literature and in databases from large academic institutions, smaller academic institutions, and community outcomes because we realized that the settings, the populations that we treat, the availability of resources, from monitoring tools, and all of these are very different. And indeed we find that the outcomes seem to be much better in the very large referral institutions compared to the smaller institutions. So the key message there is how do we equalize that because we have the tools, we have the medications, we have the guidelines, we have the monitoring, we have all of that available somewhere, but how can you make it reach everybody that can benefit? And that’s probably one of the biggest challenges that we face. And if that happens in the U.S., you can imagine that translated to the whole world when there’s even greater variability in how much access and availability, and all of that comes. Some of that is knowledge, but the overwhelming majority of the disparities here is the availability of resources.
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