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In the middle of a revolution, a place for thoughtful debate RDIP, Volume 5, Number 1.
This is a critical period for the interaction between primary and secondary care, particularly so for specialties such as rheumatology. The pace of change in the NHS, the culture of targets and the redistribution of funding have made these uncomfortable times. Rheumatology, in particular, is going through a revolution, both in its therapeutic possibilities and in payers’ assessment of it as a primary/secondary care interface specialty.
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