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As a conclusion to this series I want to include a mention on some of the work PA have been undertaking with hospital groups, particularly with the Sydney Hospital in Australia. With the soaring costs of the National Health Services worldwide, in spite of many gaps in the service even in the developed countries, this study indicates the considerable potential for improving the value obtained for money spent by hospitals. The study also indicates that reduction in cost and improvements in efficiency came as by‐products to improving hospital management for the benefit of patients. To obtain these benefits there had to be considerable emphasis on training, education, encouragement and involvement. With these components, attitudes were slowly changed at all levels within the hospital.

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