“…Modern attempts at 'networks' and centralization have afforded an opportunity to measure the impact of changes of pathways on the costs of healthcare and outcomes. [16][17][18][19] Such benefits may vary depending on the context in a particular region or country, but should nevertheless be captured. There are, however, more subtle qualitative byproducts that are difficult to measure, but that we nonetheless have noted through centralization processes in the services we offer.…”