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Why Smaller Hospitals May Be Faster for Cancer Diagnosis

A rural Taiwanese patient faced a 20‑day wait for a diagnostic mammogram at a large tertiary hospital, while a community hospital in Taipei provided immediate evaluation and treatment. The article attributes the delay to fragmented administrative structures, global‑budget constraints, and layered authorization processes in big centers. Smaller hospitals retain physician autonomy, allowing rapid decision‑making without extensive bureaucracy. The contrast highlights how institutional design, rather than technology, determines timeliness in cancer diagnosis.