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Each disease has certain equipment that's best for diagnosing it (if you don't mind spoilers see the wiki, link below). General Practice is a diagnostic skill -- doctors high in it are more likely to send patients to a diagnostic room best for their illness. General Practitioners low in diagnostic skill tend to spam the most advanced diagnostic equipment available.
https://two-point-hospital.fandom.com/wiki/Illnesses
I understand that for specific illness specific diagnostic room will add the most % of diagnosis, but also it depends on staff who operates specific diagnostic room. So in the late game it should not be that problematic if GP sends patient to not the best diagnostic room :)
1. MSI costs a lot to set up and maintain.
2. Also some diagnosis are better in other diag rooms, leaving you to have a minimal % to get to 100 quicker which ultimately leave you in a hospital where patients will die in queues.
These and the fact that you also can actually make GPs do most of the work anyways and have just a ward/psyche to do the advanced diag, makes it wasteful to do MSI (economically).
I only use MSI if I have a less than 70% diagnosis off the first visit to the GP and only in hospitals where I am turning into a focused illness which benefits the most out of MSI diagnosis (or XRAY).
Really, advanced scrubs will know that all hospitals in the game are there to direct what illnesses you get after you get the room (marketing) to use it. Then it's a management/time/puzzle game thereafter. So it's not necessarily about "balance" in what the two advanced diagnosistics do for you, rather is it worthwhile in your hospital management?
Diagnostics Tiers:
1: GP
2. "first diagnosis" Psyche, Ward, GD, cardio
3. "advanced" fluid analysis, DNA, XRAY
4. "super advanced" MSI
So of course the two mentioned in your thread will do well in comparison. But if you are doing an 80% diagnosis percentage patient in an MSI, you are wasting your money, time and effort. Better to have a room that directly gets that illness the best results. Of course, my example is if you are going for 100% cure rate and therefore have a policy of 97% which I am trying with all my hospitals nowadays.
Well I dont care that much about the money. I finished all hospitals on 3 medals each (base game + bigfoot dlc) so right now I dont have much to do so I try to make every hospital best as possible. So even in first level hospital I have a X-ray even though there are only pharmacy and delux illnesses :D but I noticed that at tougher levels even 5 level GP diagnose about 50% at best so the xray and MS is needed because the general diagnosis or cardiology will add only small % to it (like 12-20%¨). But I think that I understand what you wanted to say - no matter which diagnosis room you have you can diagnose most of the illnesses with just GP and Psyche, Ward, GD, cardio. So even in the higher levels you dont need the other levels of diagnosis if you have proper staff.
General diagnosis and cardiology add a lot more than 12 to 20% if you have the equipment upgraded and the staff trained for diagnosis, especially for illness that are best diagnosed by those specific rooms
You won't need a lot of them, but 1 fully upgraded of each diagnosis type with the proper staff is ideal, and in only certain hospitals you might need a second of any specific type if they are getting specific illness types that are best served by those rooms