Editorial
Changing practice in health care
| The first 150 words of the full text of this article appear below. |
The NHS Plan insists that the health service must change. It is "a 1940's system operating in a 21st century world".1 But are the politicians pushing at an open door? Health care practitioners, after all, are adjusting to the National Institute for Clinical Excellence (NICE), the Commission for Health Improvement, and clinical governance. They are working with radically redesigned structures in primary care. In the space of a decade or less, the demand for evidence based practice has spawned new institutes, journals, and information channels and affected practice in each and every health care setting. Indeed, some might be tempted to argue that it is limited government funding for research and innovation that puts a brake on change.
Yet practice is also shifting in ways that engage with and sometimes
collide with broader social changes.2 One sign of the
times is when patients appear for a consultation with material they
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