Although in Britain hospital laboratory facilities are freely available to most general practitioners, some group practices have chosen to perform their own basic laboratory investigations.1-4 Such laboratory procedures, however, remain limited to only a few practices-probably for two main reasons: firstly, microbiologists' anxiety about the maintenance of quality control, and, secondly, genera...

OBJECTIVE To evaluate the compliance rates to quality of care indicators along the implementation of an acute myocardial infarction clinical practice guideline. METHODS A clinical guideline for acute myocardial infarction was introduced on March 1st, 2005. Patients admitted for acute myocardial infarction from March 1st, 2005 to December 31st, 2012 (n=1,431) were compared to patients admitted...

BACKGROUND Patients diagnosed with cancer by the emergency route often have more advanced diseases and poorer outcomes. Rates of cancer diagnosed through unplanned admissions vary within and between countries, suggesting potential inconsistencies in the quality of care. To reduce diagnoses by this route and improve patient outcomes, high risk patient groups must be identified. This cross-sectio...

The overall health of academic radiology suffers from insufficient funds and manpower. Although the largest academic programs in the country may have sufficient resources to maintain robust academic environments, one third to half of the academic radiology programs in the United States are struggling to maintain stable academic environments. The impact of an impaired academic radiology enterpri...

In spite of rapid economic growth and swift structural change during the last two decades, China’s industrial reform is far from complete, especially with regard to state enterprises (SOEs). Although troubled with huge financial losses, heavy debt, and substantial over-staffing, SOEs will continue to play a crucial part in the government policy to maintain social stability and economic growth i...

OBJECTIVE To determine ophthalmologists' views on the Medicare bundled payment model for specialty physicians in the outpatient setting. DESIGN AND METHODS The New England Ophthalmology Society (NEOS) was emailed an anonymous survey. Views of bundled payments and demographic characteristics were analyzed. RESULTS Of responding members, 72% (115/160) strongly opposed bundled payments; 68% (1...

, . In course of time he joined the Bristol Medical School, ?lng most of his clinical work at the Royal Infirmary, and 0 taming the diplomas of M.R.C.S., L.R.C.P. in 1891. For a short time he was engaged in private practice, and as Medical Officer to the Bristol Foresters for two years. He acted as assistant medical officer in mental hospitals at ^ster and Maidstone, at which institutions he la...

The Medical Journal of Australia ISSN: 0025-729X 1 February 2010 192 3 150153 ©The Medical Journal of Australia 2010 www.mja.com.au Medical education from factors such as shorter admissions and sicker patients. General practice provides a ready source of ambulatory patients with a wide range of medical and health needs. Building cap city for teaching in general practice is integral to providing...

Ageism, defined as "discrimination against the old on the grounds of their being old,"' emerged as a concept in the United States in the 1960s and promptly joined racism and sexism in the rogues' gallery of social attitudes unacceptable to pressure groups. The Grey Panthers, having found their demon, fought it with commendable zeal and effect. People, it seemed, could be made to feel uncomforta...

BACKGROUND Emergency admissions to hospital at night and weekends are distressing for patients and disruptive for hospitals. Many of these admissions result from referrals from GP out-of-hours (OOH) providers. AIM To compare rates of referral to hospital for doctors working OOH before and after the new general medical services contract was introduced in Bristol in 2005; to explore the attitud...