The National Health Service, yet again, is being cajoled and coerced into being more efficient. Many in the NHS resent this, perhaps understandably given the way in which the concept of efficiency has been devalued by this government. It is, however, an unfortunate reaction because efficiency is not something to be despised or feared. Despite the cajoling, little seems to change. The Royal Comm...

STUDY SELECTION AND ASSESSMENT Articles or dissertations were selected if they were qualitative reports, addressed turning points or a process of change in health behaviour over time, and were grounded in or supported by observational or verbatim qualitative data. 2 reviewers independently coded study findings in categories of main concept, pre-change influences, turning point, and steps in the...

OBJECTIVE To evaluate the pattern, motivation and facilities for choosing journal club topics by residents in two medical institutions in India. METHOD A self-appraisal questionnaire was used to compare motivation for choice of topics, availability of infrastructure, sites and type of articles accessed and formal training in computer based literature search in two medical institutions- a post...

The National Institute for Health and Clinical Excellence (NICE) invited the manufacturer of trastuzumab, Roche Pharmaceuticals, to submit evidence for the clinical and cost effectiveness of this drug for the treatment of advanced gastric cancer (aGC), as part of the Institute's single technology appraisal (STA) process. The Centre for Reviews and Dissemination (CRD) and the Centre for Health E...

This paper describes an attempt to shed some light on road safety in Asia Pacific region by characterizing and assessing its road accidents. The relevant national road accident data were extracted from centralized data sources of international agencies. Due to data incompleteness and missing values, 21 Asia Pacific countries, presenting more than half of the world’s population, were selected fo...

The role of the various agencies involved in the managed introduction of new drugs in the United Kingdom is discussed, particularly with regard to the work of the National Institute for Clinical Excellence (NICE). The process by which the National Health Service in the UK identifies key new drug technologies of major clinical, financial and service significance is discussed. This includes the d...

The study is aimed at investigating the use of Performance appraisal (PA) in some manufacturing enterprises and private banks in Bangladesh. Some hypotheses were developed on individual and job based determinants of PA usage. Based on the data set on individual employees, these hypotheses were tested in order to explore the impact of PA on pay and career prospects. The result indicates that PA ...