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1. Variations in hospitalization rates for asthma among Black and minority ethnic communities

Author

R.K. Griffiths, Raman Bedi, S. Walters, R. Lay-Yee, Mark S. Gilthorpe, and Richard C. Wilson

Subjects
Gerontology, Adult, Male, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Referral, Adolescent, Ethnic group, Black People, India, Primary care, White People, medicine, Ethnicity, Humans, Child, Socioeconomic status, Minority Groups, Asthma, Aged, Retrospective Studies, Bangladesh, business.industry, Public health, Infant, Retrospective cohort study, Middle Aged, Patient Acceptance of Health Care, medicine.disease, Black or African American, Hospitalization, England, Child, Preschool, Female, business, Negroid, Demography
Abstract

In response to the introduction of ethnic monitoring within the U.K. hospital inpatient data set, this study investigates the variations in secondary healthcare utilization by Black and minority ethnic communities whose cause of admission is related to asthma. The study examines all residents of the West Midlands: over 5 million people, of whom 8·5% are from Black and minority ethnic groups.A retrospective study of 15 921 asthma-related hospital admissions, from 1 April 1995 to 31 March 1996, was carried out.Age-standardized admission rates were higher in all Black and minority ethnic groups studied than in the White group. There were elevated rates in Black children aged 5–14 years, and particular differences were observed for Indian and Bangladeshi men and women aged 65 years or over. Emergency admissions to hospital for asthma were strongly associated with patients' socioeconomic background but this was largely observed for Black and minority ethnic groups that also generally experience high levels of deprivation.The findings support previous studies which suggest that hospital utilization rates for asthma among people from Black and minority ethnic groups are high compared with the White group, despite little evidence in measured prevalence. This study suggests that ethnic background is more important in asthma admissions than deprivation, which raises serious concerns on the appropriateness and quality of asthma care for these patient groups within our society. Future studies need to examine pathways to care, that is the health-seeking behaviour of Black and minority ethnic groups, the type of treatment received at the primary care level and referral patterns to secondary care.

Published
1998
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2. Determination of the longitudinal proton structure function FL(x,Q2) at low x

Author

C. Adloff, S. Aid, M. Anderson, V. Andreev, B. Andrieu, C. Arndt, A. Babaev, J. Bähr, J. Bán, Y. Ban, P. Baranov, E. Barrelet, R. Barschke, W. Bartel, M. Barth, U. Bassler, H.P. Beck, M. Beck, H.-J. Behrend, A. Belousov, Ch. Berger, G. Bernardi, G. Bertrand-Coremans, M. Besançon, R. Beyer, P. Biddulph, P. Bispham, J.C. Bizot, V. Blobel, J. Blümlein, K. Borras, F. Botterweck, V. Boudry, A. Braemer, W. Braunschweig, V. Brisson, W. Brückner, P. Bruel, D. Bruncko, C. Brune, R. Buchholz, L. Büngener, J. Bürger, F.W. Büsser, A. Buniatian, S. Burke, M.J. Burton, D. Calvet, A.J. Campbell, T. Carli, M. Charlet, D. Clarke, A.B. Clegg, B. Clerbaux, S. Cocks, J.G. Contreras, C. Cormack, J.A. Coughlan, A. Courau, M.-C. Cousinou, G. Cozzika, L. Criegee, D.G. Cussans, J. Cvach, S. Dagoret, J.B. Dainton, W.D. Dau, K. Daum, M. David, C.L. Davis, B. Delcourt, A. De Roeck, E.A. De Wolf, M. Dirkmann, P. Dixon, P. Di Nezza, W. Dlugosz, C. Dollfus, K.T. Donovan, J.D. Dowell, H.B. Dreis, A. Droutskoi, O. Dünger, H. Duhm, J. Ebert, T.R. Ebert, G. Eckerlin, V. Efremenko, S. Egli, R. Eichler, F. Eisele, E. Eisenhandler, E. Elsen, M. Erdmann, W. Erdmann, A.B. Fahr, L. Favart, A. Fedotov, R. Felst, J. Feltesse, J. Ferencei, F. Ferrarotto, K. Flamm, M. Fleischer, M. Flieser, G. Flügge, A. Fomenko, J. Formánek, J.M. Foster, G. Franke, E. Fretwurst, E. Gabathuler, K. Gabathuler, F. Gaede, J. Garvey, J. Gayler, M. Gebauer, H. Genzel, R. Gerhards, A. Glazov, L. Goerlich, N. Gogitidze, M. Goldberg, D. Goldner, K. Golec-Biernat, B. Gonzalez-Pineiro, I. Gorelov, C. Grab, H. Grässler, T. Greenshaw, R.K. Griffiths, G. Grindhammer, A. Gruber, C. Gruber, T. Hadig, D. Haidt, L. Hajduk, T. Haller, M. Hampel, W.J. Haynes, B. Heinemann, G. Heinzelmann, R.C.W. Henderson, H. Henschel, I. Herynek, M.F. Hess, K. Hewitt, W. Hildesheim, K.H. Hiller, C.D. Hilton, J. Hladký, M. Höppner, D. Hoffmann, T. Holtom, R. Horisberger, V.L. Hudgson, M. Hütte, M. Ibbotson, Ç. İşsever, H. Itterbeck, A. Jacholkowska, C. Jacobsson, M. Jaffre, J. Janoth, D.M. Jansen, T. Jansen, L. Jönsson, D.P. Johnson, H. Jung, P.I.P. Kalmus, M. Kander, D. Kant, R. Kaschowitz, U. Kathage, J. Katzy, H.H. Kaufmann, O. Kaufmann, M. Kausch, S. Kazarian, I.R. Kenyon, S. Kermiche, C. Keuker, C. Kiesling, M. Klein, C. Kleinwort, G. Knies, T. Köhler, J.H. Köhne, H. Kolanoski, S.D. Kolya, V. Korbel, P. Kostka, S.K. Kotelnikov, T. Krämerkämper, H. Krehbiel, D. Krücker, H. Küster, M. Kuhlen, T. Kurča, J. Kurzhöfer, D. Lacour, B. Laforge, M.P.J. Landon, W. Lange, U. Langenegger, A. Lebedev, F. Lehner, S. Levonian, G. Lindström, M. Lindstroem, F. Linsel, J. Lipinski, B. List, G. Lobo, P. Loch, J.W. Lomas, G.C. Lopez, V. Lubimov, D. Lüke, L. Lytkin, N. Magnussen, E. Malinovski, R. Maraček, P. Marage, J. Marks, R. Marshall, J. Martens, G. Martin, R. Martin, H.-U. Martyn, J. Martyniak, T. Mavroidis, S.J. Maxfield, S.J. McMahon, A. Mehta, K. Meier, F. Metlica, A. Meyer, H. Meyer, J. Meyer, P.-O. Meyer, A. Migliori, S. Mikocki, D. Milstead, J. Moeck, F. Moreau, J.V. Morris, E. Mroczko, D. Müller, G. Müller, K. Müller, P. Murín, V. Nagovizin, R. Nahnhauer, B. Naroska, Th. Naumann, I. Négri, P.R. Newman, D. Newton, H.K. Nguyen, T.C. Nicholls, F. Niebergall, C. Niebuhr, Ch. Niedzballa, H. Niggli, G. Nowak, G.W. Noyes, T. Nunnemann, M. Nyberg-Werther, M. Oakden, H. Oberlack, J.E. Olsson, D. Ozerov, P. Palmen, E. Panaro, A. Panitch, C. Pascaud, G.D. Patel, H. Pawletta, E. Peppel, E. Perez, J.P. Phillips, A. Pieuchot, D. Pitzl, G. Pope, B. Povh, S. Prell, K. Rabbertz, G. Rädel, P. Reimer, S. Reinshagen, S. Riemersma, H. Rick, F. Riepenhausen, S. Riess, E. Rizvi, P. Robmann, H.E. Roloff, R. Roosen, K. Rosenbauer, A. Rostovtsev, F. Rouse, C. Royon, K. Rüter, S. Rusakov, K. Rybicki, D.P.C. Sankey, P. Schacht, S. Schiek, S. Schleif, P. Schleper, W. von Schlippe, D. Schmidt, G. Schmidt, L. Schoeffel, A. Schöning, V. Schröder, E. Schuhmann, B. Schwab, F. Sefkow, R. Sell, A. Semenov, V. Shekelyan, I. Sheviakov, L.N. Shtarkov, G. Siegmon, U. Siewert, Y. Sirois, I.O. Skillicorn, P. Smirnov, V. Solochenko, Y. Soloviev, A. Specka, J. Spiekermann, S. Spielman, H. Spitzer, F. Squinabol, P. Steffen, R. Steinberg, H. Steiner, J. Steinhart, B. Stella, A. Stellberger, J. Stier, J. Stiewe, U. Stößlein, K. Stolze, U. Straumann, W. Struczinski, J.P. Sutton, S. Tapprogge, M. Taševský, V. Tchernyshov, S. Tchetchelnitski, J. Theissen, C. Thiebaux, G. Thompson, N. Tobien, R. Todenhagen, P. Truöl, G. Tsipolitis, J. Turnau, J. Tutas, E. Tzamariudaki, P. Uelkes, A. Usik, S. Valkár, A. Valkárová, C. Vallée, D. Vandenplas, P. Van Esch, P. Van Mechelen, Y. Vazdik, P. Verrecchia, G. Villet, K. Wacker, A. Wagener, M. Wagener, B. Waugh, G. Weber, M. Weber, D. Wegener, A. Wegner, T. Wengler, M. Werner, L.R. West, T. Wilksen, S. Willard, M. Winde, G.-G. Winter, C. Wittek, M. Wobisch, E. Wünsch, J. Žáček, D. Zarbock, Z. Zhang, A. Zhokin, P. Zini, F. Zomer, J. Zsembery, K. Zuber, M. zurNedden, Laboratoire Leprince-Ringuet (LLR), Centre National de la Recherche Scientifique (CNRS)-École polytechnique (X)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3), Laboratoire de Physique Nucléaire et de Hautes Énergies (LPNHE), Centre National de la Recherche Scientifique (CNRS)-Université Paris Diderot - Paris 7 (UPD7)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Université Pierre et Marie Curie - Paris 6 (UPMC), Laboratoire de l'Accélérateur Linéaire (LAL), Centre National de la Recherche Scientifique (CNRS)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Université Paris-Sud - Paris 11 (UP11), Centre de Physique des Particules de Marseille (CPPM), Aix Marseille Université (AMU)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Centre National de la Recherche Scientifique (CNRS), H1, Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-École polytechnique (X)-Centre National de la Recherche Scientifique (CNRS), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Université Paris Diderot - Paris 7 (UPD7)-Centre National de la Recherche Scientifique (CNRS), and Université Paris-Sud - Paris 11 (UP11)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Centre National de la Recherche Scientifique (CNRS)

Subjects
Physics, Quantum chromodynamics, Nuclear and High Energy Physics, Particle physics, Proton, 010308 nuclear & particles physics, Scattering, FOS: Physical sciences, Order (ring theory), HERA, 01 natural sciences, High Energy Physics - Experiment, Momentum, High Energy Physics - Experiment (hep-ex), Cross section (physics), Positron, 0103 physical sciences, [PHYS.HEXP]Physics [physics]/High Energy Physics - Experiment [hep-ex], High Energy Physics::Experiment, Nuclear Experiment, 010306 general physics
Abstract

A measurement of the inclusive cross section for the deep-inelastic scattering of positrons off protons at HERA is presented at momentum transfers $8.5 \leq Q^2 \leq 35 GeV^2$ and large inelasticity $y = 0.7$, i.e. for the Bjorken-x range $0.00013 \leq x \leq 0.00055$. Using a next-to-leading order QCD fit to the structure function F_2 at lower y values, the contribution of F_2 to the measured cross section at high y is calculated and, by subtraction, the longitudinal structure function F_{L} is determined for the first time with an average value of $F_L=0.52 \pm 0.03 (stat)$^ {+0.25}_{-0.22}$ (syst) at $Q^2=15.4 GeV^2$ and $x=0.000243$., 17 pages, latex, 4 Figures

Published
1997
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3. Photoproduction of mesons in electron-proton collisions at HERA

Author

S. Aid, V. Andreev, B. Andrieu, R.-D. Appuhn, M. Arpagaus, A. Babaev, J. Bähr, J. Bán, Y. Ban, P. Baranov, E. Barrelet, R. Barschke, W. Bartel, M. Barth, U. Bassler, H.P. Beck, H.-J. Behrend, A. Belousov, Ch. Berger, G. Bernardi, R. Bernet, G. Bertrand-Coremans, M. Besançon, R. Beyer, P. Biddulph, P. Bispham, J.C. Bizot, V. Blobel, K. Borras, F. Botterweck, V. Boudry, A. Braemer, W. Braunschweig, V. Brisson, D. Bruncko, C. Brune, R. Buchholz, L. Büngener, J. Bürger, F.W. Büsser, A. Buniatian, S. Burke, M.J. Burton, G. Buschhorn, A.J. Campbell, T. Carli, M. Charlet, D. Clarke, A.B. Clegg, B. Clerbaux, S. Cocks, J.G. Contreras, C. Cormack, J.A. Coughlan, A. Courau, M.-C. Cousinou, G. Cozzika, L. Criegee, D.G. Cussans, J. Cvach, S. Dagoret, J.B. Dainton, W.D. Dau, K. Daum, M. David, C.L. Davis, B. Delcourt, A. De Roeck, E.A. De Wolf, M. Dirkmann, P. Dixon, P. Di Nezza, W. Dlugosz, C. Dollfus, J.D. Dowell, H.B. Dreis, A. Droutskoi, D. Düllmann, O. Dünger, H. Duhm, J. Ebert, T.R. Ebert, G. Eckerlin, V. Efremenko, S. Egli, R. Eichler, F. Eisele, E. Eisenhandler, R.J. Ellison, E. Elsen, M. Erdmann, W. Erdmann, E. Evrard, A.B. Fahr, L. Favart, A. Fedotov, D. Feeken, R. Felst, J. Feltesse, J. Ferencei, F. Ferrarotto, K. Flamm, M. Fleischer, M. Flieser, G. Flügge, A. Fomenko, B. Fominykh, J. Formánek, J.M. Foster, G. Franke, E. Fretwurst, E. Gabathuler, K. Gabathuler, F. Gaede, J. Garvey, J. Gayler, M. Gebauer, A. Gellrich, H. Genzel, R. Gerhards, A. Glazov, U. Goerlach, L. Goerlich, N. Gogitidze, M. Goldberg, D. Goldner, K. Golec-Biernat, B. Gonzalez-Pineiro, I. Gorelov, C. Grab, H. Grässler, R. Grässler, T. Greenshaw, R.K. Griffiths, G. Grindhammer, A. Gruber, C. Gruber, J. Haack, T. Hadig, D. Haidt, L. Hajduk, M. Hampel, W.J. Haynes, G. Heinzelmann, R.C.W. Henderson, H. Henschel, I. Herynek, M.F. Hess, W. Hildesheim, K.H. Hiller, C.D. Hilton, J. Hladký, K.C. Hoeger, M. Höppner, D. Hoffmann, T. Holtom, R. Horisberger, V.L. Hudgson, M. Hütte, H. Hufnagel, M. Ibbotson, H. Itterbeck, A. Jacholkowska, C. Jacobsson, M. Jaffre, J. Janoth, T. Jansen, L. Jönsson, K. Johannsen, D.P. Johnson, L. Johnson, H. Jung, P.I.P. Kalmus, M. Kander, D. Kant, R. Kaschowitz, U. Kathage, J. Katzy, H.H. Kaufmann, O. Kaufmann, S. Kazarian, I.R. Kenyon, S. Kermiche, C. Keuker, C. Kiesling, M. Klein, C. Kleinwort, G. Knies, T. Köhler, J.H. Köhne, H. Kolanoski, F. Kole, S.D. Kolya, V. Korbel, M. Korn, P. Kostka, S.K. Kotelnikov, T. Krämerkämper, M.W. Krasny, H. Krehbiel, D. Krücker, U. Krüger, U. Krüner-Marquis, H. Küster, M. Kuhlen, T. Kurča, J. Kurzhöfer, D. Lacour, B. Laforge, R. Lander, M.P.J. Landon, W. Lange, U. Langenegger, J.-F. Laporte, A. Lebedev, F. Lehner, C. Leverenz, S. Levonian, Ch. Ley, G. Lindström, M. Lindstroem, J. Link, F. Linsel, J. Lipinski, B. List, G. Lobo, H. Lohmander, J.W. Lomas, G.C. Lopez, V. Lubimov, D. Lüke, N. Magnussen, E. Malinovski, S. Mani, R. Maraček, P. Marage, J. Marks, R. Marshall, J. Martens, G. Martin, R. Martin, H.-U. Martyn, J. Martyniak, T. Mavroidis, S.J. Maxfield, S.J. McMahon, A. Mehta, K. Meier, T. Merz, A. Meyer, H. Meyer, J. Meyer, P.-O. Meyer, A. Migliori, S. Mikocki, D. Milstead, J. Moeck, F. Moreau, J.V. Morris, E. Mroczko, D. Müller, G. Müller, K. Müller, P. Murín, V. Nagovizin, R. Nahnhauer, B. Naroska, Th. Naumann, P.R. Newman, D. Newton, D. Neyret, H.K. Nguyen, T.C. Nicholls, F. Niebergall, C. Niebuhr, Ch. Niedzballa, H. Niggli, R. Nisius, G. Nowak, G.W. Noyes, M. Nyberg_Werther, M. Oakden, H. Oberlack, U. Obrock, J.E. Olsson, D. Ozerov, P. Palmen, E. Panaro, A. Panitch, C. Pascaud, G.D. Patel, H. Pawletta, E. Peppel, E. Perez, J.P. Phillips, A. Pieuchot, D. Pitzl, G. Pope, S. Prell, R. Prosi, K. Rabbertz, G. Rädel, F. Raupach, P. Reimer, S. Reinshagen, H. Rick, V. Riech, J. Riedlberger, F. Riepenhausen, S. Riess, E. Rizvi, S.M. Robertson, P. Robmann, H.E. Roloff, R. Roosen, K. Rosenbauer, A. Rostovtsev, F. Rouse, C. Royon, K. Rüter, S. Rusakov, K. Rybicki, N. Sahlmann, D.P.C. Sankey, P. Schacht, S. Schiek, S. Schleif, P. Schleper, W. von Schlippe, D. Schmidt, G. Schmidt, A. Schöning, V. Schröder, E. Schuhmann, B. Schwab, F. Sefkow, M. Seidel, R. Sell, A. Semenov, V. Shekelyan, I. Sheviakov, L.N. Shtarkov, G. Siegmon, U. Siewert, Y. Sirois, I.O. Skillicorn, P. Smirnov, J.R. Smith, V. Solochenko, Y. Soloviev, A. Specka, J. Spiekermann, S. Spielman, H. Spitzer, F. Squinabol, R. Starosta, M. Steenbock, P. Steffen, R. Steinberg, H. Steiner, B. Stella, A. Stellberger, J. Stier, J. Stiewe, U. Stöβlein, K. Stolze, U. Straumann, W. Struczinski, J.P. Sutton, S. Tapprogge, M. Taševský, V. Tchernyshov, S. Tchetchelnitski, J. Theissen, C. Thiebaux, G. Thompson, P. Truöl, J. Turnau, J. Tutas, P. Uelkes, A. Usik, S. Valkár, A. Valkárová, C. Vallée, D. Vandenplas, P. Van Esch, P. Van Mechelen, Y. Vazdik, P. Verrecchia, G. Villet, K. Wacker, A. Wagener, M. Wagener, A. Walther, B. Waugh, G. Weber, M. Weber, D. Wegener, A. Wegner, T. Wengler, M. Werner, L.R. West, T. Wilksen, S. Willard, M. Winde, G.-G. Winter, C. Wittek, E. Wünsch, J. Žáček, D. Zarbock, Z. Zhang, A. Zhokin, F. Zomer, J. Zsembery, K. Zuber, and M. zurNedden

Subjects
Quantum chromodynamics, Physics, Nuclear and High Energy Physics, Particle physics, Proton, Meson, High Energy Physics::Phenomenology, Order (ring theory), Parton, HERA, Charm quark, High Energy Physics::Experiment, Rapidity, Nuclear Experiment
Abstract

At the electron-proton collider HERA the inclusive D-*+/- meson photoproduction cross section has been measured with the H1 detector in two different, but partly overlapping, kinematical regions. For the first, where [W-gamma p] approximate to 200 GeV and Q(2) < 0.01 GeV2, the result is sigma(gamma p --> c(c) over barX$) = (13.2 +/- 2.2(-1.7-4.8)(+2.1+9.9)) mu b. The second measurement for Q(2) < 4 GeV2 yields sigma(gamma p) --> c(c) over barX$) = (9.3 +/- 2.1(-1.8-3.2)(+1.9+6.9)) mu b at [W-gamma p] approximate to 142 GeV and sigma(gamma p --> c(c) over barX$) = (20.6 +/- 5.5(-3.9-7.2)(+4.3+15.4)) mu b at [W-gamma p] approximate to 230 GeV, respectively. The third error accounts for an additional uncertainty due to the proton and photon parton density parametrizations. Differential cross sections are presented as a function of the D-*+/- transverse momentum and rapidity. The results compare reasonably well with next-to-leading order QCD calculations. Evidence for diffractive photoproduction of charm quarks is presented.

Published
1996
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4. Day surgery—How much is possible? A Delphi consensus among surgeons

Author

R.K. Griffiths and C. Grainger

Subjects
medicine.medical_specialty, Delphi Technique, Attitude of Health Personnel, business.industry, media_common.quotation_subject, Public Health, Environmental and Occupational Health, MEDLINE, Delphi method, Workload, General Medicine, Surgery, Scarcity, Resource (project management), Ambulatory Surgical Procedures, General Surgery, Service (economics), Humans, Medicine, Set (psychology), business, computer, Delphi, media_common, computer.programming_language
Abstract

Although day surgery (DS) has been performed for many years, it has only relatively recently become a popular and acceptable method of treating many common surgical conditions. With considerable pressure to maximise resource usage DS has been seized upon as a way of stretching scarce resources further. A review of the amount of DS undertaken within the West Midlands region revealed that the current workload showed considerable variation both between districts and between consultants. In an effort to gain clinical commitment to increasing generally the amount of DS undertaken, and obtaining more uniform coverage of DS across the region, a consensus conference was held. The two aims of the conference were to set targets as to the amount of DS considered feasible at a procedural level, and to seek clinicians' views as to the obstacles to developing the service. Targets for 43 procedures at one and/or five years were obtained by the use of a modified Delphi consensus. The groups showed a high level of consensus in the targets reached. A variety of obstacles were discussed. We have shown that it is possible to involve a large number of doctors in the decision-making/target-setting process by using a modified Delphi technique. It remains to be seen whether those targets are met in clinical practice. Surprisingly, obstacles to development were mainly concerned with management and personnel issues rather than capital investment.

Published
1994
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5. General practitioners and public health

Author

J.A.G. Paris, R.K. Griffiths, and A.P. Wakeman

Subjects
Service (business), medicine.medical_specialty, business.industry, Public health, Public Health, Environmental and Occupational Health, Health Promotion, General Medicine, Primary care, Public relations, State Medicine, United Kingdom, Strategic change, Nursing, Preventive Health Services, Health care, medicine, Humans, Public Health, Family Practice, business, Administration (government), Health needs, Data collection system
Abstract

Family Health Service Authorities (FHSAs), since 1st April 1991, have been both 'managed', by the Regional Health Authority, and 'managing', their contractor services. Both situations are relatively new to them, their Region and the contractors. We examine the opportunities and potential problems of this major strategic change. These relate to: (1) the establishment of effective coordination between providers of primary care services; (2) the establishment of minimum basic standards of care and administration for GPs (based on those set for training practices by the Regional Advisors in General Practice); (3) the development and validation of a data collection system from General Practice which could be used to establish a morbidity database from general practice as a means of health needs assessment as well as for performance review.

Published
1992
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