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Information booklets about minor illnesses sent to patients by
post help improve their confidence in managing illness and most find
them useful. However, even though information booklets and leaflets
reduce the number of patients attending primary care frequently with
minor illnesses, the effect on overall contact is not significant.
These findings come from a randomised controlled trial of 4002 patients, conducted by Little et al (p 1214) in six general practices
in southern England. The authors conclude that sending information
leaflets and booklets by post may have a limited role in the NHS.
This result is echoed in Scotland in a study by Heaney et al
(p 1218). They conducted a randomised controlled trial of 9000 patients from 20 general practices in Lothian. Patients were allocated
to receive one of two patient information booklets or to a control
group. Receipt of either booklet had no significant effect on health
service use compared with the control group.

(Credit: PANOS PICTURES)