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General practitioners in the United Kingdom have difficulties
diagnosing and managing heart failure. Fuat and colleagues (p 196)
conducted a focus group study to identify factors contributing to
variations in medical practice and the reasons for GPs' difficulties. They found that the constantly changing protocols, including those in
which previously dangerous drugs are now cornerstones, have made
GPs nervous and confused. The investigators say that advances in
science have outstripped the ability and capacity of NHS delivery systems, leaving GPs baffled.