Large general practices may not deliver better care
Most aspects of the management of ischaemic heart disease
showed no association with practice size or with the volume of cases managed by general practitioners. In southwest London, Majeed and
colleagues (p 371) investigated patients' records to find out whether
patients' risk factors were noted or treated. Increasing the size of
practices is likely to have only modest effects on the quality of care,
and other methods may be needed to improve chronic disease management
in primary care.
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- Association between practice size and quality of care of patients with ischaemic heart disease: cross sectional study
- Azeem Majeed, Jeremy Gray, Gareth Ambler, Kevin Carroll, and Andrew B Bindman
BMJ 2003 326: 371-372.[Extract] [Full Text] [PDF]
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