Shared care in diabetes

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6988.1199c (Published 06 May 1995) Cite this as: BMJ 1995;310:1199
  1. S M McGhee,
  2. A J Hedley
  1. Lecturer Professor Department of Community Medicine, University of Hong Kong

    EDITOR,—We agree with Amanda J Sowden and colleagues' conclusion that evaluation of shared care must take into account many factors that influence effectiveness and efficiency, but the authors do not address the reasons why current systems of care fail.1 The main problem with traditional management of chronic conditions is that the provision of care is not matched to need. Some patients receive a lot of care, a lot of patients receive some care, while other patients receive little or no care.2 …

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