Bmj Usa: Editor's Choice

Embracing change

BMJ 2003; 327 doi: (Published 19 November 2003) Cite this as: BMJ 2003;327:E47

This article originally appeared in BMJ USA

In Roughing It (1872), Mark Twain wrote that “Change is the handmaiden Nature requires to do her miracles with.” There's a lot about change in this issue of BMJ USA.

Once upon a time, physicians made house calls and treated most patients in their homes. Gradually, much of health care moved into hospitals. Now, with the high cost of hospital care, we are moving treatment from hospitals to outpatient venues and back into the home. In a study of 117 consecutive patients diagnosed with deep vein thrombosis at a …

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