Hospital bed utilisation in the NHS and Kaiser Permanente

doi:10.1136/bmj.328.7439.583-a

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Debate about Kaiser needs transparency and hard evidence

David A Evans, senior house officer, obstetrics and gynaecology (dae28@hotmail.com)

Chesterfield and North Derbyshire Royal Hospital NHS Trust, Chesterfield S44 5BL

EDITOR—The article by Feachem et al comparing Kaiser with the NHS attracted much attention, not least from the Department of Health.1 However, the authority of the debate is diluted by the way in which the article by Ham et al was published.2

Firstly, Ham did not declare any competing interests. The Department of Health, …