Are GPs who specialise in dermatology effective?: Cost calculations were impenetrable

BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7532.54-b (Published 05 January 2006) Cite this as: BMJ 2006;332:54
  1. Simon F Cooper, general practitioner principal (simon.cooper@nhs.net)
  1. Theatre Royal Surgery, Dereham NR19 2QG

    Editor—Salisbury et al have provided evidence that community dermatology, delivered by a general practitioner with a special interest, is accessible, well liked by patients, and effective.1 This comes as no surprise to those of us working in this service. However, I was unable to understand how Coast et al found it to be nearly twice as expensive for the NHS as hospital outpatient care.2 I cannot refute the findings of this particular study, as the …

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