Letters Vitamin D deficiency

Systems failure

BMJ 2010; 340 doi: http://dx.doi.org/10.1136/bmj.c936 (Published 17 February 2010) Cite this as: BMJ 2010;340:c936
  1. Avril Danczak, GP principal, trainer, and tutor1
  1. 1The Alexandra Practice, Manchester M16 8NG
  1. avril.danczak{at}btinternet.com

    A systems approach is needed to ensure proper treatment of vitamin D deficiency.1 Many practical problems have arisen with diagnosis and management in practices, laboratories, hospitals, and populations. Some doctors are discouraged from measuring vitamin D because of perceived costs, or testing is not readily available. Midwives are not encouraged to test pregnant women, …

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