The use of highly structured care to achieve blood pressure targets

It feels timely to comment on the presentation of this work thus:

Target the terms?

When RCTs are meta-analysed
And averaged data fit to outcome
The body of clinicians draw a charge
To standardise their clientele
And optimise the health care targe

That is, until their efforts hit
The buffer of impracticality
Since ideal standards cannot say
Just how they might be brought about
The task remains some way away

To spur the effort and convey
A confidence in all they spend
The struts of language are invoked
Empowering aspiration if not nous
And war game imagery provoked

To target targets brings vainglory
To own the object somehow through its name
A virtual spreadsheet cut and paste
But Faust trades happily in verbal tropes
With wishful tinkering his bait

To target targets in strict formality
With highly structured, stringent
And computerised intensity
The impact, no, effect, of tight control
Is undone, set to nothing, by reality

Far better then to focus, not take aim,
Eschew exaggeration and parse
Vigorous terms with sober reading
For clinician potency expressed in words
Will be betrayed by special pleading

Will E. Intention and outcome in guideline-based nephrological practice: a suitable space for ‘clinical technology’. Nephrol Dial Transplant 2007:22;3110-3114