Research on which to base guidelines is possible in primary care

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7044.1481a (Published 08 June 1996) Cite this as: BMJ 1996;312:1481
  1. Paul Elliston
  1. Consultant in public health medicine Gwynedd Health Commission, Bangor, Gwynedd LL57 4TP

    EDITOR,—Paul Little and colleagues' study shows the difficulties encountered in applying evidence of effectiveness in general practice.1 The authors question the applicability to primary care of evidence derived from another setting. What struck me, however, was that one third of the respondents rated their satisfaction with their management of back pain as </=4 out of 10 (I had thought that …

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