Intended for healthcare professionals

Letters Primary care’s lost cause?

Primary care research lives

BMJ 2010; 340 doi: (Published 23 February 2010) Cite this as: BMJ 2010;340:c1063
  1. Jonathan G Hillman, general practitioner1,
  2. Hamish K MacNab, general practitioner1
  1. 1Medical Centre, Bridlington, East Yorkshire YO16 4LZ
  1. jghillman{at}

    Del Mar thinks that research in primary care is a lost cause1: not so.

    One of us (JGH) instituted a glaucoma screening programme in a four partner general practice during 1991-4 using basic equipment (Snellen’s chart with and without a pinhole, ophthalmoscope, Perkins’ tonometer for intraocular pressure, and oculokinetic perimetry charts for visual fields). An additional hope was that screening with these methods might be applied in the developing world, where glaucoma is more prevalent and batteries may be the only energy …

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