Intended for healthcare professionals

Letters Better value primary care

Primary care: how can you judge value without measuring outcomes?

BMJ 2017; 359 doi: (Published 04 December 2017) Cite this as: BMJ 2017;359:j5500
  1. Richard Baker, professor emeritus
  1. Department of Health Sciences, College of Life Sciences, Biological Sciences and Psychology, University of Leicester, Centre for Medicine, Leicester LE1 7RH, UK
  1. rb14{at}

Watson and colleagues make a convincing case for basing primary care’s priorities on the idea of value.1 Although driving the process with evidence based policy and investment is fundamental, we must also use data on practice population outcomes. How can you judge value without measuring outcomes?

Take the example of hypertension used in the paper; the balance between …

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