Intended for healthcare professionals

Letters Improving quality of healthcare

Authors’ reply to Crawford

BMJ 2019; 365 doi: (Published 28 June 2019) Cite this as: BMJ 2019;365:l4415
  1. Naomi J Fulop, professor of healthcare organisation and management,
  2. Angus I G Ramsay, NIHR knowledge mobilisation research fellow
  1. UCL Department of Applied Health Research, London, UK
  1. n.fulop{at}

We thank Crawford for his constructive response to our article.12 His argument—that changes to the organisation and delivery of care should undergo rigorous evaluation, with a focus on effects on access to care—is well made. We have urged similar in previous commentaries,34 emphasising the importance of using meaningful measures of impact and remaining open to whether such changes are …

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