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Their use could also make for economy, increasing the number of prescriptions issued in generic form. Straight X-ray images were recorded on special screens and read digitally by laser.

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Hospital accreditation was also introduced. In the Medicines Control Agency, Britain's drug-licensing body, streamlined its procedures for deregulating drugs.

Many targets had been set in line with trends that were already apparent. Clinicians, administrators, district teams and regional teams criticised each other, and ministers. The rise of sophisticated consumers - patients were more knowledgeable, changing the doctor-patient relationship.

Since the introduction of oral contraception in attempts had been made to reduce the hazards from thrombo-embolic complications. These were not always made with respect for the patients concerned. Much to which people had believed themselves entitled was no longer guaranteed. Special scanners were developed, for example for sick newborn babies. Firms overhauled their research programmes.

This provided an accurate and repeatable way of assessing osteoporosis. The search was on for the simplest, shortest, most effective and best tolerated treatment.

Experience showed that where they were developed locally, for example practice prescribing policies, they were more likely to be followed than if they were developed centrally. New ones were often potential replacements for previous ones of considerable potency. Subsequently the Monopolies and Mergers Commission investigated whether the professionally imposed restrictions had an adverse effect on the public interest.

More complex images, such as those produced by scanning, could be displayed, rotated and examined in three-dimensional form. Central was a move towards a market, made possible by a hierarchical system of accountability from local management through regions to the Secretary of State. In October Kenneth Clarke announced his intention to devise health targets and measure performance.

The comparative advantages of new forms of therapy were smaller, so larger trials were required, and new statistical techniques were needed. Although evidence from trials was increasingly incorporated into guidelines, clinicians did not automatically behave in accordance with them. The evidence of a link with stomach cancer also strengthened. They all yielded digital data and it was possible to transform other examinations into digital form. Population and resources needed to be in balance.

Despite nearly universal initial scepticism, within a few years research workers had developed screening tests for the infection. But in fact there are many ways of skinning the cat. Would major hospitals always reach an appropriate standard? Clarke's successor, William Waldegrave, published The health of the nation in June as a consultative paper.

Patients often did not receive information about the hospital, their condition or its treatment. It also became apparent that studies needed to consider long-term effects as well as the immediate results. Reserpine was found to be effective in schizophrenia. Directorates of research and development were created in the regions. When this style is systematically developed, it grows to fit the descriptions propagative parenting and concerted cultivation.

Faults in care were revealed that could be remedied. The industry tried to enter the wholesale distribution chain, to influence those providing health care or to become providers of health care themselves.

Strict father model The parent is demanding but not responsive. As time passed there were doubts about the achievements. Images were fed to immense computing facilities, for distribution by fibre optic cable to workstations throughout the hospital. Discharge planning and follow-up was poor.

They could check for potential interactions, calculate the appropriate dosage and suggest suitable preparations. The need for blockbuster drugs to maintain profits was urgent.

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Supply appeared to drive demand, defying most people's basic economic beliefs. The technique used two different X-ray sources that could separate bone and soft tissue because of differential absorption. The British government was seen as slow in following suit. Previously it had been thought adequate to understand the process of a disease and use treatment known to interrupt or modify that process.

Even a small daily dose seemed effective, and doctors regularly gave aspirin to any patient at risk of the two conditions. Improved isotope techniques made it possible to image body functions as well as structure. In an independent expert committee, assembled by the King's Fund, produced The nation's health, a strategy for the s.

New forms of treatment demanded mental and physical stamina from patients who were far better informed about what was happening. Evidence-based medicine was closely linked to continuing medical education.

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Tools for computer-based prescribing multiplied, and provided support for clinical decisions. Major changes were under way in the pharmaceutical industry. Although Sir Lancelot Spratts roamed the wards in fewer numbers, empathy was not always to be encountered. Yet despite years of study and huge financial investment the research to answer many questions, for example the best way to treat neck pain, was not available.

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Originally held in reserve for penicillin-resistant infections, they were found useful particularly in respiratory diseases. Did eradication of the organism help? The pharmaceutical industry commonly spent per cent of turnover on research and development, a proportion far higher than most other industries.

The Conservatives encouraged the provision of information to the public so that it could decide in a medical marketplace. Monoclonal antibodies, similarly labelled, would be concentrated in the tissues for which they had been prepared, and then imaged. Centralisation of effort was worth while to prevent the local application of dubious patterns of care. Well-being was a major goal of health care, for example the treatment of depression, osteoarthritis and cataract surgery. It was, however, difficult to disentangle the effects of health care and environmental improvement, email online dating examples for in most conditions improvements in diet and nutrition were also having an effect.