When the British National Health Service (NHS) was establishedin 1947, its clinical standards were aligned with those of individualclinicians and their professional organizations. If the emergingNHS had tried to challenge the traditional freedom of clinicians,the medical profession would have walked away from it.
Almost 60 years later, however, attitudes have changed. Medicalpractice based on evidence, rather than on anecdote and opinion,has gained credence. Yet studies during the 1990s showed thatthe results of clinical research were poorly incorporated intoroutine care and that inappropriate variations in the standardsof clinical practice abounded, in the . . . [Full Text of this Article]
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From the National Institute for Clinical Excellence, London, and the Wolfson Unit of Clinical Pharmacology, University of Newcastle, Newcastle upon Tyne, United Kingdom.
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