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Biomedical subjects

A W Macara

Publications and source records attributed to A W Macara.

18 recordsLinked to original sources
PubMed1995

Whither the NHS?

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Delivery of Health Care↗
PubMed1994

Reforming the NHS reforms.

Rather than improving efficiency, the reforms imposed on the NHS have increased bureaucracy, reduced patient choice, limited the range of core services, and led to inequity of treatment. In this paper I examine how the medical profession might help to solve these problems. Priorities must be set for health care since no government can afford all the possibilities offered by medical science. It is essential to forge a consensus of patients, carers, professionals, the public, and government if a system of priorities is to be equitable and just. We also need to be able to measure quality of outcome in health care. This requires consensus on what is the desired outcome and the development of appropriate guidelines, audit, and performance review. This is primarily a task for the health professions supported by management and by adequate investment. Basically, the government must reinstate the three traditional values of the NHS--equity, consensus, and regard for representative professional advice.

Health Care Reform↗
PubMed1991

Identifying research interests within the association of schools of public health in the European region: a pilot study.

A questionnaire survey of individuals working within schools of public health in Europe was carried out in order to identify research interests, the use of computer facilities and research collaborations being conducted. One hundred and sixteen replies were received. Just under one quarter of respondents had conducted research into health care systems or policy within the past five years and about 10% had conducted research into new educational methodologies and their evaluation. A total of 371 research collaborations were identified. The results are discussed in relation to the methodology employed and the objectives of the World Federation for Education and Research in Public Health.

Academies and Institutes↗
PubMed1986

Informed consent.

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Clinical Trials as Topic↗
PubMed1985

Student health during overseas electives.

Ill health is often encountered by travellers. As medical students are encouraged to spend their electives overseas, it was considered worthwhile to study the morbidity experience of University of Bristol medical students and to see whether any additional preventive measures could be identified for them. The findings suggest that the quality of advice could be further improved for medical students undertaking their electives abroad. Additional preventive measures were suggested by the students themselves. The suggestions may also be useful for other groups of travellers.

Health Status↗