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Biomedical subjects

J M Harding

Publications and source records attributed to J M Harding.

5 recordsLinked to original sources

Prescribing: the power to set limits.

This paper discusses drawing up a restricted list of 245 drugs for use in an inner London group practice, based on a review of prescribing patterns in November 1982. The likely impact of the recent proposals by the Department of Health and Social Security to limit drugs available for prescription under the National Health Service on this project and on patient care is considered. We conclude that generic prescribing and a limited list of drugs may improve the quality of prescribing and be the only way to curb prescribing costs but that a limited list should be flexible, responsive to patients' needs, and applied to all prescribing. There should also be a mechanism for consumer feedback and regular revision of the list.

Attitude to Health

How patients manage asthma.

In this paper we discuss how patients cope with asthma and suggest that individuals use medical advice selectively in a manner they consider appropriate to their personal and social circumstances. Use of medical services is influenced by patients' perception of the effectiveness of medical therapies, concern about the long-term use of drugs, access to alternative therapies, support and advice from others and the need to make particular sense of living with a chronic disease. Some people are reluctant to use medical services under any circumstances.

Adolescent