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Biomedical subjects

P M Strong

Publications and source records attributed to P M Strong.

17 recordsLinked to original sources
PubMed1997

Who decides which pharmacy services are provided in UK National Health Service hospitals?

An interview survey of 129 UK National Health Service doctors, nurses, pharmacists and managers at eight acute care hospitals was conducted in 1994. The survey examined several topics including whether the introduction of the internal market had affected hospital pharmacy services and what those effects had been. An internal market has been introduced and it has had significant effects on the nature and structure of hospital pharmacy services. Directorate pharmacy services were available at six sites. Contracts for specific, usually novel, services had been implemented at one site and contracts had been introduced widely at another hospital. However, all the features of a market were not present at any site. Market orientation also has implications for the equity of service provision, primarily because decision-making regarding service provision is increasingly in the hands of the clinical directors, rather than pharmacy managers. The effects of this change are not yet clear.

Contract Services↗
PubMed1986

A new-modelled medicine? Comments on the WHO's regional strategy for Europe.

The paper considers the concept of health and underlying medical model contained within the WHO's regional strategy for Europe. It argues that, for all its virtues and despite the switch from pure bio-medicine towards a more bio-social approach, the strategy is still and perhaps not too surprisingly, technocratic, ahistorical, apolitical and unreflexive.

Europe↗
PubMed1985

Do cholecystectomy rates correlate with geographic variations in the prevalence of gallstones?

Two fold variations in the age and sex standardised post mortem prevalence of gallstones have been demonstrated between nine British towns by Barker and his colleagues. We have examined the rates of cholecystectomy in the Districts serving seven of these towns to discover whether the incidence of operation bears any relation to this variation in morbidity. The opportunity to compare independent measurements of morbidity with the supply of health services and their use is rare, and in this example a plausible association is demonstrated. Variations in cholecystectomy rates between countries is, however, more difficult to explain by variations in relevant morbidity.

Cholecystectomy↗
PubMed1982

Natural science and medicine: social science and medicine: some methodological controversies.

The paper is in five parts. A discussion of the flaws in social science as seen from the viewpoint of medical science is followed by a consideration of what they hold in common--the shared institutions and ideal programme of Science. The major differences that still remain are then characterized in two further sections; the first concentrates on the issues raised by the human species' distinctive place in evolution, while the second discusses the problems and advantages created for social science by its necessary closeness to lay thought. We conclude with a summary of the difficulties involved in scientific progress in social science and some speculation concerning disciplinary re-alignment.

England↗