Iain Kewley wrote:
>>
>> Graham,
>>
>> I wasn't trying to prove the case for under diagnosis or disprove it - I
>> merely showed the references which might be relevant.
>>
>> Whilst it is always attractive to dismiss evidence from other countries, I
>> think most people would argue that it is erroneous to do so. Are you really
>> suggesting that we dismiss all research from elsewhere - as has been
>> already suggested that would mean we would have to ignore the majority of
>> work done. On what evidence do you make the exclusion?
>>
>>
and G Ross replied
>Iain
>
>I am simply saying that in the UK many patients are wrongly given a
>positive diagnosis, hardly a contentious point (save in this group
>perhaps when given by a lawyer!). It has been pointed out to me, and I
>am quite prepared to accept it, that in the UK many are wrongly given a
>negative diagnosis, and that this phenomenon is to such an extent that
>it is an issue of public health concern itself. Quite what is the
>success rate of diagnosis in other countries is surely not relevant. No
>matter how succesful or unsuccesful they are doesn't change a jot the
>position in the UK. In any event one would expect differences between
>countries since the impact of primary care will differ, with the
>differences of coverage, funding , access, as also will cultural
>factors such as the levels of individual self-reliance, etc.
It is relevant if it demonstrates a universal truth, which is what
we medics are saying.
There are none so blind ..............
Doug Jenkinson
Keyworth Health Centre, Bunny Lane, Keyworth, Nottingham NG12 5JU.
[log in to unmask] V. 0115 937 3527 F. 0115 937 6781
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