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"Health creation system" could save NHS £18bn a year, says commission. 委员会表示，"健康创造系统 "每年可为国家医疗服务系统节省 180 亿英镑。
The BMJ Pub Date : 2024-09-18 DOI: 10.1136/bmj.q2043
Matthew Limb
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引用次数: 0
Darzi’s NHS review shows depth of problems for Labour 达尔齐的国家医疗服务体系审查显示了工党问题的严重性
The BMJ Pub Date : 2024-09-18 DOI: 10.1136/bmj.q2032
Hugh Alderwick, Phoebe Dunn
{"title":"Darzi’s NHS review shows depth of problems for Labour","authors":"Hugh Alderwick, Phoebe Dunn","doi":"10.1136/bmj.q2032","DOIUrl":"https://doi.org/10.1136/bmj.q2032","url":null,"abstract":"Findings may buy time but highlight government policy tensions Ara Darzi’s independent review into the performance of the NHS in England, commissioned soon after Labour’s election victory in July 2024, was published on 12 September.1 The idea was to provide a rapid assessment of the state of the health system—focusing on problems, not solutions. Darzi’s findings are intended to inform the government’s 10 year plan for reforming the English NHS—expected in spring next year.2 The report comes around 16 years after Darzi’s last review into the English NHS.3 Darzi paints a bleak picture of a health system in crisis.1 People are waiting too long for care in hospitals, primary care, mental health services—everywhere. Long waits in major hospital emergency departments are pulling at the social contract underpinning the NHS and likely to be contributing to thousands of additional deaths. Quality of care is mixed. And care in some areas, such as for people with cardiovascular disease, seems to be going in the wrong direction. The share of NHS resources going to hospitals is increasing, despite repeated political promises to do the opposite, and NHS productivity has stalled. The NHS’s problems …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142236873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New treatments for migraine … and other research 偏头痛的新疗法......及其他研究
The BMJ Pub Date : 2024-09-18 DOI: 10.1136/bmj.q2048
British Medical Journal Publishing Group
{"title":"New treatments for migraine … and other research","authors":"British Medical Journal Publishing Group","doi":"10.1136/bmj.q2048","DOIUrl":"https://doi.org/10.1136/bmj.q2048","url":null,"abstract":"In this research review by Tom Nolan ( BMJ 2024;386:q1967, …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142236636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scarlett McNally: Building healthy habits for the new academic year 斯嘉丽-麦克纳利为新学年培养健康习惯
The BMJ Pub Date : 2024-09-18 DOI: 10.1136/bmj.q2013
Scarlett McNally
{"title":"Scarlett McNally: Building healthy habits for the new academic year","authors":"Scarlett McNally","doi":"10.1136/bmj.q2013","DOIUrl":"https://doi.org/10.1136/bmj.q2013","url":null,"abstract":"I love the new academic year. It’s full of possibilities and new routines. I experienced 20 consecutive years of my children’s new priorities and schedules beginning in September, and it still seems a much bigger deal to me than the new year in January. I went back to the school gates for this new term to see Eastbourne’s first “School Street”1—a scheme where motorised traffic is banned from the adjacent streets around participating schools at drop-off and pick-up time. It was a pleasant change to see children and adults walking and chatting in the road. The restriction of motor traffic makes walking, cycling, and scooting much easier and …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142236638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physician associates: Parliament was "misadvised" on RCP's support for regulation, fellows say. 医师协会：研究员称，议会在皇家大会党支持监管方面被 "误导 "了。
The BMJ Pub Date : 2024-09-18 DOI: 10.1136/bmj.q2047
Jacqui Wise
{"title":"Physician associates: Parliament was \"misadvised\" on RCP's support for regulation, fellows say.","authors":"Jacqui Wise","doi":"10.1136/bmj.q2047","DOIUrl":"https://doi.org/10.1136/bmj.q2047","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142246895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guy Ah-Moye: London GP who led reform of health services in his native Seychelles 盖伊-阿-莫耶：伦敦全科医生，领导家乡塞舌尔的医疗服务改革
The BMJ Pub Date : 2024-09-17 DOI: 10.1136/bmj.q2023
Tim Bullamore
{"title":"Guy Ah-Moye: London GP who led reform of health services in his native Seychelles","authors":"Tim Bullamore","doi":"10.1136/bmj.q2023","DOIUrl":"https://doi.org/10.1136/bmj.q2023","url":null,"abstract":"When Guy Ah-Moye returned to his native Seychelles in 1970 after medical studies in London, he sailed on the British India ship with his trusty bicycle. On embarking, wearing nothing but shorts, he rode straight to the home of his friend Marcel Fayon, the local tennis champion, with both legs in the air and shouting with joy: “Sove ma kraz zote (Save yourself, I’ll crash into you)!” Delight at returning home turned to dismay when he discovered the conditions of the British colony’s medical services, including the use of blood pressure drugs that had long been obsolete in the UK. “It was rather primitive. There were lots of people dying from tetanus and leptospirosis,” he told the Today in Seychelles newspaper. As one of only a few doctors in the country Ah-Moye quickly established himself as a leading figure. He recognised that reform and modernisation were needed and he introduced specialist psychiatric care, family planning services, measles vaccines, and modern treatments for diabetes. He was appointed acting chief medical officer in 1977—he took a business studies course, devised a five year plan to shape the country’s primary healthcare …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142235018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Darzi review distributes blame effectively 达齐审查报告有效地分配了责任
The BMJ Pub Date : 2024-09-17 DOI: 10.1136/bmj.q2040
Andy Cowper
{"title":"The Darzi review distributes blame effectively","authors":"Andy Cowper","doi":"10.1136/bmj.q2040","DOIUrl":"https://doi.org/10.1136/bmj.q2040","url":null,"abstract":"Ara Darzi’s Independent Investigation of the NHS in England does two main things.1 Firstly, it tells attentive health experts nothing they didn’t already know about the dreadful present state of the English NHS. It contains no surprises. Secondly, it’s very much about allocating blame for how the English NHS got into that state. Both of these were needed. Since the end of the covid pandemic, NHS England’s leadership has shown an unfortunate tendency to downplay and understate how bad things really are. A speech by Amanda Pritchard, NHS England’s chief executive, at the NHS ConfedExpo in June demonstrated this.2 Furthermore, NHS England attempted to suggest that the service had adequate resources. This worked about as well as you’d expect: the NHS in England is currently in deficit of at least £2bn, which is expected to worsen as the current financial year continues.3 The statistics are grim, if familiar. Productivity has cratered, as last year’s Institute for Government report The NHS Productivity …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142236639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Junior doctors in England accept pay deal worth 22% over two years. 英格兰的初级医生接受了为期两年、价值 22% 的薪酬协议。
The BMJ Pub Date : 2024-09-17 DOI: 10.1136/bmj.q2038
Gareth Iacobucci
{"title":"Junior doctors in England accept pay deal worth 22% over two years.","authors":"Gareth Iacobucci","doi":"10.1136/bmj.q2038","DOIUrl":"https://doi.org/10.1136/bmj.q2038","url":null,"abstract":"","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142245591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-steroidal anti-inflammatory drugs may disrupt muscle and tissue repair 非类固醇抗炎药可能会破坏肌肉和组织的修复
The BMJ Pub Date : 2024-09-17 DOI: 10.1136/bmj.q2030
Edoardo Cervoni
{"title":"Non-steroidal anti-inflammatory drugs may disrupt muscle and tissue repair","authors":"Edoardo Cervoni","doi":"10.1136/bmj.q2030","DOIUrl":"https://doi.org/10.1136/bmj.q2030","url":null,"abstract":"Camacho and colleagues’ study highlights the economic and health impacts of high risk non-steroidal anti-inflammatory drug (NSAID) use.1 I would like to draw attention to the effects of NSAIDs on muscle and connective tissue repair, which is pertinent to the study. NSAIDs are widely used to manage pain …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142235020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute aortic syndrome 急性主动脉综合征
The BMJ Pub Date : 2024-09-17 DOI: 10.1136/bmj-2024-080870
Steve Goodacre, Valerie Lechene, Graham Cooper, Sarah Wilson, Jim Zhong
{"title":"Acute aortic syndrome","authors":"Steve Goodacre, Valerie Lechene, Graham Cooper, Sarah Wilson, Jim Zhong","doi":"10.1136/bmj-2024-080870","DOIUrl":"https://doi.org/10.1136/bmj-2024-080870","url":null,"abstract":"### What you need to know A healthy woman in her mid 50s experiences sudden, tearing pain, like a lightning bolt from her neck to her chest, radiating to her back, coming in waves, with severity fluctuating over subsequent hours. At times she is able to talk and even walk, but she feels that her consciousness level is mostly reduced, and she has difficulty breathing. She feels dizzy and nauseous. Her mother survived a type A aortic dissection, three years previously, at the age of 77. An ambulance is called and arrives 90 minutes later. A paramedic makes a tentative diagnosis of aortic dissection based on the presenting features. The woman is given oral morphine and transported to hospital, arriving 45 minutes later. In the emergency department she receives an initial diagnosis of panic attack and is managed conservatively, until reassessment some hours later triggers computed tomography angiography, which shows an aortic dissection. Acute aortic syndrome (AAS) is a life threatening condition where a tear in the thoracic aorta can lead to rupture of the aorta and death. It encompasses three conditions: acute aortic dissection; intra-mural haematoma; and penetrating ulcer,1 and is commonly classified into Stanford type A (involving the ascending aorta) and type B (sparing the …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142235014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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