OBJECTIVE To improve the use and dosage of antibiotics prescribed at Commune Health Stations in Viet Nam, and in so doing find out whether antibiotic dosage can be easily and reliably measured as a drug-use indicator. METHODS All commune health workers from the 217 commune health stations in Hai Phong Province, Viet Nam, were enlisted over an 18-month study period during 1994-96. The study de...

This is a commentary on Gilbert and colleagues’ (1) paper on morality and markets in the National Health Service (NHS). Morality and values are not ephemeral qualities and universal healthcare is not simply an aspiration; it has to be enshrined in law. The creation of the UK NHS in 1948 was underpinned by core legal duties which required a system of public funding and delivery to follow. The mo...

This article engages with debates about the conceptualisation and practical challenges of patient and public involvement (PPI) in health and social care services. Policy in this area in England has shifted numerous times but increasingly a consumerist discourse seems to override more democratic ideas concerning the relationship between citizens and public services. Recent policy change in Engla...

this is a commentary on gilbert and colleagues’ (1) paper on morality and markets in the national health service (nhs). morality and values are not ephemeral qualities and universal healthcare is not simply an aspiration; it has to be enshrined in law. the creation of the uk nhs in 1948 was underpinned by core legal duties which required a system of public funding and delivery to follow. the mo...

Background Death of a child with cancer is one of the most painful events that results in traumatic reactions of bereavement. Care should be taken into account during the bereavement period. The present study aimed to develop bereavement care in Iran and comparing it with Jordan, England, Australia and Canada, which have achieved the desired situation in the above area. Materials and Methods In...

this commentary explores some of the issues raised by gilbert et al.short communication, morality and markets in the nhs. the increasing role of market mechanisms and the changing types of healthcare providers together with the use of choice and competition to drive improvements in quality in the national health service (nhs), all have important ethical implications. in order for the nhs to con...