Once again, Des Spence manages to articulate what many of us are thinking.1 It has crossed my mind, more than once, that if the QOF has not led to the significant benefits in mortality and morbidity it should have done (despite us prescribing vastly more drugs for blood pressure, cholesterol, and diabetes), does that mean the underlying evidence for all of this is much less certain that we would like to think? I would echo his call for the professors and statisticians out there to look into this (and ideally as a matter of urgency, as we are still being reminded that we ‘could do better’ in the prescribing of drugs for primary prevention).
- © British Journal of General Practice 2018
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