Mark Gabbay Senior Lecturer in General Practice, University of Liverpool, UK £22.50,  978-1-85315-415-7,  328pp,  Paperback,  July 1999

This is a practical book that shows how evidence-based practice can be successfully applied in a primary care setting.

The first section provides an introduction to the principles of evidence-based health care as they apply to primary care, and many other books on this subject stop right there. However, Section 3 practises what this first section preaches, by applying these tools to 15 common clinical problems in primary care, such as sore throat, asthma, urinary tract infections, low back pain and heart failure.

In between, Section 2 focuses on topics of particular relevance to planners and to Primary Care Groups (PCGs), and includes chapters on commissioning, prescribing issues and health economics.

The authors are all familiar with primary care as clinicians and/or researchers, and understand the reality of practising evidence-based medicine in primary care - for example, how to cope in the absence of "best evidence", or how to search for evidence when time is very limited.

Recommended to:
GPs, primary care nurses, PCG managers, practice managers, community pharmacists and all other members of the primary health care team

Contents:
Why evidence-based health? A guide to reading. A guide to literature sources. Clinical practice guidelines and primary care. Dissemination and implementation strategies. Using evidence-based health in learning and development. Nursing and evidence-based practice. Evidence-based health, patient consent and consumerism. Patient involvement in evidence-based health in relation to clinical guidelines. Fundamental statistics for evidence-based health in primary care. Evidence-based commissioning in primary care. Commissioning stroke services. Economics-based medical practice. Using evidence from economic studies to inform service development. Prescribing dilemmas. Role of the pharmacist in evidence-based prescribing in primary care. Evidence in practice. Sore throat. Sinusitis. Depression. Anxiety. Headache. Mastalgia. Prostate screening. Urinary tract infections. Helicobacter pylori. Head lice. Leg ulcers and fever in children: finding evidence for non-medics. Heart failure guidelines. Low back pain. Asthma. Secondary prevention of coronary artery disease. Epilogue. Appendix: useful sources of evidence for primary care.

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