3More widespread concern has been expressed about drug

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pandora essence Then there are those who scoff that this is an illusion at all. They, at least, can be proved wrong. Hold a coin up to a low lying moon to and compare differences in size. We suggest that better coordinated care for these patients would avoid the problems of overuse of unnecessary or harmful drugs, underuse of beneficial drugs, and poor monitoring of chronic disease.What is already known on this topicWhat is already known on this topic Doctors too often prescribe harmful drugs and too seldom prescribe beneficial drugs for elderly peopleThe quality of medical care for those living in nursing and residential homes has also been questionedConcern has been expressed about the quality of medical care that elderly residents receive in residential and nursing homes.1 General practitioners are responsible for the delivery of such care to residents in these homes. The number of elderly patients living in nursing homes rose substantially in the late 1980s and in the 1990s, resulting in a rise in workload for general practitioners.1 2 Concern has been expressed that the reduction in provision of long stay NHS beds for elderly people has increased the demand on general practitioners in this group of patients with high morbidity and disability. 1 2 In response to these increasing demands, the arrangements made by general practices for delivering care to nursing homes seems to be inconsistent and idiosyncratic.3More widespread concern has been expressed about drug treatment in elderly people.4 Anxiety about the risks of excessive prescribing of, for example, inappropriate neuroleptic drugs,5 is matched by concern about the consequences of the underprescribing of potentially beneficial drugs.4Care of elderly people is now a national priority,6 and the quality of care delivered to patients is coming under increasing scrutiny through the use of explicit measures “quality indicators” which seek to judge the process of care against specific standards. pandora essence

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