{"id":132,"date":"2007-03-06T11:18:43","date_gmt":"2007-03-06T10:18:43","guid":{"rendered":"http:\/\/resource.bmj.com\/bmj\/2007\/03\/06\/b-m-j-3-mar-2007-vol-334\/"},"modified":"2007-03-06T11:18:43","modified_gmt":"2007-03-06T10:18:43","slug":"b-m-j-3-mar-2007-vol-334","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/03\/06\/b-m-j-3-mar-2007-vol-334\/","title":{"rendered":"BMJ  3 Mar 2007  Vol 334"},"content":{"rendered":"<p>A group of wise and experienced academics got together in a Cambridge college last year to agree basic principles for designing and evaluating complex interventions to improve health care. But no-one has yet designed an intervention to make politicians listen. The most striking complex interventions in British health care over recent years have been NHS Direct, community matrons, walk-in primary care centres, referral management systems, and midwife-led birth centres without paediatric or obstetric cover. If the methods laid out <a href=\"http:\/\/www.bmj.com\/cgi\/content\/extract\/334\/7591\/455\">here<\/a> had been adopted, few of these would even have got a pilot study. As it is, billions of pounds have been spent and the (mostly dire) evaluations are barely trickling in.<!--more--><\/p>\n<p>The islands of New Zealand have a wide range of climates, but everywhere houses are still mostly wooden and about a third of them lack insulation. <a href=\"http:\/\/www.bmj.com\/cgi\/content\/abstract\/334\/7591\/460\">Families living in uninsulated houses get more illness than those in warmer dwellings<\/a>. Warm housing is a medical issue: keep writing those letters for your patients.<\/p>\n<p><a href=\"http:\/\/www.bmj.com\/cgi\/content\/abstract\/334\/7591\/464\">A national study in Norway<\/a> finds a protective effect from folic acid supplementation in early pregnancy on the rate of facial clefts in the newborn. I\u2019m all for putting folate into European bread flour, as suggested <a href=\"http:\/\/www.bmj.com\/cgi\/content\/extract\/334\/7591\/433\">in the editorial on p.433<\/a>.<br \/>\nI take a keen personal interest in the management of kidney stones, and I can recommend <a href=\"http:\/\/www.bmj.com\/cgi\/reprint\/334\/7591\/468\">this clinical review<\/a> despite a few retained Americanisms, such as \u201cnarcotic<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A group of wise and experienced academics got together in a Cambridge college last year to agree basic principles for designing and evaluating complex interventions to improve health care. But no-one has yet designed an intervention to make politicians listen. The most striking complex interventions in British health care over recent years have been NHS [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/03\/06\/b-m-j-3-mar-2007-vol-334\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38363,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[111],"tags":[],"class_list":["post-132","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-richard-lehmans-weekly-review-of-medical-journals"],"jetpack_featured_media_url":"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/132","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=132"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/132\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/38363"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=132"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=132"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}