Dictionary of Evidence-based Medicine.pdf
Dictionary of Evidence-based Medicine.pdf
Dictionary of Evidence-based Medicine.pdf
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126 <strong>Dictionary</strong> <strong>of</strong> <strong>Evidence</strong>-<strong>based</strong> <strong>Medicine</strong><br />
manufacturers who submit licence applications to the agency. The<br />
objective was to generate additional funding to eliminate the backlog <strong>of</strong><br />
applications and speed up approval time for new drug and biological applications.<br />
The aim was to complete the review <strong>of</strong> 90% <strong>of</strong> priority applications<br />
within six months and standard applications within 12 months. A<br />
recent review indicates that the approval time for user fee drugs was<br />
considerably shorter than for non-user fee drugs - 14.5 versus 31 months<br />
(Prescription Drug User Fee Act 1992. Public law 102-571 (October 29,<br />
1992); 21 USC 379; 106 Stat 4491. Kaitin KI (1997) The prescription user fee<br />
act <strong>of</strong> 1992 and the new drug development process. American Journal <strong>of</strong><br />
Therapeutics. 4: 167-72).<br />
Price sensitivity<br />
Price sensitivity refers to how sensitive sales <strong>of</strong> a product are to changes<br />
in price. Unlike price elasticity, price sensitivity is a qualitative concept<br />
(Nagle TT, Holden RK (1994) The strategy and tactics <strong>of</strong> pricing: a guide to<br />
pr<strong>of</strong>itable decision making. 2nd edn. Prentice-Hall Inc, Englewood Cliffs).<br />
Primary care<br />
Primary care has recently been defined as the function <strong>of</strong> providing 'integrated,<br />
accessible health care services by clinicians who are accountable<br />
for addressing a large majority <strong>of</strong> health needs, developing a sustained<br />
partnership with patients, and practising in the context <strong>of</strong> family and<br />
the community' (Donaldson MS, Yordy KD, Lohr KN, Vaselow NA (eds)<br />
(1996) Primary care: America's health in a new era. National Academy Press,<br />
Washington).<br />
Primary care groups<br />
Primary care groups (PCGs) are a new organizational entity announced<br />
by the UK government in its 1997 White Paper on proposed reforms <strong>of</strong><br />
the National Health Service (DoH (1997) The new NHS. Cmd 3807. HMSO,<br />
London). The PCGs will unify the budgets and management <strong>of</strong> teams <strong>of</strong><br />
general practitioner (GP) practices and are intended to replace health<br />
authorities and individual GP fundholders. The PCGs will have the<br />
opportunity to become freestanding primary care trusts. The government's<br />
intention is for each PCG to contain up to 50 GPs from as many as<br />
ten practices and typically cover populations <strong>of</strong> 100 000.