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Dictionary of Evidence-based Medicine.pdf

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<strong>Dictionary</strong> <strong>of</strong> <strong>Evidence</strong>-<strong>based</strong> <strong>Medicine</strong> 71<br />

highlighted (see Document E6 obtainable from the ICH Secretariat,<br />

Geneva, Switzerland).<br />

GP fundholding (see Fundholding)<br />

Gross domestic product (GDP)<br />

The GDP <strong>of</strong> a country is the value <strong>of</strong> all its final output <strong>of</strong> goods and<br />

services produced within the country during the relevant period, usually a<br />

year. The final output is used to avoid double counting <strong>of</strong> primary or intermediate<br />

materials which are then converted into other goods. The GDP can<br />

be contrasted with the gross national product (GNP) which measures the<br />

final output <strong>of</strong> goods and services by factors <strong>of</strong> production owned by its<br />

people, irrespective <strong>of</strong> where the production takes place. The difference<br />

between the GNP and the GDP <strong>of</strong> a country therefore gives an estimate <strong>of</strong><br />

the net national income from abroad. Both GNP and GDP can be expressed<br />

inclusive <strong>of</strong> taxes at time <strong>of</strong> sale (market prices) or excluding such taxes but<br />

including subsidies paid to the producer (factor cost).<br />

Another related term is the net national product (NNP) which is the gross<br />

national income net <strong>of</strong> capital stock (factories and machinery) depreciation.<br />

Gross domestic product deflator (see GDP deflator)<br />

Gross national product (GNP) (see under Gross domestic product)

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