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Qual Saf Health Care 12:159 doi:10.1136/qhc.12.2.159
  • Letter

Glue ear surgery

  1. R Milne1,
  2. A Hill2
  1. 1Senior Lecturer in Public Health Medicine, Wessex Institute for Health Research and Development, University of Southampton, Southampton SO16 7PX, UK
  2. 2Director, Public Health Resource Unit, Institute of Health Sciences, Headington, OxfordOX3 7LF, UK

      Black and Hutchings present an intriguing account of the rise and fall of glue ear surgery in two English regions.1 They speculate that the acceleration of the decline from 1992 may have been due to the Effective Health Care bulletin on glue ear, helped by five “contextual features”. One of these was the concurrent structural change to the NHS arising from the …

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