Arguing that a change management culture and a clear philosophical and practical distinction between research and development and fundamental biomedical science is necessary to elucidate and challenge both the status quo and future possibilities for effective healthcare, Leger (public health medicine, Manchester Health Authority and U. of Manchester) and Walsworth-Bell, retired from a career in public health, offer guidelines to clinicians in a many specialties, administrative staff, general managers, and people doing or wanting to do research and development in health services. Researchers and clinicians, they insist, have a duty to collaborate with clinicians to understand and best exploit each others' skills. The US distribution is by Taylor and Francis. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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