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Volume 4, Issue 1, January 1999
Editorials
Programme budgeting and marginal analysis: pragmatism and policy. Anthony Scott, Sheila Scott, Cam Donaldson (1)
Primary care and the US health care system. Roger Jones (2)
Audit of submissions: July 1997 to June 1998. Nick Black, Nicholas Mays, Christine Rivett-Carnac (5)

Original research
Do managers pay their way? The impact of management input on hospital productivity in the NHS internal market. Neil Söderlund (6)
Is hospital performance related to expenditure on management? Andrew Street, Roy Carr-Hill, John Posnett. Comments: Robert Dredge, Peter Gluckman (16)
Effect of Japanese government policy on hospital pharmaceutical profit levels. Adam James Oliver, Naoki Ikegami, Shunya Ikeda (27)
Point of care testing in the accident and emergency department: a cost analysis and exploration of financial incentives to use the technology within the hospital. Jason Kendall, Gwyn Bevan, Michael Clancy (33)

Essays
The case for combining qualitative and quantitative approaches in health services research. Rosaline Barbour (39)
Choosing an appropriate unit of analysis in trials of interventions that attempt to influence practice. John Wood, Nick Freemantle (44)

Review article
Systematic reviews and meta-analysis: a structured review of the methodological literature. Alexander Sutton, David Jones, Keith Abrams, Trevor Sheldon, Fujian Song (49)

Worth a second look
Mulling over equity. Gavin Mooney (56)

Perspective
Fairness, public expenditure and the cost of new treatments in the UK. Peter West (58)

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Volume 4, Issue 2, April 1999
Editorials
Legal implications of cross-border health care in the European Union. Herbert Hermans (61)
Benchmarking costs in health services. James Raftery (63)

Original research
In the queue for coronary artery bypass grafting: patients' perceptions of risk and `maximal acceptable waiting time’. Hilary Llewellyn-Thomas, Elaine Thiel, Michael Paterson, David Naylor (65)
Open heart surgery in public and private practice. Joan Pons, Victor Moreno, Josep Borras, Josep Espinas, Caritat Almazan, Alicia Granados (73)
Government funding of the UK National Health Service: what does the historical record reveal? John Appleby (79)
The influence of health needs assessment on health care decision-making in London health authorities. Martin Hensher, Naomi Fulop (90)
Are women more ready to consult than men? Gender differences in family practitioner consultation for common chronic conditions. Kate Hunt, Graeme Ford, Leigh Harkins, Sally Wyke (96)
Social conditions and paediatric day case tonsillectomy. Adrian Drake-Lee, Stuart Harris (101)

Essays
Designing evaluations of interventions to change professional practice. James Mason, John Wood, Nick Freemantle (106)

Review article
Threats to applicability of randomised trials: exclusions and selective participation. Annie Britton, Martin McKee, Nick Black, Klim McPherson, Colin Sanderson, Chris Bain (112)

Perspective
International comparisons of health care expenditures: what we know and what we do not know. Panos Kanavos, Elias Mossialos (122)

Questions and answers
Effect of hospital environment; patient involvement in research. (127)

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Volume 4, Issue 3, July 1999
Editorials
Death by questionnaire: quality of life measurement could seriously damage your health. Crispin Jenkinson (129)
Long-term care for older people: the unanswered questions. Gillian Parker (131)

Original research
Can community leaders' preferences be used to proxy those of the community as a whole? Obinna Onwujekwe, Elvis Shu, Paul Okonkwo (133)
What determines geographical variation in rates of acceptance onto renal replacement therapy in England? Paul Roderick, Steve Clements, Nicole Stone, David Martin, Ian Diamond (139)
Geographic variations in hospital discharge rates and discretionary hospital use. Frank Porell (147)
Shifting services from secondary to primary care: stakeholders' views of the barriers. Alicia O'Cathain, Gill Musson, James Munro (154)

Research note
Improving the validity of economic evaluations alongside controlled trials. Simon Dixon, Mark Deverill, Mary Gannon, John Brazier, Mark Haggard (161)

Essays
Commissioning health services research: an iterative method. Richard Lilford, Rowena Jecock, Howard Shaw, Jiri Chard, Brian Morrison (164)
The third way in health care reform: does the emperor have any clothes? Chris Ham (168)

Review article
A review of the use of health status measures in economic evaluation. John Brazier, Mark Deverill, Colin Green (174)

Reading around
Market limitations in the health care sector. Werner Brouwer (185)

Perspective
Evolutionary psychology and health: confronting an evolving paradigm. Paul Higgs, Ian Rees Jones (187)

Questions and answers
Focus groups; nursing degrees. (191)
Erratum. (192)

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Volume 4, Issue 4, October 1999
Editorials
Falling public trust in health services: implications for accountability. Huw Davies (193)
A 'constitution' for health services. Gavin Mooney, Virginia Wiseman (195)

Original research
What determines the need for nursing home admission in a universally insured population? Cameron Mustard, Marcia Finlayson, Shelley Derksen, Jean-Marie Berthelot (197)
Evaluation of a hospital picture archiving and communication system. Stirling Bryan, Gwyn Weatherburn, Martin Buxton, Jess Watkins, Justin Keen, Nicole Muris (204)
Comparison of alternative sources of data on health service encounters. Douglas Coyle, Karen Lee, Michael Drummond (210)
Evolution of physicians' attitudes towards practice guidelines. Roberto Grilli, Rosanna Trisolini, Roberto Labianca, Paolo Zola (215)
Contracting for quality: does length matter? Maria Goddard, Brian Ferguson, Diane Dawson (220)

Essays
Sample size calculations for trials in health services research. John Wood, Mark Lambert (226)
End-of-life decisions: the policy issue that will not die. Samuel Shortt, James Lavery (230)

Review article
Consensus development methods: a review of best practice in creating clinical guidelines. Nick Black, Maggie Murphy, Donna Lamping, Martin McKee, Colin Sanderson, Janet Askham, Theresa Marteau (236)

Perspective
Can the impact of ageing on health care costs be avoided? David Metz (249)

Questions and answers
Complementary medicine; Viagra; Which services should be funded? (253)

Letter
Distribution of health care costs. (255)

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