Various external special interest groups are promoting attempts to better measure and
control the performance of the medical profession, primarily to restrain costs. We can neither …

The recognition that much current medical practice is based on incomplete scientific evidence
has led to calls for the generation of guidelines for optimal patterns of practice. These …

The attempts by the Spanish Imperial Government to gather data concerning its dominions,
especially demographic data, have been of interest to historians for some time. Two of the …

I ncreasing costs for medical care are generating confrontation across Canada among
provincial governments, medical associations, hospitals and medical schools. Some provincial …

R elentless growth in the volume of medical services is a serious problem with which Canada
and most other industrialized na-tions must contend. Concernover the consequences of …

CMAJ (ISSN 0820-3946) is published semimonthly by the Canadian Medical Association,
PO Box 8650 (1867 Alta Vista Dr.) Ottawa, Ont. KlG OG8. CMAJ is printed by RBW Graphics, …

The Smith-Lemli-Opitz syndrome (SLOS) is the first-described in a growing family of hereditary
defects in cholesterol biosynthesis, and presents with a spectrum of serious abnormalities…

tion. It is left for the reader to judge how relevant a system that works in a densely populated,
compact country of 100 million people may be to Canada. The rest of this section is devoted …

In the lead paper, Tomblin Murphy and MacKenzie advocate the application of population
health needs in the planning and delivery of clinical services across Canadian healthcare …

Confidentiality is an impor-tant issue in all types of medical practice and is no less so in a
capitated group. Documents do not leave our personal offices any more than anywhere else, …