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Keep it simple, stupid. Administrative complexity raises costs, frustrates patients and hampers care.

The administrative complexity of the U.S. health care system places an enormous wedge between our scientific capability and our performance in serving people promptly, affordably and inclusively. Those adverse effects have eroded public trust in health care and threaten the availability of physicians and other health workers to provide care for a growing and aging population. The author details the problem--and offers a solution.

Cost Control↗

Managing clinical trials--frustration or bliss?

The proper financial administration of clinical trials is becoming a major priority and necessity for involved institutions. The Office of Inspector General in the Department of Justice is sharpening its radar on this growing field. Institutions involved in the conduct of a clinical trial need to become more proactive in the financial management to successfully pass audits and improve financial outcomes. Budget tools standardizing itemized costs can be built to aid clinical trials managers. Using tools already available in a clinic or hospital setting can help even the most junior budget negotiator. Establishing guidelines to streamline and aid the management of a clinical trial program will make managing less challenging.

Clinical Trials as Topic↗

Clinical management. Sexual frustration.

West Hull PCT has set up a joint sexual health an GUM clinic, echoing the inter-disciplinary principles outlined in the public health white paper. Other PCTs have found blurred skill boundaries and training problems to be huge barriers to the policy. Some trusts are "not even close" to meeting the DoH's 48-hour GUM access target by the 2008 deadline.

Female↗