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Q J Med 2001; 94: 717-718
© 2001 Association of Physicians

Commentary

Chest pain assessment services: the next steps

K.F. Fox

From the Cardiovascular Medicine Group, Faculty of Medicine, Imperial College School of Science Technology and Medicine, Charing Cross Hospital, London W6 8RF


   Introduction
 
Improved care for patients presenting with chest pain remains high on the medical agenda. This is reflected not only in the National Service Framework (NSF),1 but also in the number and variety of publications in this area. The two articles in this issue illustrate that the questions are no longer about whether there should be specialized services for chest pain, but how best to organize such services, and the need to subject them to economic analysis. Just a year ago the question was posed: ‘Chest pain—please admit’: is there an alternative?2 The accepted answer now must be a conclusive ‘yes’. The challenge that remains is to refine the alternatives. This of itself represents a great (if as yet incomplete) victory . . . [Full Text of this Article]


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