Quality of care: the need for medical, contextual and policy evidence in primary care.

The increasing availability of medical evidence in clinical practice was expected to improve the quality of care. However, this has not been realized. A possible explanation is that quality of care is a complex concept and needs a wider scope.

The relation between sale of antimicrobial drugs and antibiotic resistance in uropathogens in general practice.

Background: Overuse of antimicrobial drugs has resulted in an alarming increase in bacterial resistance in most countries. The relevance for general practice is unknown.

Objective: To evaluate the impact of the sale of antimicrobial drugs on bacterial resistance as found in uropathogens from general practice.