ReviewThe British journal of general practice : the journal of the Royal College of General Practitioners1992
Rule of halves: implications of increasing diagnosis and reducing dropout for future workload and prescribing costs in primary care.
Review in The British journal of general practice : the journal of the Royal College of General Practitioners, 1992. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02531776 (Patient Experiences With Injection Needles), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Patient Experiences With Injection Needles
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Global, regional, and national cascades of diabetes care, 2000-23: a systematic review and modelling analysis using findings from the Global Burden of Disease Study.The lancet. Diabetes & endocrinology · 2025Pooled it
- Baseline characteristics of people experiencing homelessness with a recent drug overdose in the PHOENIx pilot randomised controlled trial.Harm reduction journal · 2023Trial
- Trial
- The detection, treatment and control of high blood pressure in older British adults: cross-sectional findings from the British Women's Heart and Health Study and the British Regional Heart Study.Journal of human hypertension · 2006Trial
- Review
- Hypertension prevalence, detection, treatment and control among 1.4 million adults in England: a cross-sectional analysis from the Our Future Health study in 2022-2025.BMJ public health · 2026Article
- Local variation in musculoskeletal pain consultation rates in primary care: findings from an ecologic study in Staffordshire.Primary health care research & development · 2025Article
- Socioeconomic health and impact of sickle cell disease and vaso-occlusive crises in India: results from B-VOCAL study.BMJ global health · 2025Observational
- The gender gap in outpatient care for non-communicable diseases in Mexico between 2006 and 2022.Global health research and policy · 2024Article
- Factors Affecting the Awareness of Diabetic Retinopathy: An Observational Cross-Sectional Study.Cureus · 2024Article
- Transforming care for patients living with diabetes in rural Mexico: a qualitative study of patient and provider experiences and perceptions of shared medical appointments.Global health action · 2023Article
- Observational
- Shared decision making in consultations for hypertension: Qualitative study in general practice.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Awareness, treatment, control, and determinants of dyslipidemia among adults in China.Scientific reports · 2021Article
- Article
- Diabetes prevalence and risk factors of early-onset adult diabetes: results from the Indonesian family life survey.Global health action · 2021Article
- Improving Equity Through Primary Care: Proceedings of the 2019 Toronto International Conference on Quality in Primary Care.Annals of family medicine · 2020Article
- Challenges in policy reforms for non-communicable diseases: the case of diabetes in Kenya.Global health action · 2019Article
- Is the Rule of Halves framework relevant for diabetes care in Copenhagen today? A register-based cross-sectional study.BMJ open · 2018Article
- Study protocol for the Cities Changing Diabetes programme: a global mixed-methods approach.BMJ open · 2017Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Evidence from one practice and from the literature suggest that approximately half of most common chronic disorders are undetected, that half of those detected are not treated, and that half of those treated are not controlled: the 'rule of halves'. Workload in primary care would increase by at least 12% if all common and important chronic disorders were fully diagnosed, treated and followed up; the accompanying effects on prescribing costs would be complex, but not necessarily inflationary. The relationship between these data and the new general practitioner contract is discussed.
Indexed as
Identifiers
1493028PMC1371996What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.