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Martin D. Moore

time when professional, public, and political actors had grown concerned about the competence of medical professionals. Professional self-reflection emerged from a cacophony of sources, from media scandals about insensitive care in long-stay institutions to growing critiques of welfare professionals as self-interested bureaucrats (rather than altruistic servants), and from academic studies of variations in care to the rising status of trials as technologies for determining ‘best practice’. All contributed to a growing sense that quality care could be secured only

in Managing diabetes, managing medicine