- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Global Health Care Issues
- Healthcare Systems and Technology
- Global Health Workforce Issues
- Healthcare Systems and Reforms
- Retinal Diseases and Treatments
- Intergenerational Family Dynamics and Caregiving
- Employment and Welfare Studies
- Retinal Imaging and Analysis
- Health disparities and outcomes
- Glaucoma and retinal disorders
University of Manchester
2015-2020
Manchester Academic Health Science Centre
2015-2019
Summary Better management by individuals of their long‐term conditions is promoted to improve health and reduce healthcare expenditure. However, there limited evidence on the determinants consequences self‐management activity. We investigate two forms self‐management, exercise relaxation, impact wellbeing 3472 with over a 1‐year period. use simultaneous recursive trivariate models estimate effects these inputs three outcomes: EuroQol five‐dimensional (EQ‐5D) score, self‐assessed happiness....
Background For the last few years, English general practices — which are, traditionally, small have been encouraged to serve larger populations of registered patients by merging or collaborating with each other. Meanwhile, patient surveys suggested that continuity care and access are worsening. Aim To explore whether increasing size practice population working collaboratively linked changes in care. Design setting This observational study used data on experience, size, collaborative working....
Glaucoma filtering schemes such as the Manchester Enhanced Referral Scheme (GERS) aim to reduce number of false positive cases referred Hospital Eye Services. Such can also have wider system benefits, they may waiting times for other patients. However, previous studies cost consequences and benefits glaucoma are inconclusive. We investigate GERS.Observational study.A analysis from perspective National Health Service (NHS) was conducted using audit data GERS.2405 patients passed through GERS...
Over the last 5 years, national policy has encouraged general practices to serve populations of >30 000 people (called 'working at scale') by collaborating with other practices.To describe number English working scale, and their patient populations.Observational study in England.Data published NHS on practices' self-reports groups were supplemented data from reports various organisations practice group websites. Practices categorised extent which they scale; within these categories, age...
Purpose More input from the individual into management of their health has potential to reduce demand on formal care system and improve outcomes. A variety interventions have been developed encourage such ‘self-care', particularly for populations with long-term conditions. However equity consequences initiatives are relatively unknown as there is little evidence social economic determinants time spent self-care. Key methods We estimate also examine whether patients spend self-care because...