- Electronic Health Records Systems
- Biomedical Text Mining and Ontologies
- Semantic Web and Ontologies
- Genomics and Rare Diseases
- Allergic Rhinitis and Sensitization
- Clinical practice guidelines implementation
- Asthma and respiratory diseases
- Respiratory and Cough-Related Research
- Business Process Modeling and Analysis
- Usability and User Interface Design
- Experimental Behavioral Economics Studies
- Game Theory and Applications
- Musculoskeletal pain and rehabilitation
- Health Systems, Economic Evaluations, Quality of Life
- Information Systems Theories and Implementation
- Culture, Economy, and Development Studies
- Healthcare Systems and Technology
- Context-Aware Activity Recognition Systems
- Shoulder Injury and Treatment
- Ethics in Clinical Research
- Medical Coding and Health Information
- Clinical Reasoning and Diagnostic Skills
- Scientific Computing and Data Management
- Ophthalmology and Visual Impairment Studies
- Menopause: Health Impacts and Treatments
University of Salford
2001-2015
Adelphi Group (United Kingdom)
2001-2014
Netherlands Standardization Institute
2014
Adelphi Laboratory Center
2010
Blatchford (United Kingdom)
2005
University of Manchester
1985-2001
BCS — The Chartered Institute for IT
1994
Fugro (United Kingdom)
1985
Fugro (Netherlands)
1984
To evaluate whether the Asthma Control Test™ (ACT) score is predictive of Global Initiative for (GINA) guideline-defined classification levels asthma control. The ACT a validated, 5-item, patient-completed measure control with recall period four weeks. Cross-sectional survey comparing and GINA among 2949 patients attending primary care physicians specialists in France, Germany, Italy, Spain, UK, USA. area under receiver operating characteristics curve predicting was 0.84 (95% CI 0.82–0.85)....
Given the many efforts currently under way to develop standards for electronic medical records, it is important step back and reexamine fundamental principles which should underlie a model of record. This paper presents an analysis based on experience in developing PEN & PAD prototype clinical workstation. The contention that requirements record must be grounded its use patient care. basic requirement faithful what clinicians have heard, seen, thought, done. other record, e.g., attributable...
It is hypothesized that health and patient-reported outcomes in asthma are positively influenced by the level of patient satisfaction with their inhaler device. This paper uses data from a real-world observational study to investigate extent relationship between compliance, influence this has on outcomes. Data were drawn Adelphi Respiratory Disease Specific Programme® (Adelphi, Macclesfield, UK), cross-sectional consulting patients five European countries undertaken June September 2009. A...
Objective:It is hypothesised that the presence of ocular, in addition to nasal, symptoms among patients with allergic rhinitis (AR) results poorer quality life, reduced work productivity and increased resource utilisation. This study investigated impact on burden illness healthcare resources 1640 AR patients.Methods:Data were drawn from an observational cross-sectional consulting undertaken May/June 2008 four European countries. Doctors provided records for next five presenting who filled...
This paper presents a model for an electronic medical record which satisfies the requirements faithful and structured of patient care set out in previous this series. The underlies PEN & PAD clinical workstation, it provides permanent, completely attributable process decision making. separates into two levels: direct observations meta-statements about use making dialogue. is presented terms "descriptions" formulated Structured Meta Knowledge (SMK) formalism, but many its features are more...
A new model of the medical record is introduced which can incorporate context, structure, process and use within a single narratological framework. It claimed that analysis narrative and, in particular, study story metaphor provide theoretical provides coherence broad discipline Medical Informatics. argued this framework maintains different levels abstraction, useful for teaching clinical practice, its concepts be readily understood by those both lay technical healthcare professions.
Purpose: To develop a mapping algorithm for the estimation of EQ-5D-based utility scores from observed 25-item National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25) scores, disease-specific, patient-reported outcome measure used in several retinal disorders to evaluate vision-specific functioning.
Engagement in occupation contributes to the shaping of identity throughout human life. The act telling about such engagement involves interaction based on symbolic meaning; speaker constructing an by conveying how is personally meaningful. This study explored meaning narratives told people who engage serious leisure occupations. A total 78 were extracted from interviews with 17 invest considerable time and other resources into their leisure. Analysis focused content, structure performance...
Considers the problems of a multi‐disciplinary team working together to understand and evaluate healthcare information system, which itself is situated in complex organisational political environment. Provides general discussion faced by evaluators such systems. Describes this specific evaluation project (Electronic Patient Records UK National Health Service), gives an account process as it occurred, highlights some encountered, discusses attempts overcome these. Suggests that social,...
The International Patient Summary Standard (EN 17269) normalizes the dataset within European Guideline on cross-border exchange of a patient summary. This has been widely appreciated and taken as basis for projects in both Europe wider afield, e.g. U.S.A, Canada more. is relatively mature it currently its third iteration (i.e., 2013, 2016, 2020). Even so, to move from policy-driven guideline formal standard was not straight forward. paper describes how 'minimal non-exhaustive' could be...
Methodology for Disease Specific Programme (DSP © ) surveys designed by Adelphi Group Products is used each year to survey patients and physicians on their perceptions of treatment effectiveness, symptoms impact diseases. These point‐in‐time surveys, conducted in the USA Europe (France, Germany, Italy, Spain UK), provide useful information real‐world management This paper describes methodology DSP allergic rhinitis, detailing preparation materials, recruitment physicians, data collection management.
The goal of the PEN&PAD project is to design and develop a useful usable medical workstation for day–to–day use in patient care. has adopted user centred approach direct observations doctors, participative Formative Evaluation have therefore been an integral part process software development. Indeed, doctors involved from earliest stages project. focussed on British General Practitioners, but methods which evolved are general. This paper describes strategy by can be successful development...
Background: The Professional Records Standards Body for health and social care (PRSB) was formed in 2013 to develop assure professional standards the content structure of patient records across all disciplines UK.Although PRSB work is aimed at Electronic Health Record (EHR) adoption interoperability support continuity care, current technical guidance limited ambiguous.Objectives: This project initiated as a proof-ofconcept demonstrate whether, if so, how, conformance methods can be developed...