A5068010747- Health disparities and outcomes
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Emergency and Acute Care Studies
- Healthcare Policy and Management
- Survey Methodology and Nonresponse
- Food Security and Health in Diverse Populations
- Health Systems, Economic Evaluations, Quality of Life
- Clinical practice guidelines implementation
- Medical Coding and Health Information
- Employment and Welfare Studies
- Geriatric Care and Nursing Homes
- Health Promotion and Cardiovascular Prevention
- Healthcare cost, quality, practices
- demographic modeling and climate adaptation
- Acute Myocardial Infarction Research
- Global Health Care Issues
- Migration, Aging, and Tourism Studies
- Racial and Ethnic Identity Research
- Frailty in Older Adults
- Nutrition, Genetics, and Disease
- Data Quality and Management
- Healthcare Systems and Technology
University of Edinburgh
2020-2024
Public Health Scotland
2024
University of Glasgow
2019-2021
MRC/CSO Social and Public Health Sciences Unit
2019-2021
Glasgow Centre for Population Health
2021
Finnish Institute for Health and Welfare
2020
The Ohio State University
2017
Background Multimorbidity prevalence rates vary considerably depending on the conditions considered in morbidity count, but there is no standardised approach to number or selection of include. Methods and findings We conducted a cross-sectional study using English primary care data for 1,168,260 participants who were all people alive permanently registered with 149 included general practices. Outcome measures estimates multimorbidity (defined as ≥2 conditions) when varying 80 conditions....
understanding care-home outbreaks of COVID-19 is a key public health priority in the ongoing pandemic to help protect vulnerable residents.to describe all infection Scottish care-homes for older people between 01/03/2020 and 31/03/2020, with follow-up 30/06/2020.National linked data cohort analysis people.data linkage was used identify care-homes. Care-home characteristics associated presence an outbreak were examined using logistic regression. Size modelled negative binomial regression.334...
Abstract Background The impact of the COVID-19 pandemic on long-term care residents remains wide interest, but most analyses focus initial wave infections. Objective To examine change over time in: (i) size, duration, classification and pattern care-home outbreaks associated mortality (ii) characteristics with an outbreak. Design Retrospective observational cohort study using routinely-collected data. Setting All adult care-homes in Scotland (1,092 homes, 41,299 places). Methods Analysis was...
Background Clinical guideline development preferentially relies on evidence from randomized controlled trials (RCTs). RCTs are gold-standard methods to evaluate the efficacy of treatments with highest internal validity but limited external validity, in sense that their findings may not always be applicable or generalizable clinical populations population characteristics. The for is constrained by lack tailored epidemiological data analysis designed this purpose due governance, consistency...
Abstract Socio‐economic inequalities in amenable mortality rates are increasing across Europe, which is an affront to universal healthcare systems where the numbers of, and in, deaths should be minimal declining over time. However, fundamental causes theory proposes that health will largest preventable causes, unequally distributed resources can used gain advantage. Information on individual‐level may better reflect remains limited. We Scottish Longitudinal Study, with follow‐up 2010 examine...
In the context of declining levels participation, understanding differences between participants and non-participants in health surveys is increasingly important for reliable measurement health-related behaviors their social differentials. This study compared Finnish Health 2000 survey, a representative sample target population, terms alcohol-related harms (hospitalizations deaths) all-cause mortality.We individually linked 6,127 survey 1,040 non-participants, aged 30-79, register-based...
Introduction Decreasing participation levels in health surveys pose a threat to the validity of estimates intended be representative their target population. If participants and non-participants differ systematically, results may biased. The application traditional non-response adjustment methods, such as weighting, can fail correct for biases, are typically based on sociodemographic information available. Therefore, dedicated methodology infer offers advancement by employing survey data...
Telephone triage is increasingly used to manage unscheduled care demand. Younger adults are frequent users, and commonly call with chest pain. We compared pathways of in younger calling pain, associations patient characteristics telephone recommendation hospital admission.A retrospective study all calls pain NHS24 advice line by people aged 15-34 years between 1 January 2015 31 December 2017 where was recorded as the reason. Recommended outcome subsequent use services were determined using...
Objective Treatment of acute myocardial infarction (MI) requires rapid transfer people with chest pain to hospital, however, unscheduled care pathways vary in their directness (the minimal number contacts hospital admission). The aim was examine and the associations mortality admitted MI. Methods Retrospective population study all Scottish hospitals a diagnosis MI between 1 January 2015 31 December 2017. Linked data for National Health Service Scotland services (NHS24 telephone triage...
<sec> <title>BACKGROUND</title> Clinical guideline development preferentially relies on evidence from randomised controlled trials (RCTs). RCTs are the gold-standard method to evaluate efficacy of treatments with highest internal validity but limited external validity, in sense that their findings may not always be applicable to, or generalisable clinical populations/population characteristics. The for population is constrained by lack tailored epidemiological data analysis designed this...
Abstract Background As a consequence of declining levels participation in health surveys, the results purported to be population-representative may biased. Traditional adjustments for non-participation, such as weighting, can fail correct biases. We aim validate our developed methodology, which simulates non-participants, and compare from inferred sample ’gold standard’ participants true alone. Methods Participants non-participants Finnish Health 2000 survey, contemporaneous population are...
Aims/Objectives/Background Use of unscheduled care is increasing worldwide. In the UK access to services for symptoms not thought be life-threatening through a single telephone advice and triage service (NHS 24 in Scotland). Adults under 35 account largest cohort contacting this service. This study aimed examine pathways population inform areas improvement process. Methods/Design A retrospective, using Scotland-wide Urgent Care Data Mart (UCD) 2015 2017. The UCD links data between form...
It is becoming increasingly possible to obtain additional information about health survey participants, though not usually non-participants, via record linkage. We aimed assess the validity of an assumption underpinning a method developed mitigate non-participation bias. use in Finland where it link both participants and non-participants administrative registers. Survey-derived alcohol consumption used as exemplar outcome.Data on (85.5%) true Finnish Health 2000 (invited sample N=7167 aged...