A5039574443- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Healthcare Policy and Management
- COVID-19 and healthcare impacts
- Trauma and Emergency Care Studies
- Quality and Safety in Healthcare
- Influenza Virus Research Studies
- Vaccine Coverage and Hesitancy
- Healthcare Systems and Challenges
- Liver Disease Diagnosis and Treatment
- Meta-analysis and systematic reviews
- Renal Diseases and Glomerulopathies
- Disaster Response and Management
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Electronic Health Records Systems
- Radiology practices and education
- Health Sciences Research and Education
- Healthcare Systems and Reforms
- Climate Change and Health Impacts
- Dialysis and Renal Disease Management
- Liver Disease and Transplantation
- Memory Processes and Influences
- Clinical practice guidelines implementation
- Empathy and Medical Education
University of Birmingham
2010-2023
University of Warwick
2016-2019
It is frequently stated in the scientific literature, official reports and press that 80% of Asian African populations use traditional medicine (TM) to meet their healthcare needs; however, this statistic was first reported 1983. This study aimed update knowledge prevalence TM characteristics those who access it, inform health policy-makers as countries seek fulfil WHO strategy 2014–23 harness for population health. Prevalence studied 35 334 participants WHO-SAGE, surveyed 2007–10. users...
The effect of many cost effective policy and service interventions cannot be detected at the level patient. This new framework could help improve design (especially choice primary end point) interpretation evaluative studies
<b>Objective</b> To conduct a nationwide study of associations between removal all ovarian tissue versus conservation at least one ovary the time hysterectomy and important health outcomes (ischaemic heart disease, cancer, cause mortality). <b>Study design setting</b> Retrospective analysis English Hospital Episode Statistics database linked to national registers deprivation indices deaths. <b>Participants</b> 113 679 patients aged 35-45 who had for benign conditions April...
To evaluate mildly abnormal liver function test (LFT) results in general practice among patients who do not have known disease.Prospective cohort study of people with LFT identified primary care. Participants were intensively investigated using a common protocol and followed up for 2 years. Substudies the psychological sequelae results, clinicians' reasons testing, decision options when early detection fibrosis.Eleven primary-care practices: eight Birmingham three Lambeth.Adults did...
Risk-adjustment schemes are used to monitor hospital performance, on the assumption that excess mortality not explained by case mix is largely attributable suboptimal care. We have developed a model estimate proportion of variation in standardised ratios (SMRs) can be accounted for preventable mortality. The was populated with values from literature predictive value SMR this context—specifically those hospitals SMRs among highest 2.5% fall worst extent which reflect rates highly sensitive...
We developed a method to estimate the expected cost-effectiveness of service intervention at design stage and 'road-tested' on an improve patient handover care between hospital community.The development nine-step evaluation framework: 1. Identification multiple endpoints arranging them into manageable groups; 2. Estimation baseline overall preventable risk; 3. Bayesian elicitation effectiveness planned intervention; 4. Assigning utilities groups endpoints; 5. Costing 6. Estimating health...
This protocol concerns the assessment of cost-effectiveness hospital health information technology (HIT) in four hospitals. Two these hospitals are acquiring ePrescribing systems incorporating extensive decision support, while other two will implement more basic clinical algorithms. Implementation an system have diffuse effects over myriad processes, so has to deal with a large amount collected at various 'levels' across system. The method we propose is use Bayesian ideas as philosophical...
Medication errors are an important source of potentially preventable morbidity and mortality. The PINCER study, a cluster randomised controlled trial, is one the world's first experimental studies aiming to reduce risk such medication related potential for harm in general practice. Bayesian analyses can improve clinical interpretability trial findings.Experts were asked complete questionnaire elicit opinions likely effectiveness intervention key outcomes interest--three primary care errors....
Public health and service delivery programmes, interventions policies (collectively, ‘programmes’) are typically developed implemented for the primary purpose of effecting change rather than generating knowledge. Nonetheless, evaluations these programmes may produce valuable learning that helps determine effectiveness costs as well informing design implementation future programmes. Such studies might be termed ‘opportunistic evaluations’, since they responsive to emergent opportunities being...
Efficient and evidence-based medical device equipment prioritization is of particular importance in low-income countries due to constraints financing capacity, physical infrastructure human resource capabilities. This paper outlines a method developed first instance for the Republic South Sudan. The simple algorithm offered here starting point procurement selection devices can be regarded as screening test those that require more labour intensive health economic modelling. A heuristic...
Background Standardised mortality ratios do not provide accurate measures of preventable mortality. This has generated interest in using case notes to assess the component But, different methods measurement have been compared. We compared reliability two scales for assessing preventability and correspondence between them. Methods Medical specialists reviewed patients who had died hospital, instruments: a five-point Likert scale continuous (0–100) preventability. To enhance generalisability,...
The current COVID-19 pandemic has focused attention on the vulnerability of human race in face communicable disease. But also serves as a wake-up call to cataclysmic impact that would befall world if nuclear weapons were ever be used again. Overwhelming pressure health-services, considerable disruption normal life, difficult choices regarding suspension civil liberties, how protect key workers and ensure society continues function – these all magnified many times over event explosion. Thus,...
<ns4:p><ns4:bold>Objectives</ns4:bold>: The stockpiling of neuraminidase inhibitor (NAI) antivirals as a defence against pandemic influenza is significant public health policy decision that must be made despite lack conclusive evidence from randomised controlled trials regarding the effectiveness NAIs on important clinical end points such mortality. objective this study was to determine whether should stockpiled for treatment basis current evidence.</ns4:p><ns4:p>...
<ns4:p><ns4:bold>Objectives: </ns4:bold>The stockpiling of neuraminidase inhibitor (NAI) antivirals as a defence against pandemic influenza is significant public health policy decision that must be made despite lack conclusive evidence from randomised controlled trials regarding the effectiveness NAIs on important clinical end points such mortality. The objective this study was to determine whether should stockpiled for treatment basis current evidence.</ns4:p><ns4:p>...
ABSTRACT Objective To track elective surgery activity before, during and after the COVID-19 pandemic in England. examine for hypothesised differences use of independent vs NHS hospitals, more urgent less operations over pre- post-COVID time windows. Design We extracted data from Hospital Episodes Statistics database 1 st April 2015 to 30 th 2022. This contains all emergency patient admissions, outpatient appointments A&E attendances funded by Setting Independent hospitals Participants...
Articles in the UK press have claimed that hospital admissions for heart attack and stroke declined during COVID-19 pandemic. However, data from West Midlands Ambulance Service not shown any reduction call-outs patients with or ST-Elevation Myocardial Infarction. This study examined University Hospital Birmingham NHS Foundation Trust, comparing week 1 of 2016 to 17 2019, same period 2020, pre- post-lockdown. The results showed there was no evidence a overall mean number these conditions...