A5065625239- Global Health Workforce Issues
- Dementia and Cognitive Impairment Research
- Technology Use by Older Adults
- Healthcare Systems and Challenges
- Cognitive Functions and Memory
- Geriatric Care and Nursing Homes
- Primary Care and Health Outcomes
- Diversity and Career in Medicine
- Health disparities and outcomes
- Healthcare Policy and Management
- Delphi Technique in Research
- Interprofessional Education and Collaboration
- Clinical Reasoning and Diagnostic Skills
- Machine Learning in Healthcare
- Context-Aware Activity Recognition Systems
- Ethics in medical practice
- Patient Satisfaction in Healthcare
- Usability and User Interface Design
- Biomedical Text Mining and Ontologies
- Mental Health via Writing
- Cognitive Abilities and Testing
- Microscopic Colitis
- Health Systems, Economic Evaluations, Quality of Life
- Persona Design and Applications
- Business Process Modeling and Analysis
University of Manchester
2016-2024
Manchester Academic Health Science Centre
2020-2023
Manchester Metropolitan University
2014
Background The use of temporary doctors, known as locums, has been common practice for managing staffing shortages and maintaining service delivery internationally. However, there little empirical research on the implications locum working quality safety. This study aimed to investigate Methods Qualitative semi-structured interviews focus groups were conducted with 130 participants, including patients, permanently employed nurses other healthcare professionals governance recruitment...
To determine whether multiple computer use behaviours can distinguish between cognitively healthy older adults and those in the early stages of cognitive decline, to investigate these are associated with functional ability.Older impairment (n = 20) controls 24) completed assessments abilities a series semi-directed tasks. Computer were captured passively using bespoke software.The profile was significantly different impaired compared control participants including more frequent pauses,...
Introduction To understand the potential influence of diversity on measurement functional impairment in dementia, we aimed to investigate possible bias caused by age, gender, education, and cultural differences. Methods A total 3571 individuals (67.1 ± 9.5 years old, 44.7% female) from The Netherlands, Spain, France, United States, Kingdom, Greece, Serbia, Finland were included. Functional was measured using Amsterdam Instrumental Activities Daily Living (IADL) Questionnaire. Item assessed...
Temporary doctors, known as locums, are a key component of the medical workforce in NHS but evidence on differences quality and safety between locum permanent doctors is limited. We aimed to examine clinical practice, prescribing for working primary care England.
Background The use of locum doctors in the National Health Service is widely believed to have increased, and there been widespread sustained concerns among policy-makers, healthcare providers, professional associations regulators about quality/safety, cost effective doctors. Objectives To provide evidence on extent, quality safety medical practice implications working for health service organisation delivery primary secondary care English Service, support policy practice. Design Four...
Background Numbers of GP locums in the NHS have grown recent years, yet evidence on scale and scope locum workforce general practice is sparse. Aim To identify characteristics, geographical patterns, drivers use. Design setting Observational study routine data from practices England. Method Descriptive analyses national between December 2017 September 2020 were conducted to determine volume distribution use examine characteristics compared with other types. Locum full-time equivalent (FTE)...
Objectives Temporary doctors, known as locum play an important role in the delivery of care National Health Service (NHS); however, little is about extent use NHS trusts. This study aimed to quantify and describe for all trusts England 2019–2021. Setting Descriptive analyses data on shifts from Weekly were available number filled by agency bank staff requested each trust. Negative binomial models used investigate association between proportion medical staffing provided locums trust...
ABSTRACT Introduction There have been some concerns about the impact of temporary doctors, otherwise known as locums, on patient safety and quality care. Despite these concerns, research has paid little attention to implications locum working experience. Methods A qualitative semi‐structured interview study was conducted with 130 participants including people locums patients experience being seen or treated by locums. Analysis using a reflexive thematic approach abductive analysis position...
Locum working in healthcare organisations has benefits for individual doctors and but there are concerns about the impact of locum on continuity care, patient safety, team function cost. We conducted a national survey NHS Trusts England to explore work, better understand why where were needed; how engaged, supported, perceived managed; any changes being made way locums used.An online was sent 191 98 returned (51%) including 66 (67%) acute hospitals, 26 (27%) mental health six (6%) community...
We report experience in requirements elicitation of domain knowledge from experts clinical and cognitive neurosciences. The target was a causal model for early signs dementia indicated by changes user behaviour errors apparent logs computer activity. A Delphi-style process consisting workshops with followed questionnaire adopted. paper describes how the had to be adapted deal problems encountered terminology limited consensus among experts. In spite difficulties encountered, partial...
We present a desktop monitoring application that combines keyboard, mouse, and application-level activities. It has been developed to discover differences in cognitive functioning amongst older computer users indicative of mild impairment (MCI). Following requirements capture from clinical domain experts, the tool collects all Microsoft Windows events deemed potentially useful for detecting early indicators dementia, with view further analysis determine most pertinent. Further potential...
Commonly used measures of instrumental activities daily living (IADL) do not capture for a technologically advancing society. This study aimed to adapt the proxy/informant-based Amsterdam IADL Questionnaire (A-IADL-Q) use in UK and develop self-report version.An iterative mixed method cross-cultural adaptation A-IADL-Q development version involving three-step design: (1) interviews focus groups with lay professional stakeholders assess face content validity; (2) questionnaire measure item...
Objectives Computer-use behaviours can provide useful information about an individual's cognitive and functional abilities. However, little research has evaluated unaided non-directed home computer-use. In this proof of principle study, we explored whether computer-use recorded during routine i) could discriminate between individuals with subjective decline (SCD) mild impairment (MCI); ii) were associated scores; iii) changed over time.Methods Thirty-two participants SCD (n = 18) or MCI 14)...
This research proposes a mobile framework for two types of cognitive tests - Trail Making and Reaction Time, conducts an investigation its performance. The proposed methodology uses cross platform which enables the deployment apps to multiple platforms using single Java code base. functionality usability application were tested. Exploratory validation compare existing testing methods new implementation was conducted on small sample participants within-subjects design, with intention complete...
Locum doctors give practices flexibility to deliver patient services but there are concerns about the impact of locum working on continuity care, safety, team function, and cost.To explore in English general practices, understand why where were needed how they engaged, supported, perceived, managed.An online survey was sent 3745 practices.Quantitative responses analysed using frequency tables, t-tests, correlations. Free-text thematic analysis.In total, 605 (16.2%) returned between June...
Computer use is becoming ubiquitous among older adults. As computer depends on complex cognitive functions, measuring individuals’ computer-use behaviours over time may provide a way to detect changes in their functioning. However, it uncertain which behaviour are most likely be associated with declines of particular functions. To address this, we convened six experts from clinical and neurosciences take part two workshops follow-up survey gain consensus would the strongest indicators...