A5012946911- Healthcare Systems and Technology
- Telemedicine and Telehealth Implementation
- Primary Care and Health Outcomes
- Mobile Health and mHealth Applications
- Emergency and Acute Care Studies
- Healthcare Policy and Management
- Patient-Provider Communication in Healthcare
- Patient Satisfaction in Healthcare
- Electronic Health Records Systems
- Interprofessional Education and Collaboration
- Chronic Disease Management Strategies
- Child and Adolescent Health
- Clinical practice guidelines implementation
- Medication Adherence and Compliance
- Homelessness and Social Issues
- Pharmaceutical Practices and Patient Outcomes
- Empathy and Medical Education
- Palliative Care and End-of-Life Issues
- Child and Adolescent Psychosocial and Emotional Development
- Clinical Reasoning and Diagnostic Skills
- Mental Health Treatment and Access
- Antibiotic Use and Resistance
- Diabetes Management and Education
- Blood Pressure and Hypertension Studies
- COVID-19 and healthcare impacts
Imperial College London
2016-2025
NIHR Moorfields Biomedical Research Centre
2024
Primary Health Care
2021
NIHR Imperial Biomedical Research Centre
2016-2017
Gatekeeping is the term used to describe role of primary care physicians or general practitioners (GPs) in authorising access specialty care, hospital and diagnostic tests. 1 has crucial influences on service utilisation, health outcomes, healthcare costs, patient satisfaction.In UK NHS private specialists generally possible only after a referral from GP.Gatekeeping was developed as response shortage desire control spending 2 been an accepted practice for over 100 years. 3The under...
Person-centered care emphasizes a holistic, humanistic approach that puts patients first, at the center of medical care. Person-centeredness is also considered core element integrated Yet typologies mainly describe how fit within services, rather than services into patient's world. Patient-centeredness has been commonly defined through physician's behaviors aimed delivering patient-centered Yet, it unclear 'person-centeredness' realized in patient voice. We to explore narratives...
Professional truck drivers, as other shift workers, have been identified a high-risk group for various health conditions including cardiovascular disease, obesity, diabetes, sleep apnoea and stress. Mobile technologies can potentially improve the wellbeing of people with sedentary lifestyle such drivers. Yet, only few studies on promotion interventions related to mobile drivers conducted. We aimed explore professional drivers' views delivered via wearable devices.We conducted...
To describe changing use of primary care in relation to urgent and planned hospital services by children aged less than 15 years England the decade following major reforms from 2007 2017 DESIGN: Population-based retrospective cohort study.We used linked data Clinical Practice Research Datalink study children's consultations including emergency department (ED) visits, elective admissions outpatient visits specialists.Between 1 April 31 March 2017, there were 7 604 024 general practitioner...
This paper provides the results of a year-long evaluation large-scale integrated care pilot in north-west London. The aimed to integrate across primary, acute, community, mental health and social for people with diabetes and/or those aged 75+ through planning, multidisciplinary case reviews, information sharing project management support.
Abstract Background Patient portal use has been associated with improved patient health and adherence to medications, including statins. However, there is limited research on the association between registration outcomes such as statin prescription refill in context of National Health Service England, where portals have widely available since 2015. Objective We aimed explore among general practice patients England. Methods This study was approved by Clinical Practice Research Datalink...
Summary Objectives To identify the number and characteristics of patients with polypharmacy receiving structured medication reviews (SMRs) in primary care 2022, to evaluate whether provision these services is equitable across different demographic socio-economic groups. Design Cross-sectional study. Setting Primary networks North West London, UK. Participants Adults registered a general practitioner (GP) regularly prescribed at least five medicines or more. Main outcome measures Receipt one...
This article provides an analysis of the skills that health professionals and patients employ in reaching diagnosis decision-making telemedicine consultations. As governmental priorities continue to emphasize patient involvement management their disease, there is increasing need accurately capture provider-patient interactions clinical encounters. Drawing on conversation 10 video-mediated consultations 3 National Health Service settings England, this study examines interaction between...
There is a growing body of evidence that supports the uses telehealth to monitor and manage people with diabetes at distance. Despite this, uptake has been low. The objective this study explore patients' perceptions using for type 2 management.Semi-structured interviews were undertaken 10 patients from NHS Newham area in London, UK. Data collected recorded semi-structured interviews. transcribed verbatim analysis was guided by phenomenological approach.We identified three main themes...
Introduction: Multidisciplinary group meetings are one of the key drivers facilitating integrated care. Health care professionals attending such groups have a role in success these discussions and hence, forming multi-professional The study aimed to explore professionals' experiences views participating implementing context.Methods: A qualitative including 25 semi-structured interviews with Northwest London Integrated Care Pilot analysed using thematic content analysis.Results: Participants...
The literature on integrated care is limited with respect to practical learning and experience. Although some attention has been paid organizational processes structures, not enough people, relationships, the importance of these in bringing about integration. Little known, for example, provider engagement change process, how obtain maintain it, it demonstrated delivery care. Based qualitative data from evaluation a large-scale initiative London, United Kingdom, we explored role effective...