A5080164741- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Global Maternal and Child Health
- Innovation and Socioeconomic Development
- Interprofessional Education and Collaboration
- Global Public Health Policies and Epidemiology
- Healthcare Systems and Reforms
- Congenital Heart Disease Studies
- Global Health and Surgery
- Global Health Workforce Issues
- Health, Nursing, Elderly Care
- Health Systems, Economic Evaluations, Quality of Life
- Maternal and Neonatal Healthcare
- Entrepreneurship Studies and Influences
- Chronic Disease Management Strategies
- Patient-Provider Communication in Healthcare
- Cardiac Valve Diseases and Treatments
- Patient Satisfaction in Healthcare
- Emergency and Acute Care Studies
- COVID-19 epidemiological studies
- Cardiac Imaging and Diagnostics
- Child and Adolescent Health
- Infection Control and Ventilation
- Child Nutrition and Water Access
- Cardiac Structural Anomalies and Repair
Imperial College London
2016-2025
Society for Classical Studies
2024
Cancer Research UK Manchester Centre
2023-2024
Marymount University
2024
Cancer Research UK Manchester Institute
2023-2024
Children's Hospital of Philadelphia
2010-2023
University of Pennsylvania
2010-2023
National Institute for Health Research
2012-2023
Victoria University
2023
Heritage Preservation
2023
Brazil's national health system has developed and rapidly scaled up an approach to primary care that relies on lay community agents interdisciplinary teams provide universal access proactive first-contact public interventions.
The coronavirus disease 2019 (COVID-19) pandemic threatens to kill large numbers of people in the UK and place unprecedented demands on National Health Service (NHS). case fatality rate is increased older those with pre-existing reported be about 20% COVID-19 who are than 80 years,1WHOReport WHO-China Joint Mission Coronavirus Disease (COVID-19).https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdfDate: Feb 16–24, 2020Date accessed: March...
Necessity has been the mother of invention in response to COVID-19 pandemic, triggering many an innovation, often without luxury time test these makeshift solutions pressing problems. But there is much be learned from times crisis for plenty.
The number of visits to hospital emergency departments (EDs) in England has increased by 20% since 2007-08, placing unsustainable pressure on the National Health Service (NHS). Some patients attend EDs because they are unable access primary care services. This study examined association between and ED England.A cross-sectional, population-based analysis registered with 7,856 general practices was conducted, for time period April 2010 March 2011. outcome measure self-referred discharged...
Despite some remarkable achievements, there are several challenges facing Brazil's Family Health Strategy (FHS), including expanding access to primary care and improving its quality. These concerns motivated the development of National Program for Improving Primary Care Access Quality (PMAQ). Although voluntary, program now includes nearly 39 000 FHS teams in country has led a near doubling federal investment first 2 rounds. In this article, we introduce PMAQ advance recommendations ensure...
The health burden caused by seasonal influenza is substantial. We sought to examine the effectiveness of vaccination against admission hospital for acute cardiovascular and respiratory conditions all-cause death in people with type 2 diabetes.We conducted a retrospective cohort study using primary secondary care data from Clinical Practice Research Datalink England, over 7-year period between 2003/04 2009/10. enrolled 124 503 adults diabetes. Outcome measures included myocardial infarction...
Unconscious bias may interfere with the interpretation of research from some settings, particularly lower-income countries. Most studies this phenomenon have relied on indirect outcomes such as article citation counts and publication rates; few addressed or proven effect unconscious in evidence interpretation. In randomized, blinded crossover experiment a sample 347 English clinicians, we demonstrate that changing source abstract low- to high-income country significantly improves how it is...
Atrial fibrillation (AF) is an arrhythmia that can lead to several patient risks. This kind of affects mostly elderly people, in particular those who suffer from heart failure (one the main causes hospitalization). Thus, detection AF becomes decisive prevention cardiac threats. In this paper algorithm for based on a novel architecture and feature extraction methods proposed. The aforementioned analysis three physiological characteristics AF: i) P wave absence ii) rate irregularity iii)...
<b>Objective</b> To examine the effect of systolic and diastolic blood pressure achieved in first year treatment on all cause mortality patients newly diagnosed with type 2 diabetes, without established cardiovascular disease. <b>Design</b> Retrospective cohort study. <b>Setting</b> United Kingdom General Practice Research Database, between 1990 2005. <b>Participants</b> 126 092 adult (age ≥18 years) a new diagnosis diabetes who had been registered participating practices for at least 12...
With an increasing array of innovations and research emerging from low-income countries there is a growing recognition that even high-income could learn these contexts. It well known the source product influences perception product, but little has examined whether this applies also in evidence-based medicine decision-making. In order to examine likely barriers learning countries, study uses established methods cognitive psychology explore healthcare professionals researchers implicitly...
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...
The National Health Service (NHS) Check is a cardiovascular disease (CVD) risk assessment and management programme in England aiming to increase CVD awareness among people at increased of CVD. There no tool assess the effectiveness communicating patients.The aim this paper was develop questionnaire examining patients' for use health service research evaluations NHS programme.We developed an 85-item determine views their based on review relevant literature. After by expert panel focus group...
Abstract Background Investing in human resources for health (HRH) is vital achieving universal care and the Sustainable Development Goals. The Programa Mais Médicos (PMM) (More Doctors Programme) provided 17,000 doctors, predominantly from Cuba, to work Brazilian primary care. This study assesses whether PMM doctor allocation municipalities was consistent with programme criteria associated impacts on amenable mortality. Methods Difference-in-differences regression analysis, exploiting...
Health policymakers in many countries are looking at ways of increasing health care coverage by scaling up the deployment community workers. In this commentary, we describe rationale for UK to learn from Brazil's scaled-up Community Worker primary strategy, starting with a pilot project North Wales.
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.
<h3>Background</h3> Recent health service policies in the UK have focused on improving primary care access order to reduce use of costly emergency department services, even though relationship between two is based weak or little evidence. Research required establish whether can influence attendance. <h3>Aim</h3> To ascertain a exists degree GP practices and avoidable attendances an inner-London trust (PCT). <h3>Design setting</h3> Observational, cross-sectional ecological study 68 general...
<h3>Background</h3> The annual number of unplanned attendances at accident and emergency (A&E) departments in England increased by 11% (2.2 million attendances) between 2008–2009 2012–2013. A national review urgent care has emphasised the role access to primary services preventing A&E attendances. <h3>Aim</h3> To estimate 2012–2013 that were preceded attending patient being unable obtain an appointment or a convenient their general practice. <h3>Design setting</h3> Cross-sectional...
Objectives The source of research may influence one's interpretation it in either negative or positive ways, however, there are no robust experiments to determine how impacts on judgment the article. We impact respondents’ assessment quality and relevance selected abstracts. Design Web-based survey design using four healthcare abstracts previously published included Cochrane Reviews. Setting All Council Education Public Health-accredited Schools Programmes Health USA. Participants 899 core...
In a 2015 global study of low-cost or frugal innovations, we identified five leading innovations that scaled successfully in their original contexts and may provide insights for scaling such the United States. We describe common themes among these diverse critical factors translation to States improve efficiency quality health care, lessons implementation other innovations. highlight promising trends support adapting including growing interest moving care out facilities into community home...