A5058001175- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Evaluation and Performance Assessment
- Interprofessional Education and Collaboration
- Healthcare Policy and Management
- Chronic Disease Management Strategies
- Healthcare innovation and challenges
- Healthcare Quality and Management
- Health and Medical Research Impacts
- Public Policy and Administration Research
- Global Health Care Issues
- Clinical practice guidelines implementation
- Health Policy Implementation Science
- Global Public Health Policies and Epidemiology
- Pharmacogenetics and Drug Metabolism
- Public Health Policies and Education
- Palliative Care and End-of-Life Issues
- Pharmaceutical studies and practices
- Community Development and Social Impact
- Family and Patient Care in Intensive Care Units
- Healthcare cost, quality, practices
- demographic modeling and climate adaptation
- Migration, Health and Trauma
- Regulation and Compliance Studies
- Delphi Technique in Research
University of Hong Kong
2025
Chinese University of Hong Kong
2025
RAND Europe
2012-2024
Cambridgeshire and Peterborough NHS Foundation Trust
2017
RAND Corporation
2008-2016
Theatre Library Association
2016
University College London
2016
University of Cambridge
2016
University of Manchester
2016
Clinical Practice Research Datalink
2016
In the UK, joined–up government (JUG) was a central part of first Blair government’s programme for public sector reform. It remains pivotal, if more muted, feature second term. We will identify range disparate activities that have been branded as ‘joined up’. then look at variety official guidance coming from centre to highlight overlapping and competing strategies underpinned implementation government. Various advocated implemented any one time. Therefore situation fluid contested than...
Background. In 2008, the English Department of Health appointed 16 'Integrated Care Pilots' which used a range approaches to provide better integrated care. We report qualitative analyses from three year multi-method evaluation identify barriers and facilitators successful integration Theory methods. Data were analysed transcripts 213 in-depth staff interviews, semi-structured questionnaires (the 'Living Document') completed by in pilot sites at six points over two-year period. Emerging...
This article discusses an approach to managing the evaluation of complex interventions. Complex interventions pose significant challenges role and conduct evaluations. In particular, they combine with reflexive learning change produce uncertainties making it hard describe in advance what intervention will do or outcomes might be. These vary nature addressing these leads different approaches. That such evaluations often take place ‘real time’ have a strong formative dimension adds challenge....
For more than a decade the English NHS has pursued integrated care through three national pilot programmes. The independent evaluators of these programmes here identify several common themes that inform development care.The shared aim better coordination between hospital and community-based health services social care. Each programme recruited local sites designed specific interventions to support inter-professional inter-organisational collaboration.The pilots were highly heterogenous...
Introduction: In 2009, the English Department of Health appointed 16 integrated care pilots which aimed to provide better care. We report quantitative results from a multi-method evaluation six demonstration projects used risk profiling tools identify older people at emergency hospital admission, combined with intensive case management for identified as risk. The interventions focused mainly on delivery system redesign and improved clinical information systems, two key elements Wagner's...
Body-worn cameras (BWCs) were introduced for ambulance crews in England 2021 response to rising rates of abuse targeted towards by members the public. As part an evaluation effectiveness BWCs as a tool reducing occupational violence, we produced non-systematic literature review examine real-world outcomes and cost-effectiveness variety settings countries. Our identified minimal on topic pertaining sector. While there is considerable evidence relating violence prevention more generally, much...
Background: Stroke is a leading cause of long-term disability worldwide. Timely and adequate rehabilitation crucial for post-stroke recovery, but access limited due to an overburdened healthcare system, medical personnel shortages, insurance barriers. Rehabilitation especially stroke survivors in rural low-income regions. Innovative solutions like telerehabilitation are needed expand access. This study examines current practices, costs, global models, as well barriers utilization. Methods:...
<ns4:p>Background There is considerable interest in technology-enabled remote monitoring the UK. The aim to respond system pressures and improve access, experience quality of care. an urgent need for process, outcome impact evaluations interventions at various stages development implementation address evidence gaps around adoption, spread, sustainability inequalities. Aim DECIDE (Digitally Enabled Care Diverse Environments) a centre rapid evaluation funded by National Institute Health...
A strong focus on individual choice and behaviour informs interventions designed to reduce health inequalities in the UK. We review evidence for wider mechanisms from a range of disciplines, demonstrate that they are not yet impacting programmes, argue their systematic inclusion policy research. identified potential relevant amelioration different disciplines analysed six documents published between 1976 2010 using Bacchi's 'What's problem represented be?' framework analysis. found...
Background The notion of a community hospital in England is evolving from the traditional model local staffed by general practitioners and nurses serving mainly rural populations. Along with diversification models, there renewed policy interest hospitals their potential to deliver integrated care. However, need better understand role different models within wider health economy an opportunity learn experiences other countries inform this potential. Objectives This study sought (1) define...
Despite previous research, the field of counter-violent-extremism has not benefited significantly from evaluation. By comparison, and despite a number challenges, evidence-based healthcare movement an established track record using evaluation to develop practice. We seek lessons about what it might take capacity in emerging counter-violent-extremism. Based on this, we offer framework for measurement counter-violent-extremism: ‘Violent Extremism Evaluation Measurement Framework’. map out...
Abstract Healthcare systems with limited resources face rising demand pressures. decision-makers increasingly recognise the potential of innovation to help respond this challenge and support high-quality care. However, comprehensive actionable evidence on how realise is lacking. We adopt sociotechnical theoretical perspectives examine conditions that can sustain innovating healthcare systems. use primary data focussing England (with 670 contributions over time) triangulate findings against...
The ability to sequence and understand different variants of the SARS-CoV-2 virus their impact is crucial inform policy public health decisions. Soon after UK went into its first lockdown in March 2020, CCOVID-19 Genomics (COG-UK) Consortium was launched. COG-UK a collaboration experts pathogen genomics including academic institutions, agencies, Wellcome Sanger Institute, NHS Trusts Lighthouse Labs. RAND Europe evaluated how delivered against objectives, for example it contributed advancing...
Background: In response to concerns that the needs of aging population for well-integrated care were increasing, English National Health Service (NHS) appointed 16 Integrated Care Pilots following a national competition. The pilots have range aims including development new organisational structures support integration, changes in staff roles, reducing unscheduled emergency hospital admissions, reduced length stay, increasing patient satisfaction, and cost. This paper describes evaluation...
The National Institute for Health Research (NIHR) was established in 2006 with the aim of creating an applied health research system embedded within English Service (NHS). NIHR sought to implement approach monitoring its performance that effectively linked early indicators longer-term impacts. We attempted develop and apply a conceptual framework defining appropriate key NIHR.Following review relevant literature, developed, based on hybridisation logic model balanced scorecard approaches....
Assessing the transferability of lessons from social research or evaluation continues to raise challenges. Efforts identify transferable can be based on two different forms argumentation. The first draws upon statistics and causal inferences. second involves constructing a reasoned case weighing up data collected along chain designing delivery. Both approaches benefit existing evidence ensuring that descriptions programme, context, intended beneficiaries are sufficiently rich. Identifying...