A5081866012- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Chronic Disease Management Strategies
- Healthcare Quality and Management
- Health Systems, Economic Evaluations, Quality of Life
- Empathy and Medical Education
- Innovations in Medical Education
- Mental Health and Psychiatry
- Interprofessional Education and Collaboration
- Clinical practice guidelines implementation
- Complex Systems and Decision Making
- Patient Satisfaction in Healthcare
- Clinical Reasoning and Diagnostic Skills
- Healthcare cost, quality, practices
- Geriatric Care and Nursing Homes
- Physical Activity and Health
- Patient-Provider Communication in Healthcare
- Pain Management and Placebo Effect
- Sarcoma Diagnosis and Treatment
- Cardiac tumors and thrombi
- Genetic factors in colorectal cancer
- Lipoproteins and Cardiovascular Health
- Ethics in medical practice
- Health Sciences Research and Education
- Palliative Care and End-of-Life Issues
Caris Life Sciences (United States)
2024-2025
University of Edinburgh
2023-2025
Edinburgh College
2024-2025
Allen Institute
2023
NHS Education for Scotland
2020
Royal Bolton Hospital
2017
Bolton NHS Foundation Trust
2017
Purdue University Northwest
2016
University of Manchester
2011
University of Exeter
1995-2010
<h3>Abstract</h3> <b>Objectives:</b> To explore the reasons why general practitioners do not always implement best evidence. <b>Design:</b> Qualitative study using Balint-style groups. <b>Setting:</b> Primary care. <b>Participants:</b> 19 practitioners. <b>Main outcome measures:</b> Identifiable themes that indicate barriers to implementation. <b>Results:</b> Six main were identified affected implementation process: personal and professional experiences of practitioners; patient-doctor...
Background: The 2018 Scottish GP contract established Clusters and multidisciplinary team (MDT) expansion. Qualitative studies have suggested sub-optimal progress. Aim: To quantify progress since the introduction of new contract. Design Setting: Cross-sectional postal survey all qualified GPs in Scotland 2023 Methods: Comparison working lives, career intentions views on with a similar conducted 2018. Results: 1378/4529 (30%) responded to compared 2465/4371 (56%) Job satisfaction negative job...
As a principle of healthcare planning, continuity care is losing ground. It increasingly being superseded by other principles—notably, accessibility and plurality provision. Baker1 has identified the pressures Hjortdahl2 writes ‘going out style’. National Health Service (NHS) walk-in centres provide open-access primary on sites separate from general practices staffed different people. For first time, it possible that will be phased NHS planning. If this happens, what consequences for...
<b>Dee Mangin, Kieran Sweeney, </b>and<b> Iona Heath</b> argue that, rather than prolonging life, preventive treatments in elderly people simply change the cause of death—the manner our dying
Background The new Scottish GP contract introduced in April 2018 aims to improve quality of care through expansion the multidisciplinary team (MDT) enable GPs spend more time as expert medical generalists with patients complex needs. Aim To explore patients’ views on changes general practice Scotland since inception contract. Design and setting Qualitative study 30 (10 living urban deprived areas, 10 affluent/mixed remote rural areas). Method In-depth semi-structured interviews thematic...
Dermatofibrosarcoma protuberans (DFSP) is a locally aggressive cutaneous neoplasm driven by PDGFB or, rarely, PDGFD gene fusions. In some cases, DFSP progresses to fibrosarcomatous form with metastatic potential, which may respond tyrosine kinase inhibitors. This study explores whether comprehensive genomic profiling can reveal broader clinical, anatomic, and pathologic spectrum for DFSP. Using the database of large tumor sequencing reference lab, we identified tumors or fusions reviewed...
Abstract Background: Claudin 18.2 (CLDN18.2) overexpression has recently emerged as a therapeutic target in advanced gastro-esophageal cancer (GEC). CLDN18::ARHGAP fusions are pathognomonic for GEC, but their biologic relevance this malignancy is poorly understood. We analyzed the correlation of with other molecular parameters, tumor microenvironment (TME) patient characteristics, and outcomes data large clinico-genomic database. Methods: DNA RNA (whole transcriptome) sequencing was...
Background Empathy is fundamental to patient-centred care. It has been shown improve patient satisfaction and therapeutic outcomes. The success of educational interventions in enhancing students' empathy mixed, however, a consensus on the most effective approach lacking. Methods Patients were videoed discussing their hospital experiences interactions with clinicians. These videos groups medical students, who then took part facilitated discussion around themes health care communication...
Changes in the organization of primary care UK are driven by a need to improve access and availability, but doctor-patient relationships may suffer. To investigate importance such different setting, we analysed focus-group data obtained facility USA (Rochester, NY). The findings pointed three key factors these relationships-namely, an asymmetry perceptions on two sides, belying notion meeting experts; both sides 'liking'; value set parties development trust. last probably related continuity...
STUDY OBJECTIVE: To investigate the relationship between physical activity, fitness, blood pressure, and fibrinogen. DESIGN: This was a cross sectional population study using two stage probability sample. SETTING: Northern Ireland. PARTICIPANTS: A sample of 1600 subjects aged 16-74 years from MAIN OUTCOME MEASURES: Physical activity profile computer assisted interview Allied Dunbar national fitness survey scales. estimation VO2 max by extrapolation submaximal oxygen uptake while walking on...
There is increasing regulation and concern about the use of material from patients' records. Studies on views have focused primary care for research. This study investigated preferences whether how doctors should seek permission specified items anonymised information their hospital records clinical audit, teaching, national data collection research.A specially designed questionnaire sent to recently discharged patients under medical surgical specialists.166/316 (53%) completed...
Professor Kieran Sweeney was diagnosed with malignant mesothelioma at age 57. He describes here his thoughts on interactions the health professionals who care for him
Background Expanding primary care multidisciplinary teams (MDTs) was a key component of the 2018 Scottish GP contract, with more than 4700 MDT staff appointed since then. Aim To explore patients’ views on expansion in Scotland. Design & setting A mixed-methods evaluation, which included postal survey and semi-structured telephone interviews patients Method undertaken who had recently consulted deprived urban, affluent remote rural areas, assessing awareness five roles attitudes towards...
The new Scottish GP contract commenced in April 2018 with a stated aim of mitigating health inequalities.
Everyday talk is characterised by implicit information that the listener required to infer. We introduce a method of analysis based on theories from semiotics and classical rhetoric enables researcher reveal unspoken beliefs underlie such talk.This paper aims provide detailed description process unveiling hidden elements logical inference within narrative. wish enable other medical education researchers utilise this in their own field interest.We begin giving an overview concepts enthymeme...
<h3>ABSTRACT</h3> Scotland has an ageing population and the widest health inequalities in Western Europe. Multiple conditions develop ∼10–15 years earlier deprived areas than affluent areas. General practice is central to effective safe management of such complex multiple conditions, but inverse care law permeated communities ('Deep End' general practices) for past 50 years. A new, radical, Scottish GP contract was introduced April 2018, which a vision improve quality through cluster working...