A5007330956- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Interprofessional Education and Collaboration
- Suicide and Self-Harm Studies
- Economic and Financial Impacts of Cancer
- Pharmaceutical Economics and Policy
- Nursing Diagnosis and Documentation
- Geriatric Care and Nursing Homes
- Diabetes Management and Education
- Global Health Care Issues
- Frailty in Older Adults
- Cardiac Imaging and Diagnostics
- Adolescent and Pediatric Healthcare
- Health Policy Implementation Science
- Economic and Environmental Valuation
- Clinical practice guidelines implementation
- Mental Health Treatment and Access
- Delphi Technique in Research
- Schizophrenia research and treatment
- Healthcare cost, quality, practices
- Ultrasound in Clinical Applications
- Posttraumatic Stress Disorder Research
University of Oxford
2016-2025
NHS England
2024
University of Nottingham
2024
Nuffield Health
2018-2024
Institute of Mental Health
2024
Pennine Care NHS Foundation Trust
2024
National Institute for Health Research
2022-2023
Inter-American Development Bank
2023
Erasmus University Rotterdam
2013-2022
Syreon Research Institute (Hungary)
2022
The rise of multi-morbidity constitutes a serious challenge in health and social care organisation that requires shift from disease- towards person-centred integrated care. aim the current study was to develop conceptual framework can aid development, implementation, description, evaluation programmes for multi-morbidity.A scoping review expert discussions were used identify structure concepts multi-morbidity. A search scientific grey literature conducted.meetings organised within SELFIE...
<b>Objective</b> To investigate the long term effectiveness of integrated disease management delivered in primary care on quality life patients with chronic obstructive pulmonary (COPD) compared usual care. <b>Design</b> 24 month, multicentre, pragmatic cluster randomised controlled trial <b>Setting</b> 40 general practices western part Netherlands <b>Participants</b> Patients COPD according to GOLD (Global Initiative for COPD) criteria. Exclusion criteria were terminal illness, cognitive...
Self-harm is an extremely common reason for hospital presentation. However, few estimates have been made of the costs assessing and treating self-harm. Such information essential planning services to help strengthen case investment in actions reduce frequency effects In this study, we aimed calculate medical care associated with a self-harm episode psychosocial assessment, together identification key drivers these costs.In retrospective analysis, estimated resource use all presentations John...
Many patients are currently unable to access psychological treatments for post-traumatic stress disorder (PTSD), and it is unclear which types of therapist-assisted internet-based work best. We aimed investigate whether a novel internet-delivered cognitive therapy PTSD (iCT-PTSD), implements all procedures first-line, trauma-focused intervention recommended by the UK National Institute Health Care Excellence (NICE) PTSD, superior management (iStress-PTSD), comprehensive behavioural treatment...
The personalised oncology paradigm remains challenging to deliver despite technological advances in genomics-based identification of actionable variants combined with the increasing focus drug development on these specific targets. To ensure we continue build concerted momentum improve outcomes across all cancer types, financial, and operational barriers need be addressed. For example, complete integration certification 'molecular tumour board' into 'standard care' ensures a unified clinical...
BackgroundCalls for increased funding mental health services require many lines of evidence in support, including estimates economic impact. One understudied source cost is violence perpetrated by individuals with severe illness. Estimating this impact can inform budget planning across several government sectors and emphasise the importance prevention. Therefore, we aimed to provide a comprehensive estimate costs people illness.MethodsFor retrospective analysis, used prevalence-based...
hospital level healthcare in the home guided by comprehensive geriatric assessment (CGA) might provide a less costly alternative to hospitalisation for older people.to determine cost-effectiveness of CGA admission avoidance at (HAH) compared with admission.a study alongside randomised trial an HAH setting, hospital.older people considered nine locations across UK were using 2:1 randomisation schedule (N = 700), or when available 355).quality adjusted life years, resource use and costs...
Objectives To demonstrate the costs, outcomes and economic impact of early intervention in psychosis (EIP) services. Design Longitudinal retrospective observational study service usage outcome data from mental health acute care services for all those with a diagnosis contact over 3-year period (April 2010–March 2013). Setting Thames Valley South Midlands region England (region covered by Oxford Academic Health Science Network). Participants 3674 people psychosis, aged 16–35 years....
Health economists are increasingly interested in integrated care order to support decision-makers find cost-effective solutions able tackle the threat that chronic diseases pose on population health and social budgets. However, economic evaluation is still its early years, facing several difficulties. The aim of this paper describe unique nature as a topic for evaluation, explore obstacles perform discuss methods techniques can be used address them, set basis develop research agenda...
The aim of this study was to estimate incidence self-harm presentations hospitals and their associated hospital costs across England.We used individual patient data from the Multicentre Study Self-harm in England all emergency departments five general Oxford, Manchester Derby 2013. We also obtained cost for each presentation Oxford Derby, as well population geographical estimates Office National Statistics. First, we estimated rate by age gender multiplied with respective populations number...
Objective: To evaluate the effectiveness and cost-effectiveness of a community pharmacist-led intervention in asthma COPD patients Design: A parallel, two-arm, randomized controlled trial Setting: 100 pharmacies Sicily, Italy. Participants: In total, 836 adult with or who take prescription medications to manage their chronic respiratory conditions were assessed for eligibility, recruited, randomized. Participants recruited by pharmacist, primary care physician, specialist physician allocated...
In the Netherlands extent to which chronically ill patients receive care congruent with Chronic Care Model is unknown. The main objectives of this study were (1) validate Assessment Illness (ACIC) in various Disease Management Programmes (DMPs) and (2) shorten 34-item ACIC while maintaining adequate validity, reliability, sensitivity change. Dutch version was tested 22 DMPs 218 professionals. We instrument by means structural equation modelling, examined its reliability After eliminating 13...