A5064409461- Healthcare Policy and Management
- Primary Care and Health Outcomes
- HIV/AIDS Research and Interventions
- Global Public Health Policies and Epidemiology
- Health Systems, Economic Evaluations, Quality of Life
- Adolescent Sexual and Reproductive Health
- Healthcare cost, quality, practices
- Vaccine Coverage and Hesitancy
- Child and Adolescent Psychosocial and Emotional Development
- Health and Conflict Studies
- Global Health Care Issues
- Healthcare Systems and Challenges
- Health Services Management and Policy
- Cardiac, Anesthesia and Surgical Outcomes
- Health disparities and outcomes
- Healthcare Decision-Making and Restraints
- Research in Social Sciences
- Colorectal Cancer Screening and Detection
- Nosocomial Infections in ICU
- Health Policy Implementation Science
- Health, psychology, and well-being
- Migration, Health and Trauma
- Antiplatelet Therapy and Cardiovascular Diseases
- Healthcare innovation and challenges
- Economic and Financial Impacts of Cancer
University of Edinburgh
1988-2024
Association of Schools of Public Health in the European Region
2022-2024
Glasgow Centre for Population Health
2022
Centre for Global Health Research
2022
NHS Lanarkshire
2021
NHS Lothian
2009-2020
Faculty of Public Health
2019
Western General Hospital
1988-2013
Edinburgh Royal Infirmary
2013
St John's Hospital
2013
Stable angina pectoris in women has often been considered a "soft" diagnosis, with less-severe prognostic implications than men, but large-scale population studies are lacking.To determine sex differences the incidence and prognosis of stable large ambulatory population.Prospective cohort study using linked national registers.All municipal primary health care centers, hospital outpatient clinics, occupational services, private sector Finland.Among patients aged 45 to 89 years who had no...
Journal Article Marital Status, Change in and Mortality Middle-aged British Men Get access Shah Ebrahim, Ebrahim Search for other works by this author on: Oxford Academic PubMed Google Scholar Goya Wannamethee, Wannamethee Alison McCallum, McCallum Mary Walker, Walker A. G. Shaper American of Epidemiology, Volume 142, Issue 8, 15 October 1995, Pages 834–842, https://doi.org/10.1093/oxfordjournals.aje.a117723 Published: 1995 history Received: 18 August 1994 Accepted: 21 February
Vaccine hesitancy (VH) is a state of indecision regarding vaccination, marked by doubts despite vaccine availability. 1 Its relationship with uptake has been widely debated, though the cause-effect remains unclear. Nevertheless, VH likely threatens control vaccine-preventable diseases, such as measles and hepatitis B, imposing unnecessary burdens on health systems.Inappropriate access to information, inadequate offers, administration have identified primary contributors reluctance...
Abstract To investigate sexual behaviour under the influence of alcohol and relationship between drinking habits unsafe sex we carried out a postal interview survey 2174 students in North East England. Drinking were classified as non, light, medium heavy, cross‐tabulated against other risk taking behaviour. Response rates 74% 77% obtained surveys respectively. In survey, heavier drinkers more likely to have such casual without condom, with someone know many partners. Respondents associated...
Aims: Many countries experience persistent or increasing socioeconomic disparities in specialist care. This study examines the distribution of elective surgery from 1992 to 2003 Finland. Methods: Administrative registers were used identify common procedures performed all public and private hospitals Finland 1992—2003. Patients' individual sociodemographic data came 1990—2003 census employment statistics databases. First coronary revascularisation, hip knee replacement, lumbar disc operation,...
In response to the outbreak of COVID-19, we set up a team carry out sampling in community. This enabled individuals remain self-isolation their own homes and prevent healthcare settings services from being overwhelmed by admissions for suspected cases. There is evidence that this cost effective, safe necessary service complement COVID-19 testing hospitals.
Abstract The appropriate criteria that should be used in setting priorities a publicly funded health care system remain open to debate. From economics perspective, quality‐adjusted life years (QALYs) are increasingly portrayed as measure of societal value and the criterion QALY maximisation is then advocated. This paper reports study investigated extent which some assumptions underlying approach, notably constant marginal for increases size programmes, level risk, benefit supported by...
Background Public involvement in health care decision making and priority setting the UK is being promoted by recent policy initiatives. In 1993, British Medical Association called for public consultation where rationing of services was to be undertaken. The approach advocated many economists maximization quality adjusted life years (QALYs). Typically, a particular programme, QALY calculation takes account four features: (1) number patients receiving (2) survival gain, (3) gain and, (4)...
Finland decentralised its universal healthcare system and introduced market reforms in the 1990s. Despite a commitment to equity, previous studies have identified persistent socio-economic inequities healthcare, with patterns of service use that are more pro-rich than most other European countries. To examine whether similar patterning existed for mortality amenable intervention primary or specialist care, we investigated trends by income group from 1992-2003.We analysed all cause, total...
Both the late complications of diabetes and means used to prevent them have a significant impact on lives people with condition. Measuring quality life is therefore important in assessing clinical need evaluating success management. Three approaches measuring health status were compared 284 randomly selected out‐patients attending hospital service. The measures Nottingham Health Profile (NHP), four categories an anglicized version Sickness Impact (the Functional Limitations (FLP)), scale...
Abstract Objective We examined the length and continuity of antidepressant treatment factors associated with long‐term among adults. Methods Nationwide data from all reimbursed prescriptions in 1994–2003 were linked patients' retrieved Statistics Finland Finnish Hospital Discharge Register. Logistic regression models used to analyse long term use antidepressants. Results The annual prevalence increased 3.6% 1994 7.3% 2003. Short‐term (<3 months) decreased 58% 1995 51% 2000 (≥12 18 21%. In...
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Abstract The mental health service needs of all North London patients in medium (N = 97) and maximum security 79) were assessed. Patients key nurses interviewed using validated measures and, for security, the respective responsible medical officers (RMOs) also completed a standard enquiry form. Multi-disciplinary panels from catchment areas then rated immediate future treatment. Unlike previous studies, we found only 25% ready an move to lower greater disparity between those thought...
The barium enemas of 119 patients with colorectal cancer and age-matched controls were examined for evidence diverticula. Amongst men, 39.6% had diverticulosis, compared 50% in the control group. In women, 39.3% diverticular disease, 36% controls. There appears to be no significant aetiologic association between two conditions, since they do not occur together more frequently than controls, although each is reputedly result fibre lack.
Comparisons of outcomes health care in different systems can be used to inform policy. The EuroHOPE (European Healthcare Outcomes, Performance and Efficiency) project investigated the feasibility comparing routine data on selected conditions including breast cancer across participating European countries.Routine incidence, treatment mortality by age clinical characteristics for women over 24 years were obtained (for a calendar year) from linked hospital discharge records, death registers...
Abstract To assess perceptions of risk AIDS/HIV infection from donation to, and receipt of, blood the British Blood Transfusion Service, we undertook self completion surveys (n = 1874, response rate 74%) an interview survey 300, 77%) students in three higher/further education establishments North East England. In postal 20.9% perceived a acquiring HIV/AIDS after donation, 4.8% to be moderate or high. Explanations for were usually inaccurate. Most people (62.3%) that transfusion had HIV...
Objective: The largest outbreak of Legionnaires Disease (LD) in the UK for a decade occurred Edinburgh June 2012. We describe clinical and public health management outbreak. Setting: Three acute hospitals covering an urban area ∼480 000. Methods: Data were collected on confirmed suspected cases minutes Incident Management Team meetings reviewed to identify key actions. Results: Over 1600 urine samples over 600 sputum tested during 61 patients with pneumonia positive Legionella pneumophila...
We compare a probability sample postal questionnaire survey and quota controlled interview survey, review the literature on these subjects. In contrast to other studies, where samples were not representative because of biased selection respondents by interviewers, our was representative. Response rates similar in surveys (74 77%, respectively), although many previous had poor response rates. As comparison costs higher substantive responses quality closed-ended questions similar, open-ended...
Time since marketing (days) Fig 1 -Cumulative number of reports suspected adversedrug reactions associated with use paroxetine received from patients and health care professionals (t = 0).lands Pharmacovigilance Foundation 89 were related to paroxetine.The mean time lag for all was 229 days less the telephone service than (95% confidence interval 160 298; Stu- dent's t test; fig 1).The proportion new (those not mentioned in patient information leaflet) similar both systems (21 % v 18%).The...
Abstract Most students in institutions of further and higher education the northeast England who responded to a 1989 survey dealing with sexual behavior safer sex were heterosexual had been sexually active or intended have intercourse. Many students, however, believed that implied having no at all unaware role nonpenetrative preventing human immunodeficiency virus (HIV) infection. They did not use condoms, spite positive attitudes about condom use, they engaged one more activities increased...