A5057551586- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Health disparities and outcomes
- Healthcare Policy and Management
- Colorectal Cancer Screening and Detection
- Global Cancer Incidence and Screening
- Global Health Care Issues
- Healthcare professionals’ stress and burnout
- Chronic Disease Management Strategies
- Delphi Technique in Research
- Clinical practice guidelines implementation
- Interprofessional Education and Collaboration
- Employment and Welfare Studies
- COVID-19 and Mental Health
- Health Promotion and Cardiovascular Prevention
- Patient-Provider Communication in Healthcare
- Emergency and Acute Care Studies
- Childhood Cancer Survivors' Quality of Life
- Evaluation and Performance Assessment
- Palliative Care and End-of-Life Issues
- Healthcare Systems and Challenges
- COVID-19 and healthcare impacts
- Healthcare Systems and Technology
- Health, psychology, and well-being
- Climate Change and Health Impacts
University College London
2016-2025
Geological Survey of Ireland
2024
Groote Schuur Hospital
1983-2023
University of Cape Town
1983-2023
London School of Hygiene & Tropical Medicine
1999-2021
University of London
2001-2021
DeepMind (United Kingdom)
2018
National Institute for Health Research
2016
UCL Australia
2007-2014
University of Liverpool
2011-2013
Background An organized, population-based, colorectal cancer screening programme was initiated in England 2006 offering biennial faecal occult blood testing (FOBT) to adults aged 60–69 years. Organized programmes with no associated financial costs the individual should minimize barriers access for lower socio-economic status (SES) groups. However, SES differences uptake were observed pilot centres of UK programme, so aim this analysis identify extent inequalities by SES, ethnic diversity,...
Approximately one-third of a million women die each year from pregnancy-related conditions. Three-quarters these deaths are considered avoidable. Millennium Development Goal five calls for reduction in maternal mortality and the establishment universal access to high quality reproductive health care. There is evidence relationship between lower levels education higher mortality. This study examines among giving birth care institutions investigates association age, marital status, parity,...
Abstract Introduction There is growing evidence of poor mental health and quality life among survivors intensive care. However, it not yet clear to what extent the trauma life-threatening illness, associated drugs treatments, or patients' psychological reactions during care contribute psychosocial outcomes. Our aim was investigate relative contributions a broader set risk factors outcomes than had previously been considered in single study. Methods A prospective cohort study 157...
Abstract This paper reviews what is known about socio‐economic inequalities in health care England, with particular attention to relative need that may be considered unfair (‘inequities’). We call of 5 per cent or less between the most and least deprived quintile groups ‘slight’, 5–15 ‘moderate’ more than 15 ‘substantial’. Overall public expenditure substantially concentrated on poorer people. At any given age, people are likely see their family doctor, have a outpatient appointment, visit...
Headline Evaluating service innovations in health care and public requires flexibility, collaboration pragmatism; this collection identifies robust, innovative mixed methods to inform such evaluations.
Objectives This study reports preliminary findings on the prevalence of, and factors associated with, mental health well-being outcomes of healthcare workers during early months (April–June) COVID-19 pandemic in UK. Methods Preliminary cross-sectional data were analysed from a cohort (n=4378). Clinical non-clinical staff three London-based NHS Trusts, including acute took part an online baseline survey. The primary outcome measure used is presence probable common disorders (CMDs), measured...
BackgroundMost projections of climate change suggest an increased frequency heatwaves in England over coming decades; older people are at particular risk. This could result substantial mortality and morbidity.
A modeling study conducted by Madhavi Bajekal and colleagues estimates the extent to which specific risk factors changes in uptake of treatment contributed declines coronary heart disease mortality England between 2000 2007, across within socioeconomic groups.
Objective Since 2010, England has experienced relative constraints in public expenditure on healthcare (PEH) and social care (PES). We sought to determine whether these have affected mortality rates. Methods collected data health resources finances for from 2001 2014. Time trend analyses were conducted compare the actual rates 2011–2014 with counterfactual expected based trends before spending constraints. Fixed-effects regression using annual PES PEH as outcome, further adjustments...
Uptake in the national colorectal cancer screening programme England varies by socioeconomic status. We assessed four interventions aimed at reducing this gradient, with intention of improving health benefits screening.
Screening for bowel cancer using the guaiac faecal occult blood test offered by NHS Bowel Cancer Programme (BCSP) is taken up 54% of eligible population. Uptake ranges from 35% in most to 61% least deprived areas. This study explores reasons non-uptake screening, and examines subsequent uptake among participants who had initially not part screening. Focus groups with a socio-economically diverse sample were used explore participants' experience invitation Participants described sampling...
Background Provision of universal coverage is essential for achieving equity in healthcare, but inequalities still exist healthcare systems. Between 2004/2005 and 2011/2012, the National Health Service (NHS) England, which has provided since 1948, made sustained efforts to reduce health by strengthening primary care. We provide first comprehensive assessment trends socioeconomic care access, quality outcomes during this period. Methods Whole-population small area longitudinal study based on...
Our aims were to determine the pace of change in cardiovascular risk factors by age, gender and socioeconomic groups from 1994 2008, quantify magnitude, direction absolute relative inequalities. Time trend analysis was used measure inequalities age (16-54, ≥ 55 years), using repeated cross-sectional data Health Survey for England 1994-2008. Seven examined: smoking, obesity, diabetes, high blood pressure, raised cholesterol, consumption five or more daily portions fruit vegetables, physical...
Objectives: We compared incidence of dementia diagnosis by white, black, and Asian ethnic groups estimated the proportion UK white black people developing in 2015 who had a for first time UK-wide study. Methods: analyzed primary care electronic health records from The Health Improvement Network database between 2007 to community cohort studies. study sample comprised 2,511,681 individuals aged 50–105 years did not have prior start follow-up. Results: A total 66,083 (4.87/1,000 person-years...
Background: Moral injury is defined as the strong emotional and cognitive reactions following events which clash with someone's moral code, values or expectations. During COVID-19 pandemic, increased exposure to Potentially Morally Injurious Events (PMIEs) has placed healthcare workers (HCWs) at risk of injury. Yet little known about lived experience cumulative PMIE how NHS staff respond this.Objective: We sought rectify this knowledge gap by qualitatively exploring experiences perspectives...
Potentially morally injurious events (PMIEs) can negatively impact mental health. The COVID-19 pandemic may have placed healthcare staff at risk of moral injury.To examine the PMIE on wellbeing.Twelve thousand nine hundred and sixty-five (clinical non-clinical) were recruited from 18 NHS-England trusts into a survey exposure wellbeing.PMIEs significantly associated with adverse health symptoms across staff. Specific work factors experiences injury, including being redeployed, lack PPE,...