A5030579447- Pharmaceutical Practices and Patient Outcomes
- Maternal and fetal healthcare
- Reproductive Health and Contraception
- Maternal and Perinatal Health Interventions
- Heart Failure Treatment and Management
- Emergency and Acute Care Studies
- Health Systems, Economic Evaluations, Quality of Life
- Maternal Mental Health During Pregnancy and Postpartum
- Migration, Health and Trauma
- Cardiac, Anesthesia and Surgical Outcomes
- Geriatric Care and Nursing Homes
- Schizophrenia research and treatment
- Chronic Disease Management Strategies
- Homelessness and Social Issues
- Down syndrome and intellectual disability research
Towson University
2024
Keele University
2021-2023
Cheshire West and Chester
2021
Wirral Community Health and Care NHS Foundations Trust
2021
Abstract Background and Objectives The coronavirus disease 2019 pandemic negatively affected nursing home administrators (NHAs). This study explores licensed employed NHA’s perceptions about what work stress events would drive their turnover intentions (TI) in year 3 of the pandemic. Research Design Methods As part a larger survey-based research project collecting numerical textual data, this conducted content analysis with qualitative data. Narrative data from 3,859 discrete responses 1,139...
Abstract Objectives Since 2013 community pharmacies in Wales have been commissioned to provide a common ailments service (CAS), providing pharmacy medicine without charge patients. In the first review of national data, this study aimed describe relationship between provision CAS and deprivation. Methods A retrospective observational study, using claims data from April 2022 March 2023 collected as part routine delivery. Consultation were matched index multiple deprivation (IMD) decile...
Abstract Introduction Emergency Hormonal Contraception (EHC) is contracted by Local Authorities to be provided free-of-charge from 46% of community pharmacies in England. (1) There no difference EHC consultation outcomes between pharmacy and GP surgeries. A study a rural area demonstrated that introduction service can reduce prescribing rates approximately 41%, without influencing Family Planning Clinics or Accident departments. (2) However, it not known whether this relationship universally...
In 2014/2015, 46% of community pharmacies were commissioned by local authorities to provide emergency hormonal contraception (EHC) free without prescription in England. Commissioning EHC services influences prescribing from General Practice (GP)-greater pharmacy provision reduces GP prescribing. This study aimed examine predictors and activity, describing them using path analysis. From this, commissioners policy-makers may understand ways influence this.Cross-sectional routinely recorded...
Abstract Objectives This retrospective analysis aims to determine the accuracy of medication histories undertaken during a Comprehensive Geriatric Assessment (CGA) (at point admission) in an inpatient setting within acute hospital. The CGA can be completed by range healthcare professionals, which will directly compared. Medication reviews are integral part CGA, therefore history is review. Methods A patient electronic records between October 2018 and February 2020 was conducted. recorded as...
Abstract Objectives In 2021, community pharmacies in England were commissioned to support patients post-discharge through the discharge medicines service (DMS). Past studies described benefit of DMS avoiding readmissions. This study aimed estimate impact this respect, projecting maximal if all areas mirrored most active region. Methods A retrospective observational study, including modelling, using claims data from March 2021 February 2022, obtained NHS Business Services Authority (data for...
In England, non-dispensing pharmacy services are commissioned either nationally or locally. For the national service Medicines Use Reviews (MURs), large multiple/chain pharmacies provide more consultations than independents. This study aimed to examine relationship between community organisation type and a local service, Emergency Hormonal Contraception (EHC). It also explore influence of deprivation.Freedom information requests was sent all 147 authorities in England. Data included number...
Abstract Introduction People with Intellectual Disabilities (ID) often have complex care needs and increased likelihood of premature death.1 The NHS has committed to improving the use psychotropic medicines in people ID Stopping Over-Medication Learning (STOMP) programme.2 In Wirral a cross-sector, collaborative service initiative involving community pharmacists specialist mental health pharmacist was developed provide pharmaceutical reviews for home residents, which included an evaluation...