A5037287639- Primary Care and Health Outcomes
- Healthcare Quality and Management
- Healthcare innovation and challenges
- Clinical practice guidelines implementation
- Healthcare Policy and Management
- Acute Ischemic Stroke Management
- Health Policy Implementation Science
- Patient Satisfaction in Healthcare
- Mental Health and Patient Involvement
- Healthcare Systems and Challenges
- Healthcare Systems and Practices
- Interprofessional Education and Collaboration
- Health Systems, Economic Evaluations, Quality of Life
- Medical Malpractice and Liability Issues
- Organizational Change and Leadership
- Management and Organizational Studies
- Health Services Management and Policy
- Health Sciences Research and Education
- Healthcare Systems and Reforms
- Global Public Health Policies and Epidemiology
- Indigenous Health, Education, and Rights
- Irish and British Studies
- Health Promotion and Cardiovascular Prevention
- Public Health and Social Inequalities
- Misinformation and Its Impacts
King's College London
2014-2024
King's College School
2016-2024
University College London
2017
School of Business and Management
2017
University of Florence
2015
Carlo Forlanini Hospital
2015
National Research Council
2015
St George's, University of London
2015
Kingston University
2015
Guy's and St Thomas' NHS Foundation Trust
2015
The gap between research findings and clinical practice is well documented a range of interventions has been developed to increase the implementation into practice. A review systematic reviews effectiveness designed use in search for relevant was conducted Medline Cochrane Database Reviews 1998-2009. 13 containing 313 primary studies were included. Four strategy types are identified: audit feedback; computerised decision support; opinion leaders; multifaceted interventions. Nine reported on...
This article illustrates how distributed change agency can implement complex organizational changes in the absence of formal management plans, roles, and structures. Distributed typically involves small teams senior groups. In this qualitative study service improvements treatment prostate cancer at an acute hospital, Grange, roles were more widely, with responsibilities `migrating' among a large informal cast supporting four central characters. distribution appears to have been triggered by...
Health service reconfigurations are of international interest but remain poorly understood. This article focuses on the use evidence by senior managerial decision-makers involved in reconfiguration stroke services London 2008-2012. Recent work comparing and Manchester emphasises ability to 'hold line' crucial early phases programme. In this article, we explore detail how these 'held ask what broader power implications doing so for interaction between evidence, health policy system...
Although previous research suggests that different kinds of patient feedback are used in ways to help improve the quality hospital care, there have been no studies which boards directors use for this purpose.To examine whether and how hospitals from patients formulate strategy assure care.We undertook an in-depth qualitative study two acute National Health Service foundation trusts England, purposively selected as contrasting examples collection feedback. We collected analysed data...
To test whether the model of 'diffusion innovations' enriches understanding implementation evidence-based thrombolysis services for stroke patients.Four case studies evidence on in England and Sweden. Semistructured interviews with 95 staff including doctors, nurses managers working units, emergency medicine, radiology, ambulance service, community rehabilitation commissioners.The acute management benefited from a critical mass factors featured including: support national local opinion...
English The Aboriginal and Torres Strait Islander Commission (ATSIC) was established in 1990 as part of the Australian government's attempts to address extensive disadvantages faced by Indigenous Australians. ATSIC described a “path-breaking experiment” indigenous affairs, combining administrative representative functions one statutory body. By 2004, however, all but dead. This article describes short life history examines major conflicts, tensions criticisms that have led its demise.
The health of Aboriginal people is significantly worse than that the rest Australian population. community-controlled organizations live with uncertainty in terms funding, and amount money spent on indigenous through mainstream services less non-indigenous population, especially when different needs these two groups are taken into account. population small widely dispersed, causing problems for policy funding. This article provides an analysis network Victoria, a specific focus health,...
Background. Data on potential variations in delivery of appropriate stroke care over time are scarce. We investigated temporal changes the quality acute hospital across five national audits Europe a period six years. Methods. were derived from Germany, Poland, Scotland, Sweden, and England/Wales/Northern Ireland participating within European Implementation Score (EIS) collaboration. Temporal predefined indicators with comparable information between investigated. Multivariable logistic...
Differences in stroke care and outcomes reported Europe may reflect different degrees of implementation evidence-based interventions. We evaluated strategies for implementing research evidence into 10 European countries.A questionnaire was developed administered through face-to-face interviews with key informants. Implementation were investigated considering 3 levels (macro, meso, micro, eg, policy, organization, patients/professionals) identified by the framing analysis, settings (primary,...
We here argue that study of governance systems within increasingly pluralist health care needs to be broadened beyond traditionally public sector orientated literature. develop an initial typology multiple the English and derive exploratory questions inform future empirical investigation. add existing literature by considering coexistence - possible tensions between in a pluralised social system.
Background Evidence-based practice (EBP) is now the accepted orthodoxy in clinical and developed from evidence-based medicine. EBP based on a specific type of evidence that derived studies randomised controlled trials (RCT). This suited to acute medical care more problematic for other clinicians such as nurses therapists, particularly when they are situated within community or primary settings. Setting Five stroke services England (2), Sweden (2) Poland (1). Aims To reflect gained these case...
The new health promotion arrangements were introduced in October 1996. This study, commissioned by the Department of Health, aimed to assess extent activity under arrangements, and explore views about their implementation. study was conducted two parts. first stage consisted a telephone survey with nominated person from each authority England. second phase, reported here, semi-structured face-to- face interviews six case sites. Sixty-nine range key informants. most common focus related...
Abstract This paper explores drivers, implications, and trends of professional stratification hybridisation in the medical profession employed Brazilian substituir por: federal university hospitals (HUFs). Drawing on exploratory findings, we examine some repercussions migration to EBSERH, a public company established by government manage organise HUFs integrated into Unified Health System (SUS). Our research shows that transferring hospital administration EBSERH has led further internal...
A number of evidence-based interventions are now available for stroke patients. Good-quality care involves a range health professionals located across ambulance, hospital, community and primary services. This study examined the perspectives health-care workers involved in Sweden England on integration challenges presents.
Objectives A number of evidence-based interven-tions are now available for stroke patients. Good quality care involves a range health pro-fessionals located across ambulance, hospital, com-munity and primary services. This study examined the perspectives healthcare workers involved in two different English case sites on integration challenges presents.Methods Two qualitative studies were carried out, including 45 semi-structured interviews with clinicians managers associated differ-ent...