- Healthcare Policy and Management
- Global Health Care Issues
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Sleep and Work-Related Fatigue
- Healthcare Quality and Management
- Healthcare professionals’ stress and burnout
- Clinical practice guidelines implementation
- Nursing Roles and Practices
- Healthcare cost, quality, practices
- Stellar, planetary, and galactic studies
- Retinal Diseases and Treatments
- Retinal Imaging and Analysis
- Healthcare innovation and challenges
- CCD and CMOS Imaging Sensors
- Health Services Management and Policy
- Health, psychology, and well-being
- Sleep and related disorders
- Adaptive optics and wavefront sensing
- Radiation Dose and Imaging
- Ethics in medical practice
- Solar and Space Plasma Dynamics
- Fluid dynamics and aerodynamics studies
- Obesity, Physical Activity, Diet
- Experimental and Theoretical Physics Studies
University of York
1992-2024
NHS Grampian
2024
Lancaster University
2024
Queen Mary University of London
2024
Coventry University
2024
London School of Hygiene & Tropical Medicine
2024
London Borough of Tower Hamlets
2024
University of Plymouth
2024
Middlesbrough College
2024
Doncaster Council
2024
<h3>Abstract</h3> <b>Objective</b>: To investigate the extent to which people change their views about priority setting in health care as a result of discussion and deliberation. <b>Design</b>: A random sample patients from two urban general practices was invited attend focus group meetings, fortnight apart. <b>Setting</b>: North Yorkshire Health Authority. <b>Subjects</b>: 60 randomly chosen meeting 10 ugroups five seven people. <b>Main outcome measures</b>: Differences between people9s at...
AbstractThe Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria is a publication Intercollegiate Committee Royal College Psychiatrists. The overall goal to provide clinical guidance health professionals assist transsexual, transgender, gender nonconforming people safe effective pathways achieving lasting personal comfort their gendered selves, in order maximize health, psychological well-being, self-fulfillment. This assistance may include primary care,...
The results of the screening 3318 diabetic patients for sight‐threatening retinopathy in three UK centres are reported. aims study were to determine extent screened population and assess relative effectiveness different methods appropriately referring cases from a population, context very close routine clinical service. Patients assessed by ophthalmoscopic examination an ophthalmological assistant. assistants' referral grades formed reference standard against which other including...
Abstract Diabetic retinopathy is the most common cause of blindness among adults working age in UK. If disease detected early effective treatment can be provided and this has resulted calls for a systematic national screening programme. Using data on 3423 diabetics collected as part an experimental programme three UK centres, relative cost‐effectiveness various options assessed. The paper utilises direct evidence number single modality options, including ophthalmoscopy undertaken by general...
The relative cost and cost‐effectiveness of different methods screening diabetic patients for sight‐threatening retinopathy are assessed. resource costs per visit, both to the health service patients, ophthalmoscopic examination by primary screeners including general practitioners, hospital physicians, ophthalmic opticians estimated together with those a similar test ophthalmological clinical assistants. total screen using non‐mydriatic photography is also estimated. Using estimates...
Nurses in eight demonstration sites have been able to prescribe from a limited formulary since October 1994. This paper presents the views of nurses and other health professionals regarding nurses' new role. Many benefits were noted by respondents, including savings time for an increased sense responsibility now that they seen be accountable decisions made. General practitioners (GPs) supportive initiative expressed confidence prescribing abilities.
This article presents the findings from evaluation of nurse prescribing, undertaken in eight demonstration sites since October 1994. The authors examine particular nurses’ prescribing behaviour and type items nurses GPs would like to see added formulary. opportunities for limitations formulary health visitors practice are highlighted.
<h3>Background</h3> UK breastfeeding rates are low and socially distributed. Childcare provides a potential setting for promotion. However, little is known about the association between childcare in different socio-economic groups. <h3>Methods</h3> Using data from contemporary cohort of infants (n=18 050) authors calculated RR at least 4 months according to informal (care by friends, grandparents, other relatives, etc) formal (eg, nurseries, crèches), both lasting 10 h week commencing before...
In England, primary care organizations (primary trusts, PCTs) have scope to influence the provision of health at margin. However, when faced with difficult commissioning choices, restriction services potentially leaves them vulnerable legal challenge. PCTs are developing different approaches priority setting but there is a need develop processes that lead more consistent, accountable and fair decision-making. Our objective was describe recent local developments on prioritization...
A new community psychiatric service in Nottingham based on general practice clinics was compared with a conventional hospital-orientated model. Despite providing treatment for an inner-city population of significantly greater social disadvantage, the associated similar levels symptom morbidity as assessed by CPRS and SFS. It also involved use day-hospital facilities, more extensive multidisciplinary care, commitment to longer-term follow-up chronically ill patients. Such model is offered...
This paper discusses some of the economic issues which underpin rationale for investment in information and communications technologies (ICTs). Information imperfections lead to significant transaction costs (search, negotiating monitoring) turn confer a negative externality on parties involved exchange. divergence private social leads degree resource misallocation (efficiency loss) which, uncorrected, results sub-optimal outcome. Traditional solutions this problem are rely upon direct...
This paper attempts to define quality (particularly in terms of evidence‐based health care) and considers the incentives available bring about improvements quality. It examines contribution that economics, as a discipline, can make debate on clinical governance. nature importance governance, measuring quality, objectives behaviour questions raised concerning individual team behaviour.
Individuals with Substance Use Disorder (SUD) who do not have empathy toward oneself, or self-compassion, may limit their opportunities for personal growth and overall well-being. Due to scarce empirical studies examining interactions between well-being in persons SUD, the goal of this research was examine associations among these concepts. A survey administered patients treatment SUD using validated scales (Sussex-Oxford Compassion Self Scale (SSOCS-S), Personal Growth Initiative (PGI)...
HD 179821 is an enigmatic evolved star that possesses characteristics of both a post-asymptotic giant branch (post-AGB) and yellow hypergiant, there has been no evidence unambiguously defines its nature. These two hypotheses are products indeterminate distance, presumed to be 1 kpc or 6 kpc. We have obtained the two-epoch Hubble Space Telescope Wild Field Planetary Camera 2 data circumstellar shell, which shows multiple concentric arcs extending out about 8''. performed differential...