A5034203110- Primary Care and Health Outcomes
- Colorectal Cancer Screening and Detection
- Healthcare Policy and Management
- Chronic Disease Management Strategies
- LGBTQ Health, Identity, and Policy
- Patient Satisfaction in Healthcare
- Global Cancer Incidence and Screening
- Genetic factors in colorectal cancer
- Health disparities and outcomes
- Health Promotion and Cardiovascular Prevention
- Colorectal Cancer Treatments and Studies
- Healthcare cost, quality, practices
- Patient-Provider Communication in Healthcare
- Migration, Health and Trauma
- Global Health Care Issues
- Health Systems, Economic Evaluations, Quality of Life
- Mental Health and Patient Involvement
- Healthcare innovation and challenges
- BRCA gene mutations in cancer
- Adolescent and Pediatric Healthcare
- Genetic Associations and Epidemiology
- Healthcare Systems and Technology
- HIV/AIDS Research and Interventions
- Per- and polyfluoroalkyl substances research
- Patient Dignity and Privacy
University of Cambridge
2015-2024
Michigan State University
2023-2024
Australia and New Zealand Banking Group
2023
Sorbonne Université
2022
University of Ulster
2020-2022
Anglia Ruskin University
2017-2021
RAND Corporation
2016-2020
John Wiley & Sons (United States)
2018-2020
Linde (United States)
2018-2020
University of Bristol
2020
To describe the accuracy of ethnicity coding in contemporary National Health Service (NHS) hospital records compared with 'gold standard' self-reported ethnicity.Secondary analysis data from a cross-sectional survey (2011).All NHS hospitals England providing cancer treatment.58 721 patients for whom information (Office Statistics 2001 16-group classification) was available self-reports (considered to represent standard') and their record.We calculated sensitivity positive predictive value...
Appreciating variation in the length of pre- or post-presentation diagnostic intervals can help prioritise early diagnosis interventions with either a community primary care focus. We analysed data from first English National Audit Cancer Diagnosis Primary Care on 10 953 patients any 28 cancers. calculated summary statistics for patient and interval their ratio, by cancer site. Interval lengths varied greatly cancer. Laryngeal oropharyngeal cancers had longest median intervals, whereas renal...
<b>Objective</b> To evaluate a "telephone first" approach, in which all patients wanting to see general practitioner (GP) are asked speak GP on the phone before being given an appointment for face consultation. <b>Design</b> Time series and cross sectional analysis of routine healthcare data, data from national surveys, primary survey data. <b>Participants</b> 147 practices adopting telephone first approach compared with 10% random sample other England....
<h3>BACKGROUND:</h3> Health services have failed to respond the pressures of multimorbidity. Improved measures multimorbidity are needed for conducting research, planning and allocating resources. <h3>METHODS:</h3> We modelled association between 37 morbidities 3 key outcomes (primary care consultations, unplanned hospital admission, death) at 1 5 years. extracted development (<i>n</i> = 300 000) validation 150 samples from UK Clinical Practice Research Datalink. constructed a...
In order to address the lack of data on health and healthcare needs trans non-binary adults, NHS England includes questions asking about both gender status in its surveys support quality improvement programmes.We used self-reported from GP Patient Survey answer research question: what are demographic characteristics, conditions experiences adults England?Nationally representative, population-based cross-sectional survey with collection January March 2021.840 691 respondents including 6333...
INHALE investigated the impact of seeking pathogens by PCR on antibiotic stewardship and clinical outcomes in hospital-acquired ventilator-associated pneumonia (HAP VAP). This pragmatic multicentre, open-label RCT enrolled adults children with suspected HAP VAP at 14 ICUs. Patients were randomly allocated to standard care, or rapid in-ICU syndromic coupled optional prescribing guidance. Co-primary superiority 24 h non-inferiority cure days post-randomisation. Secondary included mortality,...
Cancer awareness public campaigns aim to shorten the interval between symptom onset and presentation a doctor (the 'patient interval'). Appreciating variation in promptness of can help better target campaigns. We explored patient intervals recorded consultations with general practitioners among 10,297 English patients subsequently diagnosed one 18 cancers (bladder, brain, breast, colorectal, endometrial, leukaemia, lung, lymphoma, melanoma, multiple myeloma, oesophageal, oro-pharyngeal,...
Patient experience is a critical dimension of cancer care quality. Understanding variation in among patients with different cancers and characteristics an important first step for designing targeted improvement interventions. We analysed data from the 2011/2012 English Cancer Experience Survey (n = 69,086) using logistic regression to explore inequalities across 64 survey questions. additionally calculated summary measure patient by cancer, explored between treated same specialist teams....
Background: Patient surveys typically have variable response rates between organizations, leading to concerns that such differences may affect the validity of performance comparisons. Objective: To explore size and likely sources associations hospital-level survey patient experience. Research Design, Subjects, Measures: Cross-sectional mail including 60 experience items sent 101,771 cancer survivors recently treated by 158 English NHS hospitals. Age, sex, race/ethnicity, socioeconomic...
Prolonged diagnostic intervals may negatively affect the patient experience of subsequent cancer care, but evidence about this assertion is sparse. We analysed data from 73 462 respondents to two English Cancer Patient Experience Surveys examine whether patients with three or more (3+) pre-referral consultations were likely report negative experiences care compared one in respect 12 a priori selected survey questions. For each items, logistic regression models used, adjusting for prior...
We aim to describe the health-related quality of life informal carers and their experiences primary care.Responses from 2011-12 English General Practice Patient Survey, including 195,364 carers, were analysed using mixed effect logistic regressions controlling for age, gender, ethnicity social deprivation carer (mobility, self-care, usual activities, pain, anxiety/depression, measured EQ-5D) care experience (access, continuity communication).Informal reported poorer than non-carers similar...
Abstract Objective To assess the public’s preferences regarding potential privacy threats from devices or services storing health-related personal data. Materials and Methods A pan-European survey based on a stated-preference experiment for assessing electronic health data storage, access, sharing. Results We obtained 20 882 responses (94 606 preferences) 27 EU member countries. Respondents recognized benefits of information, with 75.5%, 63.9%, 58.9% agreeing that storage was important...
Abstract Background: This study aimed to compare and externally validate risk scores developed predict incident colorectal cancer (CRC) that include variables routinely available or easily obtainable via self-completed questionnaire. Methods: External validation of fourteen models from a previous systematic review in 373 112 men women within the UK Biobank cohort with 5-year follow-up, no prior history CRC data for incidence through linkage national registries. Results: There were 1719...
Purpose To address gaps in evidence on the risk of cancer people from sexual minorities. Patients and Methods We used data 796,594 population-based English General Practice Patient Survey responders to explore prevalence self-reported diagnoses last 5 years among minorities compared with heterosexual women men. analyzed 249,010 hospital-based Cancer Experience orientation as a binary outcome, International Classification Diseases, Tenth, Revision, diagnosis covariate—38 different common...
Objectives To describe and explain the primary care experiences of people with multiple long-term conditions in England. Design methods Using questionnaire data from 906 578 responders to English 2012 General Practice Patient Survey, we patients conditions, including 583 143 who reported one or more conditions. We employed mixed effect logistic regressions analyse on six items covering three domains (access, continuity communication) a single item overall experience. controlled for...
For patients with symptoms of possible cancer who do not fulfil the criteria for urgent referral, initial investigation in primary care has been advocated United Kingdom and supported by additional resources. The consequence this strategy timeliness diagnosis is unknown. We analysed data from English National Audit Cancer Diagnosis Primary Care on lung (1494), colorectal (2111), stomach (246), oesophagus (513), pancreas (327), ovarian (345) relating to ordering investigations General...