A5066334590- Patient Satisfaction in Healthcare
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Chronic Disease Management Strategies
- Diabetes Management and Education
- Patient-Provider Communication in Healthcare
- Healthcare Systems and Technology
- Empathy and Medical Education
- Mental Health and Patient Involvement
- Geriatric Care and Nursing Homes
- Intergenerational Family Dynamics and Caregiving
- Child and Adolescent Health
- Health Systems, Economic Evaluations, Quality of Life
- Telemedicine and Telehealth Implementation
- Global Health Care Issues
- Healthcare innovation and challenges
- Metabolism and Genetic Disorders
- Focus Groups and Qualitative Methods
- Metabolism, Diabetes, and Cancer
- Ethics in medical practice
- Interprofessional Education and Collaboration
- Health Promotion and Cardiovascular Prevention
- Medication Adherence and Compliance
- Healthcare cost, quality, practices
- Healthcare Operations and Scheduling Optimization
Nuffield Trust
2017-2022
Marymount University
2021
University of Cambridge
2009-2018
Anglia Ruskin University
2015-2016
Cambridge School
2012
Martin Roland and Charlotte Paddison call for greater emphasis on continuity of care clinical judgment to improve the experience patients with multiple conditions
Abstract Background/objectives To determine which aspects of primary care matter most to patients, we aim identify those patient experience that show the strongest relationship with overall satisfaction and examine extent these relationships vary by socio‐demographic health characteristics. Design/setting Data from 2009/10 English General Practice Patient Survey including 2 169 718 respondents registered 8362 practices. Measures/analyses Linear mixed‐effects regression models (fixed effects...
Objectives Uncertainties exist about when and how best to adjust performance measures for case mix. Our aims are quantify the impact of case-mix adjustment on practice-level scores in a national survey patient experience, identify why it may be useful mix, discuss unresolved policy issues regarding use measurement health care. Design/setting Secondary analysis 2009 English General Practice Patient Survey. Responses from 2 163 456 patients registered with 8267 primary care practices. Linear...
Background Diabetes peer support, where one person with diabetes helps guide and support others, has been proposed as a way to improve management. We have tested whether different strategies can metabolic and/or psychological outcomes. Methods People type 2 (n = 1,299) were invited participate either ‘peer’ or ‘peer facilitator’ (PSF) in 2x2 factorial randomised cluster controlled trial across rural communities (130 clusters) England. Peer was delivered over 8–12 months by trained PSFs,...
Patient experience is increasingly used to assess organizational performance, for example in public reporting or pay-for-performance schemes. Conventional approaches using 95% confidence intervals are commonly determine required survey samples report performance but these may result unreliable comparisons.We analyzed data from 2.2 million patients who responded the English 2009 General Practice Survey, which included 45 patient questions nested within 6 different care domains (access,...
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...
Background There has been an increased focus towards improving quality of care within the NHS in last 15 years; as part this, there emphasis on importance patient feedback policy, through National Service Frameworks and Quality Outcomes Framework. The development administration large-scale national surveys to gather representative data experience, such GP Patient Survey primary care, one initiative. However, it remains unclear how survey is used by patients what impact may have practice....
Among patients with long-term conditions, to determine the prevalence and benefits of care planning discussions plans.Data from 2009/10 General Practice Patient Survey, a cross sectional survey 5.5 million in England. Outcomes were patient reports of: discussions; perceived benefit resultant plans. practice variables included multilevel logistic regression investigate predictors each outcome.Half respondents (49%) reported condition eligible answer questions. Of these, 84% having discussion...
Patients with end-stage renal disease (ESRD) have special health needs; little is known about their care experiences.Secondary analysis of 2009-2010 Medicare Consumer Assessment Healthcare Providers and Systems (CAHPS) data, using representative random samples beneficiaries. Description beneficiaries ESRD investigation differences in patient experiences by sociodemographic characteristics coverage type.Data were collected from 823,564 (3,794 ESRD) as part the CAHPS survey, administered mail...
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...
To examine how family physicians', patients', and trained clinical raters' assessments of physician-patient communication compare by analysis individual appointments.Analysis survey data from patients attending face-to-face appointments with 45 physicians at 13 practices in England. Immediately post-appointment, independently completed a questionnaire including 7 items assessing quality. A sample videotaped was assessed raters, using the same items. Patient, physician, rater scores were...
People with Type 2 diabetes face various psycho-social, self-management and clinical care issues evidence is mixed whether support from others diabetes, 'peer support', can help. We now describe a month pilot study of different peer interventions. The intervention was informed by formative evaluation using semi-structured interviews health professionals, community groups observation education groups. Invitations to participate were mailed 4 general practices included survey barriers care....
<b>Objective</b> To assess whether receiving a negative test result at primary care based stepwise diabetes screening results in false reassurance. <b>Design</b> Parallel group cohort study embedded randomised controlled trial. <b>Setting</b> 15 practices (10 screening, 5 control) the ADDITION (Cambridge) <b>Participants</b> 5334 adults (aged 40-69) top quarter for risk of having undiagnosed type 2 (964 controls and 4370 attenders). <b>Main outcome measures</b> Perceived personal comparative...
Patient evaluations of physician communication are widely used, but we know little about how these relate to professionally agreed norms quality. We report an investigation into the association between patient assessments quality and observer-rated measure competence. Consent was obtained video record consultations with Family Practitioners in England, following which patients rated physician’s skills. A sample consultation videos subsequently evaluated by trained clinical raters using...
Abstract Background Changing family practice (voluntary disenrollment) without changing address may indicate dissatisfaction with care. We investigate the potential to use voluntary disenrollment as a quality indicator for primary Methods Data from English national GP Patient Survey (2,169,718 respondents), number of disenrollments change address, data relating characteristics (ethnicity, deprivation, gender patients, size and density) doctor were obtained all practices in England (n =...
Background Improved access to general practice is seen by policy makers as essential address patient expectations and reduce demand for A&E, but little known about its impact on continuity. Aim This study examined the of policies improve continuity described practical approaches delivering both improved What evidence that within benefits patients, or important health professionals? Which primary care patients are more likely want care, how they report receiving it? How might initiatives...
Objectives To examine patient consultation preferences for seeing or speaking to a general practitioner (GP) nurse; estimate associations between patient-reported experiences and the type of patients actually received (phone face-to-face, GP nurse). Design Secondary analysis data from 2013 2014 General Practice Patient Survey. Setting participants 870 085 8005 English practices. Outcomes ratings communication ‘trust confidence’ with clinician they saw. Results 77.7% reported wanting see...
OBJECTIVE Developing primary care is an important current health policy goal in the U.S. and England. Information on patients’ experience can help to improve of people with diabetes. We describe experiences diabetes examine how these vary increasing comorbidity. RESEARCH DESIGN AND METHODS Using data from 906,578 responders 2012 General Practice Patient Survey (England), including 85,760 self-reported diabetes, we used logistic regressions controlling for age, sex, ethnicity, socioeconomic...
Objectives To investigate individual, practice and area level variation in patient-reported unmet need among those with long-term conditions, the context of general (GP) appointments support from community-based services England. Design Cross-sectional study using data 199 150 survey responses. Setting Primary care services. Participants Respondents to 2018 English General Practice Patient Survey at least one condition. secondary outcome measures The primary outcomes were levels GP local...