A5033559084- Emergency and Acute Care Studies
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Care Issues
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Chronic Disease Management Strategies
- Health disparities and outcomes
- Healthcare Systems and Technology
- Retinal Diseases and Treatments
- Climate Change and Health Impacts
- Pharmaceutical Economics and Policy
- Mental Health Treatment and Access
- Retinal Imaging and Analysis
- Employment and Welfare Studies
- Energy and Environment Impacts
- Wound Healing and Treatments
- Asthma and respiratory diseases
- Clinical practice guidelines implementation
- Musculoskeletal pain and rehabilitation
- Pneumonia and Respiratory Infections
- Osteoarthritis Treatment and Mechanisms
- Respiratory and Cough-Related Research
- Thyroid Disorders and Treatments
- Cystic Fibrosis Research Advances
- Fibromyalgia and Chronic Fatigue Syndrome Research
Swansea University
2014-2024
Cardiff University
2024
Bangor University
2021-2024
Levine Children's Hospital
2013
Uppsala University
2002
Wellcome Library
1999
Chronic bronchitis (a form of chronic obstructive pulmonary disease or COPD) is a common cause morbidity and mortality resulting in around 5% deaths the UK. Over recent years, there has been an increased emphasis on patient‐based evaluation health social care, which led to rapid growth quality life measures increase measuring for COPD patients. However, less attention paid patients' perceptions experiences everyday life, specifically their active engagement psychological, emotional aspects...
AbstractAim: To estimate the burden of failing to achieve targets for blood pressure (BP) control in France, Germany, Italy, Sweden and UK. Methods: A cost illness model was constructed impact uncontrolled hypertension each national healthcare system. Prevalence taken from published data. Relationships between achieved BP cardiovascular events symptomatic acute myocardial infarction, congestive heart failure stroke were estimated HOT study. Costs public sources. The medical costs these at...
Background Depression and debt are common in the UK. Debt Counselling for Primary Care: an adaptive randomised controlled pilot trial (DeCoDer) aimed to assess clinical effectiveness cost-effectiveness of addition a primary care counselling advice service usual patients with depression debt. However, study was terminated early during internal phase because recruitment delays. This report describes rationale, methods findings study, implications future research. Objectives The overarching aim...
Background Poor-quality housing adversely affects residents’ health but there is a paucity of high-quality evidence to support this. Objective This research investigated the impact bringing national quality standard. Design A natural experiment improvements analysed using repeated measures health-care utilisation and economic outcomes at an individual person level. Setting Carmarthenshire, UK. Participants total 32,009 residents registered for minimum 60 days 8558 social homes that received...
Objective: To determine the feasibility of conducting a trial pre-surgical psychological intervention on pain, function, and mood in people with knee osteoarthritis listed for total arthroplasty. Design: Multi-centre, mixed-methods randomized controlled plus usual care versus care. Setting: Participants’ homes or hospital. Participants: Patients arthroplasty score >7 either subscales Hospital Anxiety Depression Scale. Intervention: Up-to 10 sessions (based cognitive behavioural therapy)....
Background Cold homes and fuel poverty contribute to health inequalities in ways that could be addressed through energy efficiency interventions. Objectives To determine the psychosocial impacts of performance investments low-income areas, particularly hospital admissions for cardiorespiratory conditions, prevalence respiratory symptoms mental status, hydrothermal conditions household use, outcomes, cost consequences system utility these investments. Design A mixed-methods study comprising...
Primary care streaming was implemented in UK Emergency Departments (EDs) to manage an increasing demand for urgent care. We aimed explore its effectiveness EDs with different primary models and identify contexts mechanisms that influenced outcomes: patients the most appropriate clinician or service, ED flow patient safety.We observed interviewed staff during case study visits 10 England. used realist methodology, synthesising a middle-range theory our qualitative data refine create set of...
To evaluate the value of enhanced optometric services for managing neovascular age-related macular degeneration (nAMD) and glaucoma in primary care optometry services, instead hospital eye (HES).
Digestive diseases – gastrointestinal and liver disorders are common across Europe, causing more than 500 000 deaths in 2008 the 28 EU member states (and 900 whole of including Russia other non-EU states). However, United European Gastroenterology (UEG) believe that these poorly understood, have usually attracted relatively little attention from a policy perspective do not attract significant research funding, comparison with many disciplines. One remits UEG is to raise political public...
Materials and methods A Prioritisation Panel representing a wide range of stakeholders was convened. master list services achieved through matching against criteria (including high cost individual care, growth or implementation that exceeded an incremental £50,000, uncertainty about evidence ability to benefit) for prioritisation. Condition-Treatment pairs were created the falling under remit WHSSC, reviews undertaken effectiveness collated inform decision making process. Discreet choice...
Abstract Background To manage increasing demand for emergency and unscheduled care NHS England policy has promoted services in which patients presenting to Emergency Departments (EDs) with non-urgent problems are directed general practitioners (GPs) other primary clinicians working within or alongside departments. However, the ways that hospitals have implemented EDs varied. The aim of this study was describe ED clinical leads’ experiences implementing delivering ‘primary services’...
This focus group, qualitative study (N = 18) reports the psychosocial impact, specifically, of spasticity symptoms on a sample people with MS (multiple sclerosis). MS, chronic disabling disease which attacks central nervous system, currently affects about 100,000 in UK and estimates indicate that worldwide prevalence varies from around 10 to 250 per 100,000. The cause remains unknown rate progression among individuals. itself has severe impact psychological well-being quality life. However,...
Addressing increasing patient demand and improving ED flow is a key ambition for NHS England. Delivering general practitioner (GP) services in or alongside EDs (GP-ED) was advocated 2017 this reason, supported by £100 million (US$130 million) of capital funding. Current evidence shows no overall improvement addressing reducing waiting times, but considerable variation how different service models operate, subject to local context.
Emergency healthcare services are under intense pressure to meet increasing patient demands. Many patients presenting emergency departments could be managed by general practitioners in practitioner-emergency department service models.
Guidance in England and Wales recommends that nicotine replacement therapies (NRTs), varenicline or bupropion should be offered for smoking cessation support. Research on general practitioner (GP) NRT prescribing patterns is lacking the published literature.UK primary care electronic health records were retrospectively analysed to identify most common GP initiated patterns, characterise people who receive determine whether NRTs given a first quit attempt are different from subsequent...
Knee replacement surgery reduces pain for many people with osteoarthritis (OA). However, surgical outcomes are partly dependent on patients’ moods, and those depression or anxiety have worse outcomes. Approximately one-third of OA mood problems. Cognitive behavioural therapy (CBT), a psychological therapy, is recommended by the National Institute Health Care Excellence improving mood. evidence effectiveness CBT before knee in pain, mood, quality life following this lacking. This...
Abstract Background It is not known whether emergency departments (EDs) with primary care services influence demand for non-urgent (‘provider-induced demand’). We proposed that distinct in EDs encourages demand, whereas integrated within may be less likely to cause additional demand. aimed explore this and explain contexts (C), mechanisms (M) outcomes (O) influencing Methods used realist evaluation methodology observed ED service delivery. Twenty-four patients 106 staff members (including...