A5058555580- Asthma and respiratory diseases
- Telemedicine and Telehealth Implementation
- Urban Transport and Accessibility
- Inhalation and Respiratory Drug Delivery
- Healthcare Systems and Technology
- Nursing Roles and Practices
- Diabetes Management and Education
- Mental Health and Patient Involvement
- Mobile Health and mHealth Applications
- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Transportation Planning and Optimization
- Health Literacy and Information Accessibility
- Respiratory and Cough-Related Research
- Healthcare Policy and Management
- Emergency and Acute Care Studies
- Child and Adolescent Health
- Migration, Health and Trauma
- Global Maternal and Child Health
- Migration, Aging, and Tourism Studies
- Pharmacological Effects and Assays
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Trauma and Emergency Care Studies
- Clinical practice guidelines implementation
- Global Health Workforce Issues
Barts Health NHS Trust
2013-2021
University of South Australia
2017-2020
Newham University Hospital
2010-2018
University of Canberra
2014-2016
Canberra Hospital
2011-2015
ACT Government
2011-2014
Act Health
2013
Royal Children's Hospital
2012
Countess of Chester Hospital
2006
University of Liverpool
2006
Background: There is much interest in virtual consultations using video technology. Randomized controlled trials have shown to be acceptable, safe, and effective selected conditions circumstances. However, this model has rarely been mainstreamed sustained real-world settings. Objective: The study sought (1) define good practice inform implementation of outpatient (2) generate transferable knowledge about challenges scaling up routinizing service model. Methods: A multilevel, mixed-method...
Introduction Remote video consultations between clinician and patient are technically possible increasingly acceptable. They being introduced in some settings alongside (and occasionally replacing) face-to-face or telephone consultations. Methods To explore the advantages limitations of consultations, we will conduct in-depth qualitative studies real (microlevel) embedded an organisational case study (mesolevel), taking account national context (macrolevel). The is based 2 contrasting...
Background There is much enthusiasm from clinicians, industry and the government to utilise digital technologies introduce alternatives face-to-face consultations. Objective(s) To define good practice inform technology implementation in relation remote consultations via Skype™ (Microsoft Corporation, Redmond, WA, USA) similar technologies. Design Multilevel mixed-methods study of video (micro level) embedded an organisational case (meso level), taking account national context wider...
Background Video-mediated clinical consultations offer potential benefits over conventional face-to-face in terms of access, convenience, and sometimes cost. The improved technical quality dependability video-mediated has opened up the possibility for more widespread use. However, questions remain regarding safety. are criticized being not as good face-to-face, but there been little previous in-depth research on their interactional dynamics, no agreement what a video consultation looks like....
In the UK, women are recommended to engage with maternity services and establish a plan of care prior 12th completed week pregnancy. The aim this study was identify predictors for late initiation antenatal within an ethnically diverse cohort in East London. Cross-sectional analysis routinely collected electronic patient record data from Newham University Hospital NHS Trust (NUHT). All who attended their booking appointment NUHT between 1st January 2008 24th 2011 were included study. main...
Requirements for physical distancing as a result of COVID-19 and the need to reduce risk infection prompted policy supporting rapid roll out video consulting across four nations UK-England, Northern Ireland, Scotland Wales. Drawing on three studies accelerated implementation uptake nations, we present comparative interpretive analysis spread scale-up during pandemic. Data include interviews with 59 national level stakeholders, 55 health social care staff 30 patients, 20 documents, responses...
Fifty-three adult asthmatic subjects requiring 800 µg or more of inhaled beclomethasone dipropionate were enrolled in a double-blind parallel group study 6-month duration to compare the efficacy and side effects budesonide doses 800, 1,200, 1,600 given two four times day (BID QID). After two-week observation period establish baseline, same dose as they would be for dipropionate; however, frequency regimen QID) was randomly allocated. Subjects asked fill diary cards describing their symptoms,...
Objectives To analyse the narratives of people with diabetes to inform design culturally congruent self-management education programmes. Methods The study was based on quasi-naturalistic story-gathering; i.e. making real-time field notes stories shared spontaneously in groups a socioeconomically deprived London borough. Eighty-two adults aged 25-86, from six minority ethnic who were intervention arm randomized controlled trial story-sharing, participated. Stories translated real time by...
OBJECTIVE: Inhaled corticosteroids are infrequently used as asthma therapy in patients considered to have mild primary care practice. The purpose of this study was determine whether the use low doses inhaled (budesonide), supplemented with bronchodilators needed, provides clinical benefit and is cost beneficial compared alone, by their physicians a setting asthma, not requiring corticosteroids. DESIGN: Double‐blind, randomized controlled comparing three parallel treatment groups receiving...
no model of self-management education or peer support has yet achieved widespread reach and acceptability with minority ethnic groups. We sought to refine test a new complex intervention in diabetes education: informal story-sharing groups facilitated by bilingual health advocates.pilot randomized trial in-depth process evaluation socioeconomically deprived area. 157 people referred for were concealed allocation an (story-sharing group their own language) control ('usual care' education,...
to explore the factors which influence timing of initiation a package publically-funded antenatal care for pregnant women living in diverse urban settinga qualitative study involving thematic analysis 21 individual interviews and six focus group discussions.Newham, culturally borough East London, UK PARTICIPANTS: were conducted with postnatal discussions total 26 health service staff members(midwives bilingual advocates) 32 from four community groups (Bangladeshi, Somali, Lithuanian...
There is generally a lengthy wait on outpatient orthopedic waiting lists in Australian public hospitals to consult specialist. Patients then again for surgery, if required. with higher need are rarely prioritized, and there the potential increased morbidity those who wait. no option of alternative care whilst waiting. This paper compares historical clinic data outcomes physiotherapy-led initiative one large tertiary hospital.Two physiotherapists working within-scope conducted telephone...
Physiotherapists working in advanced and extended scope roles internationally make a difference to workflow, performance targets, patient satisfaction areas traditionally served by medicine nursing.To assess the impact of an practice physiotherapist (ASoP-PT) service large Australian hospital emergency department (ED) measuring national triage category indicators, staff satisfaction.Consecutive patients consulting ASoP-PT were recruited over 53 weeks following inception. Descriptions...
Remote videoconsulting is promoted by policy makers as a way of delivering health care efficiently to an aging population with rising rates chronic illness. As radically new service model, it brings operational and interactional challenges in using digital technologies. In-depth research on this dynamic needed before remote consultations are introduced more widely. The objective study will be identify analyze the communication strategies through which accomplished guide patients clinicians...
Abstract Newham diabetes service supports an ethnically diverse population in a deprived urban area and exemplifies challenges faced throughout the NHS with rising demand, high outpatient ‘did not attend’ ( DNA ) rates (33–50% depending on age) poor health outcomes. With funding from Health Foundation, we aimed to provide more accessible cost‐effective care by replacing selected follow‐up appointments webcam consultations. This paper reports mixed methods evaluation comprising attendance...
BACKGROUND--A study was undertaken to determine the impact of different doses inhaled terbutaline on peak flow rates, spirometric parameters, functional exercise capacity, and quality life in patients with chronic airflow limitation. METHODS--A double blind, randomised, placebo controlled, multiple crossover trial conducted treatment periods one week. Patients a clinical diagnosis limitation FEV1 below 70% predicted after administration bronchodilator were recruited from secondary care...
The diabetes service at Newham, East London, exemplifies challenges faced in the National Health Service with increasing demand, pressure to improve efficiency, high non-attendance rates and poor health outcomes, reflecting complex lives of many patients long-term illness. Perceived lack control, engagement inflexible services self-management are common these patients. Early evidence from our work so far suggests that web-based appointments can be used as part outpatient patient experience...