Publications
979 results found
Greaves F, Pape UJ, Lee H, et al., 2012, Patients’ ratings of family physicians on the internet: usage and associations with conventional measures of quality in the English NHS, Medicine X. Stanford, US
Pappas Y, Atherton H, Sawmynaden P, et al., 2012, Email for clinical communication between healthcare professionals, COCHRANE DATABASE OF SYSTEMATIC REVIEWS, ISSN: 1469-493X
- Author Web Link
- Cite
- Citations: 12
Bottle A, Tsang C, Parsons C, et al., 2012, Association between patient and general practice characteristics and unplanned first-time admissions for cancer: observational study, Br J Cancer, Vol: 107, ISSN: 1532-1827
Vamos E, Harris M, Millett C, et al., 2012, Association of Systolic and diastolic blood pressure levels and all-cause mortality in people with newly diagnosed Type 2 diabetes: a retrospective cohort study, British Medical Journal, Vol: BMJ 2012; 345
Majeed A, 2012, Primary care in Europe: entering the age of austerity., J Ambul Care Manage, Vol: 35, Pages: 162-166
Many European countries have well-developed health systems that offer universal access to health services and which have a strong primary care sector. However, as the financial crisis in Europe progresses, it is leading to significant cutbacks in publicly funded health services. A key objective for primary care physicians will therefore be to work in an environment where resources will be much more limited than in the past. In the longer term, the role of primary care physicians in European health systems will continue to expand to meet the aim of shifting health services to the generally more cost-effective setting of primary care.
Pappas Y, Anandan C, Liu J, et al., 2012, Computer-assisted history-taking systems (CAHTS) in health care: benefits, risks and potential for further development., Inform Prim Care, Vol: 19, Pages: 155-160, ISSN: 1476-0320
A computer-assisted history-taking system (CAHTS) is a tool that aids clinicians in gathering data from patients to inform a diagnosis or treatment plan. Despite the many possible applications and even though CAHTS have been available for nearly three decades, these remain underused in routine clinical practice.
Howitt P, Darzi A, Yang GZ, et al., 2012, Technologies for global health, The Lancet, Vol: 380, Pages: 507-535
Chatu S, Saxena S, Subramanian V, et al., 2012, Time trends in rates of first surgical resection and thiopurine use in crohn's disease: retrospective cohort study, Vol: Suppl 2 A60
S Chatu, S Saxena, V Subramanian, V Curcin, G Yadegarfar, A Majeed, R C Pollok
Mold F, Ellis B, de Lusignan S, et al., 2012, The provision and impact of online patient access to their electronic health records (EHR) and transactional services on the quality and safety of health care: systematic review protocol., Inform Prim Care, Vol: 20, Pages: 271-282, ISSN: 1476-0320
BACKGROUND: Innovators have piloted improvements in communication, changed patterns of practice and patient empowerment from online access to electronic health records (EHR). International studies of online services, such as prescription ordering, online appointment booking and secure communications with primary care, show good uptake of email consultations, accessing test results and booking appointments; when technologies and business process are in place. Online access and transactional services are due to be rolled out across England by 2015; this review seeks to explore the impact of online access to health records and other online services on the quality and safety of primary health care. OBJECTIVE: To assess the factors that may affect the provision of online patient access to their EHR and transactional services, and the impact of such access on the quality and safety of health care. METHOD: Two reviewers independently searched 11 international databases during the period 1999-2012. A range of papers including descriptive studies using qualitative or quantitative methods, hypothesis-testing studies and systematic reviews were included. A detailed eligibility criterion will be used to shape study inclusion. A team of experts will review these papers for eligibility, extract data using a customised extraction form and use the Grading of Recommendations Assessment, Development and Evaluation (GRADE) instrument to determine the quality of the evidence and the strengths of any recommendation. Data will then be descriptively summarised and thematically synthesised. Where feasible, we will perform a quantitative meta-analysis. Prospero (International Prospective Register of Systematic Reviews) registration number: crd42012003091.
Harris M, Greaves F, Patterson S, et al., 2012, The North West London Integrated Care Pilot – innovative strategies to improve care coordination for the elderly and people with diabetes, Journal of Ambulatory Care Management, Vol: 35, Pages: 216-225
Curcin V, Soljak M, Majeed A, 2012, Managing and exploiting routinely collected NHS data for research., Inform Prim Care, Vol: 20, Pages: 225-231, ISSN: 1476-0320
INTRODUCTION: Health research using routinely collected National Health Service (NHS) data derived from electronic health records (EHRs) and health service information systems has been growing in both importance and quantity. Wide population coverage and detailed patient-level information allow this data to be applied to a variety of research questions. However, the sensitivity, complexity and scale of such data also hamper researchers from fully exploiting this potential. OBJECTIVE: Here, we establish the current challenges preventing researchers from making optimal use of the data sets at their disposal, on both the legislative and practical levels, and give recommendations as to how these challenges can be overcome. METHOD: A number of projects has recently been launched in the UK to address poor research data-management practices. Rapid Organisation of Healthcare Research Data (ROHRD) at Imperial College, London produced a useful prototype that provides local researchers with a one-stop index of available data sets together with relevant metadata. FINDINGS: Increased transparency of data sets' availability and their provenance leads to better utilisation and facilitates compliance with regulatory requirements. DISCUSSION: Research data resulting from NHS data is often not utilised fully, or is handled in a haphazard manner that prevents full auditability of the research. Furthermore, lack of informatics and data management skills in research teams act as a barrier to implementing more advanced practices, such as provenance capture and detailed, regularly updated, data management strategies. Only by a concerted effort at the levels of research organisations, funding bodies and publishers, can we achieve full transparency and reproducibility of the research.
Pollock A, Majeed A, Macfarlane A, et al., 2011, In defence of our research on competition in England's National Health Service ? Authors' reply, Lancet, Vol: 378, Pages: 2065-2066, ISSN: 0140-6736
Pollock A, Macfarlane A, Kirkwood G, et al., 2011, No evidence that patient choice in the NHS saves lives, LANCET, Vol: 378, Pages: 2057-2060, ISSN: 0140-6736
- Author Web Link
- Cite
- Citations: 39
Lee JT, Netuveli G, Majeed A, et al., 2011, The effects of pay for performance on disparities in stroke, hypertension, and coronary heart disease management: interrupted time series study, PLoS One, Vol: 6, Pages: 1-8, ISSN: 1932-6203
BackgroundThe Quality and Outcomes Framework (QOF), a major pay-for-performance programme, was introduced into United Kingdom primary care in April 2004. The impact of this programme on disparities in health care remains unclear. This study examines the following questions: has this pay for performance programme improved the quality of care for coronary heart disease, stroke and hypertension in white, black and south Asian patients? Has this programme reduced disparities in the quality of care between these ethnic groups? Did general practices with different baseline performance respond differently to this programme?Methodology/Principal FindingsRetrospective cohort study of patients registered with family practices in Wandsworth, London during 2007. Segmented regression analysis of interrupted time series was used to take into account the previous time trend. Primary outcome measures were mean systolic and diastolic blood pressure, and cholesterol levels. Our findings suggest that the implementation of QOF resulted in significant short term improvements in blood pressure control. The magnitude of benefit varied between ethnic groups with a statistically significant short term reduction in systolic BP in white and black but not in south Asian patients with hypertension. Disparities in risk factor control were attenuated only on few measures and largely remained intact at the end of the study period.Conclusions/SignificancePay for performance programmes such as the QOF in the UK should set challenging but achievable targets. Specific targets aimed at reducing ethnic disparities in health care may also be needed.
Soljak M, Calderon-Larranaga A, Sharma P, et al., 2011, Does higher quality primary health care reduce stroke admissions? a national cross-sectional study, BRITISH JOURNAL OF GENERAL PRACTICE, Vol: 61, ISSN: 0960-1643
- Author Web Link
- Cite
- Citations: 34
Majeed A, 2011, Arabic roots of modern medicine, Lancet, Vol: 378, Pages: e4-e5, ISSN: 0140-6736
Bakhai A, Righetti C, Punekar Y, et al., 2011, TEMPORAL TRENDS IN THE HOSPITAL BURDEN OF ATRIAL FIBRILLATION AND STROKE ON SECONDARY CARE COSTS IN ENGLAND BETWEEN 2006 AND 2009, VALUE IN HEALTH, Vol: 14, Pages: A373-A373, ISSN: 1098-3015
Williams N, Woodward H, Majeed A, et al., 2011, Primary care strategies to improve childhood immunisation uptake in developed countries: systematic review., JRSM Short Rep, Vol: 2
OBJECTIVES: To conduct a systematic review of strategies to optimize immunisation uptake within preschool children in developed countries. DESIGN: Systematic review. SETTING: Developed countries PARTICIPANTS: Preschool children who were due, or overdue, one or more of their routine primary immunisations. MAIN OUTCOME MEASURES: Increase in the proportion of the target population up to date with standard recommended universal vaccinations. RESULTS: Forty-six studies were included for analysis, published between 1980 and 2009. Twenty-six studies were randomized controlled trials, 11 were before and after trials, and nine were controlled intervention trials. Parental reminders showed a statistically significant increase in immunisation rates in 34% of included intervention arms. These effects were reported with both generic and specific reminders and with all methods of reminders and recall. Strategies aimed at immunisation providers were also shown to improve immunisation rates with a median change in immunisation rates of 7% when reminders were used, 8% when educational programmes were used and 19% when feedback programmes were used. CONCLUSION: General practitioners are uniquely positioned to influence parental decisions on childhood immunisation. A variety of strategies studied in primary care settings have been shown to improve immunisation rates, including parental and healthcare provider reminders.
Tsang C, Palmer W, Bottle A, et al., 2011, A Review of Patient Safety Measures Based on Routinely Collected Hospital Data, AMERICAN JOURNAL OF MEDICAL QUALITY, Vol: 27, Pages: 154-169, ISSN: 1062-8606
- Author Web Link
- Cite
- Citations: 17
Dalton ARH, Bottle RA, Okoro C, et al., 2011, UPTAKE OF THE NHS HEALTH CHECKS PROGRAMME IN A DEPRIVED, CULTURALLY DIVERSE SETTING: CROSS SECTIONAL STUDY, JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, Vol: 65, Pages: A21-A21, ISSN: 0143-005X
- Author Web Link
- Cite
- Citations: 5
Ougrin D, Banarsee R, Dunn-Toroosian V, et al., 2011, Suicide survey in a London borough: primary care and public health perspectives, JOURNAL OF PUBLIC HEALTH, Vol: 33, Pages: 385-391, ISSN: 1741-3842
- Author Web Link
- Cite
- Citations: 21
Dalton ARH, Bottle A, Okoro C, et al., 2011, Uptake of the NHS Health Checks programme in a deprived, culturally diverse setting: cross-sectional study, JOURNAL OF PUBLIC HEALTH, Vol: 33, Pages: 422-429, ISSN: 1741-3842
- Author Web Link
- Cite
- Citations: 97
Alhyas L, McKay A, Balasanthiran A, et al., 2011, Quality of Type 2 Diabetes Management in the States of The Co-Operation Council for the Arab States of the Gulf: A Systematic Review, PLOS ONE, Vol: 6, ISSN: 1932-6203
- Author Web Link
- Cite
- Citations: 26
Vamos EP, Pape U, Bottle A, et al., 2011, Association of practice size and pay-for-performance with quality of diabetes management in primary care., CMAJ
Pauriah M, Elder DH, Ogston S, et al., 2011, Ezetimibe survival benefit in survivors of an acute myocardial infarction: a population-based study, EUROPEAN HEART JOURNAL, Vol: 32, Pages: 484-484, ISSN: 0195-668X
Alhyas L, McKay A, Balasanthiran A, et al., 2011, Prevalences of overweight, obesity, hyperglycaemia, hypertension and dyslipidaemia in the Gulf: systematic review., JRSM Short Reports, Vol: 2, Pages: 1-16, ISSN: 2042-5333
OBJECTIVES: To examine the prevalence of risk factors for diabetes and its complications in the Co-operation Council of the Arab States of the Gulf (GCC) region. DESIGN: Systematic review. SETTING: Co-operation Council of the Arab States of the Gulf (GCC) states (United Arab Emirates, Bahrain, Saudi Arabia, Oman, Qatar, Kuwait). PARTICIPANTS: Residents of the GCC states participating in studies on the prevalence of overweight and obesity, hyperglycaemia, hypertension and dyslipidaemia. MAIN OUTCOME MEASURES: Prevalences of overweight, obesity and hyperglycaemia, hypertension and hyperlipidaemia. RESULTS: Forty-five studies were included in the review. Reported prevalences of overweight and obesity in adults were 25-50% and 13-50%, respectively. Prevalence appeared higher in women and to hold a non-linear association with age. Current prevalence of impaired glucose tolerance was estimated to be 10-20%. Prevalence appears to have been increasing in recent years. Estimated prevalences of hypertension and dyslipidaemia were few and used varied definitions of abnormality, making review difficult, but these also appeared to be high and increasing, CONCLUSIONS: There are high prevalences of risk factors for diabetes and diabetic complications in the GCC region, indicative that their current management is suboptimal. Enhanced management will be critical if escalation of diabetes-related problems is to be averted as industrialization, urbanization and changing population demographics continue.
Murray J, Majeed A, Khan MS, et al., 2011, Use of the NHS Choices website for primary care consultations: results from online and general practice surveys., JRSM Short Reports, Vol: 2, Pages: 1-25, ISSN: 2042-5333
OBJECTIVES: To determine the effect of using the NHS Choices website on primary care consultations in England and Wales. We examined the hypothesis that using NHS Choices may reduce the frequency of primary care consultations among young, healthy users. DESIGN: Two cross-sectional surveys of NHS Choices users. SETTING: Survey of NHS Choices users using an online pop-up questionnaire on the NHS Choices website and a snapshot survey of patients in six general practices in London. PARTICIPANTS: NHS Choices website users and general practice patients. MAIN OUTCOME MEASURES: For both surveys, we measured the proportion of people using NHS Choices when considering whether to consult their GP practice and on subsequent frequency of primary care consultations. RESULTS: Around 59% (n = 1559) of online and 8% (n = 125) of general practice survey respondents reported using NHS Choices in relation to their use of primary care services. Among these, 33% (n = 515) of online and 18% (n = 23) of general practice respondents reported reduced primary care consultations as a result of using NHS Choices. We estimated the equivalent capacity savings in primary care from reduced consultations as a result of using NHS Choices to be approximately £94 million per year. CONCLUSIONS: NHS Choices has been shown to alter healthcare-seeking behaviour, attitudes and knowledge among its users. Using NHS Choices results in reduced demand for primary care consultations among young, healthy users for whom reduced health service use is likely to be appropriate. Reducing potentially avoidable consultations can result in considerable capacity savings in UK primary care.
Chen Y-C, Wu J-C, Haschler I, et al., 2011, Academic impact of a public electronic health database: bibliometric analysis of studies using the general practice research database, PLoS One, Vol: 6, Pages: 1-7, ISSN: 1932-6203
BackgroundStudies that use electronic health databases as research material are getting popular but the influence of a single electronic health database had not been well investigated yet. The United Kingdom's General Practice Research Database (GPRD) is one of the few electronic health databases publicly available to academic researchers. This study analyzed studies that used GPRD to demonstrate the scientific production and academic impact by a single public health database.Methodology and FindingsA total of 749 studies published between 1995 and 2009 with ‘General Practice Research Database’ as their topics, defined as GPRD studies, were extracted from Web of Science. By the end of 2009, the GPRD had attracted 1251 authors from 22 countries and been used extensively in 749 studies published in 193 journals across 58 study fields. Each GPRD study was cited 2.7 times by successive studies. Moreover, the total number of GPRD studies increased rapidly, and it is expected to reach 1500 by 2015, twice the number accumulated till the end of 2009. Since 17 of the most prolific authors (1.4% of all authors) contributed nearly half (47.9%) of GPRD studies, success in conducting GPRD studies may accumulate. The GPRD was used mainly in, but not limited to, the three study fields of “Pharmacology and Pharmacy”, “General and Internal Medicine”, and “Public, Environmental and Occupational Health”. The UK and United States were the two most active regions of GPRD studies. One-third of GRPD studies were internationally co-authored.ConclusionsA public electronic health database such as the GPRD will promote scientific production in many ways. Data owners of electronic health databases at a national level should consider how to reduce access barriers and to make data more available for research.
Atherton H, Majeed A, 2011, Social networking and health, LANCET, Vol: 377, Pages: 2083-2083, ISSN: 0140-6736
- Author Web Link
- Cite
- Citations: 10
Atherton H, Majeed A, 2011, An information revolution: time for the NHS to step up to the challenge, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 104, Pages: 228-230, ISSN: 0141-0768
- Author Web Link
- Cite
- Citations: 10
This data is extracted from the Web of Science and reproduced under a licence from Thomson Reuters. You may not copy or re-distribute this data in whole or in part without the written consent of the Science business of Thomson Reuters.