Imperial College London

DrMatthewHarris

Faculty of MedicineSchool of Public Health

Clinical Senior Lecturer in Public Health
 
 
 
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Contact

 

+44 (0)20 7594 7452m.harris

 
 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Publication Type
Year
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87 results found

Cowling TE, Majeed A, Harris MJ, 2018, Patient experience of general practice and use of emergency hospital services in England: regression analysis of national cross-sectional time series data., BMJ Qual Saf, Vol: 27, Pages: 643-654

BACKGROUND: The UK Government has introduced several national policies to improve access to primary care. We examined associations between patient experience of general practice and rates of visits to accident and emergency (A&E) departments and emergency hospital admissions in England. METHODS: The study included 8124 general practices between 2011-2012 and 2013-2014. Outcome measures were annual rates of A&E visits and emergency admissions by general practice population, according to administrative hospital records. Explanatory variables included three patient experience measures from the General Practice Patient Survey: practice-level means of experience of making an appointment, satisfaction with opening hours and overall experience (on 0-100 scales). The main analysis used random-effects Poisson regression for cross-sectional time series. Five sensitivity analyses examined changes in model specification. RESULTS: Mean practice-level rates of A&E visits and emergency admissions increased from 2011-2012 to 2013-2014 (310.3-324.4 and 98.8-102.9 per 1000 patients). Each patient experience measure decreased; for example, mean satisfaction with opening hours was 79.4 in 2011-2012 and 76.6 in 2013-2014. In the adjusted regression analysis, an SD increase in experience of making appointments (equal to 9 points) predicted decreases of 1.8% (95% CI -2.4% to -1.2%) in A&E visit rates and 1.4% (95% CI -1.9% to -0.9%) in admission rates. This equalled 301 174 fewer A&E visits and 74 610 fewer admissions nationally per year. Satisfaction with opening hours and overall experience were not consistently associated with either outcome measure across the main and sensitivity analyses. CONCLUSIONS: Associations between patient experience of general practice and use of emergency hospital services were small or inconsistent. In England, realistic short-term improvements in patient experience of general practice may only have modest effects on A&

JOURNAL ARTICLE

Cowling TE, Majeed A, Harris MJ, 2018, Importance of accessibility and opening hours to overall patient experience of general practice: analysis of repeated cross-sectional data from a national patient survey., Br J Gen Pract, Vol: 68, Pages: e469-e477

BACKGROUND: The UK government aims to improve the accessibility of general practices in England, particularly by extending opening hours in the evenings and at weekends. It is unclear how important these factors are to patients' overall experiences of general practice. AIM: To examine associations between overall experience of general practice and patient experience of making appointments and satisfaction with opening hours. DESIGN AND SETTING: Analysis of repeated cross-sectional data from the General Practice Patient Surveys conducted from 2011-2012 until 2013-2014. These covered 8289 general practice surgeries in England. METHOD: Data from a national survey conducted three times over consecutive years were analysed. The outcome measure was overall experience, rated on a five-level interval scale. Associations were estimated as standardised regression coefficients, adjusted for responder characteristics and clustering within practices using multilevel linear regression. RESULTS: In total, there were 2 912 535 responders from all practices in England (n = 8289). Experience of making appointments (β 0.24, 95% confidence interval [CI] = 0.24 to 0.25) and satisfaction with opening hours (β 0.15, 95% CI = 0.15 to 0.16) were modestly associated with overall experience. Overall experience was most strongly associated with GP interpersonal quality of care (β 0.34, 95% CI = 0.34 to 0.35) and receptionist helpfulness was positively associated with overall experience (β 0.16, 95% CI = 0.16 to 0.17). Other patient experience measures had minimal associations (β≤0.06). Models explained ≥90% of variation in overall experience between practices. CONCLUSION: Patient experience of making appointments and satisfaction with opening hours were only modestly associated with overall experience. Policymakers in England should not assume that recent policies to improve access will result in large improvements in patients' overall experience of general pract

JOURNAL ARTICLE

Harris M, Bhatti Y, Prime M, del Castillo J, Parston Get al., 2018, Low-cost innovation in healthcare: what you find depends on where you look, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 111, Pages: 47-50, ISSN: 0141-0768

JOURNAL ARTICLE

Prime M, Attaelmanan I, Imbuldeniya A, Harris M, Darzi A, Bhatti Yet al., 2018, From Malawi to Middlesex: the case of the Arbutus Drill Cover System as an example of the cost-saving potential of frugal innovations for the UK NHS, BMJ Innovations, Vol: 4, Pages: 103-110, ISSN: 2055-8074

JOURNAL ARTICLE

van Schalkwyk MCI, Harris M, 2018, Translational health policy: towards an integration of academia and policy, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 111, Pages: 15-17, ISSN: 0141-0768

JOURNAL ARTICLE

Bhatti Y, Taylor A, Harris M, Wadge H, Escobar E, Prime M, Patel H, Carter AW, Parston G, Darzi AW, Udayakumar Ket al., 2017, Global Lessons In Frugal Innovation To Improve Health Care Delivery In The United States, HEALTH AFFAIRS, Vol: 36, Pages: 1912-1919, ISSN: 0278-2715

JOURNAL ARTICLE

Bhatti YA, Prime M, Harris M, Wadge H, McQueen J, Patel H, Carter AW, Parston G, Darzi Aet al., 2017, The search for the holy grail: Frugal innovation in healthcare from low-income or middle-income countries for reverse innovation to developed countries, BMJ Innovations, Vol: 3, Pages: 212-220, ISSN: 2055-8074

© 2017 BMJ Publishing Group. All Rights Reserved. The healthcare sector stands to benefit most from frugal innovation, the idea that more can be done for less for many more people, globally. As a first step for health systems to leverage new approaches to offset escalating health expenditures and to improve health outcomes, the most relevant frugal innovations have to be found. The Institute of Global Health Innovation was commissioned by the US-based Commonwealth Fund to identify frugal innovations from around the world that could, if transferred to the USA, offer approaches for expanding access to care and dramatically lower costs. Our global scan was motivated by the need to extend the list of frugal innovations in healthcare beyond the impressive but oft-repeated examples such as GE's MAC 400, a US$800 portable ECG machine, Narayana's US$1500 cardiac surgery and Aravind's US$30 cataract surgery. Our search involved (1) scanning innovation databases, (2) refining frameworks to identify frugal innovations and evaluate their reverse potential and (3) developing in-depth case studies. From 520 possible innovations, we shortlisted 16 frugal innovations that we considered as frugal and with potential for reverse diffusion into high-income country health systems. Our global search was narrowed down to three care delivery models for case analysis: The Brazilian Family Health Strategy around community health workers; Singapore-based GeriCare@North use of telemedicine and Brazil's Saude Crianca community involvement and citizenship programme. We share core features of the three frugal innovations and outline lessons for practitioners, scholars and policymakers seeking to lower healthcare costs while increasing access and quality.

JOURNAL ARTICLE

Cowling TE, Harris M, Majeed A, 2017, Extended opening hours and patient experience of general practice in England: multilevel regression analysis of a national patient survey, BMJ QUALITY & SAFETY, Vol: 26, Pages: 360-371, ISSN: 2044-5415

JOURNAL ARTICLE

Cowling TE, Laverty AA, Harris MJ, Watt HC, Greaves F, Majeed Aet al., 2017, Contract and ownership type of general practices and patient experience in England: multilevel analysis of a national cross-sectional survey, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 110, Pages: 440-451, ISSN: 0141-0768

JOURNAL ARTICLE

Harris M, Macinko J, Jimenez G, Mullachery Pet al., 2017, Measuring the bias against low-income country research: an Implicit Association Test, GLOBALIZATION AND HEALTH, Vol: 13, ISSN: 1744-8603

JOURNAL ARTICLE

Harris M, Marti J, Watt H, Bhatti Y, Macinko J, Darzi AWet al., 2017, Explicit Bias Toward High-Income-Country Research: A Randomized, Blinded, Crossover Experiment Of English Clinicians, HEALTH AFFAIRS, Vol: 36, Pages: 1997-2004, ISSN: 0278-2715

JOURNAL ARTICLE

Issa H, Kulasabanathan K, Darzi A, Harris Met al., 2017, Shared learning in an interconnected world: the role of international health partnerships, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 110, Pages: 316-319, ISSN: 0141-0768

JOURNAL ARTICLE

Jimenez G, Harris M, 2017, Published evidence about bias against research from lower income countries: can we do something about it?, Revista Chileana de Dermatologia, Vol: 33, Pages: 6-7, ISSN: 0719-9406

We have always suspected it. Many colleagues, doctor friends and researchers from Latin American countries keep mentioning how di cult it is for them to publish articles in international journals, especially in high im- pact factor ones. Was this because their research came from lower-income countries (LICs)? Maybe. Is it ea- sier for research coming from higher-income countries (HICs) to be accepted in journals? Probably. We never knew for sure whether this was true but nally there is research demonstrating that there is indeed bias aga- inst research from lower-income countries.

JOURNAL ARTICLE

Kulasabanathan K, Issa H, Bhatti Y, Prime M, Del Castillo J, Darzi A, Harris Met al., 2017, Do International Health Partnerships contribute to reverse innovation? a mixed methods study of THET-supported partnerships in the UK, GLOBALIZATION AND HEALTH, Vol: 13, ISSN: 1744-8603

JOURNAL ARTICLE

Macinko J, Harris MJ, Rocha MG, 2017, Brazil's National Program for Improving Primary Care Access and Quality (PMAQ) Fulfilling the Potential of the World's Largest Payment for Performance System in Primary Care, JOURNAL OF AMBULATORY CARE MANAGEMENT, Vol: 40, Pages: S4-S11, ISSN: 0148-9917

JOURNAL ARTICLE

Macinko J, Harris MJ, Rocha MG, 2017, Foreword Introduction to the Special Edition on the Brazilian National Program to Improve Primary Care Access and Quality (PMAQ), JOURNAL OF AMBULATORY CARE MANAGEMENT, Vol: 40, Pages: S1-S3, ISSN: 0148-9917

JOURNAL ARTICLE

Woringer M, Nielsen JJ, Zibarras L, Evason J, Kassianos AP, Harris M, Majeed A, Soljak Met al., 2017, Development of a questionnaire to evaluate patients' awareness of cardiovascular disease risk in England's National Health Service Health Check preventive cardiovascular programme, BMJ OPEN, Vol: 7, ISSN: 2044-6055

JOURNAL ARTICLE

Cowling TE, Harris M, Watt H, Soljak M, Richards E, Gunning E, Bottle A, Macinko J, Majeed Aet al., 2016, Access to primary care and the route of emergency admission to hospital: retrospective analysis of national hospital administrative data, BMJ QUALITY & SAFETY, Vol: 25, Pages: 432-440, ISSN: 2044-5415

JOURNAL ARTICLE

Harris M, 2016, Mais Medicos (More Doctors) Program - a view from England, CIENCIA & SAUDE COLETIVA, Vol: 21, Pages: 2919-2923, ISSN: 1413-8123

JOURNAL ARTICLE

Harris M, Bhatti Y, Darzi A, 2016, Does the Country of Origin Matter in Health Care Innovation Diffusion?, JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, Vol: 315, Pages: 1103-1104, ISSN: 0098-7484

JOURNAL ARTICLE

Harris M, Weisberger E, Silver D, Dadwal V, Macinko Jet al., 2016, That's not how the learning works - the paradox of Reverse Innovation: a qualitative study, GLOBALIZATION AND HEALTH, Vol: 12, ISSN: 1744-8603

JOURNAL ARTICLE

Harris MJ, Bhatti Y, Prime M, del Castillo J, Parston G, Darzi Aet al., 2016, Global Diffusion of Healthcare Innovation: Making the Connections. Report for the World Innovation Summit for Health, World Innovation Summit for Health 2016, Publisher: World Innovation Summit for Health

04GDHIEXECUTIVE SUMMARYThis research is part of the ongoing study of GDHI. The diffusion or spread of innova-tions over time through a specific population or social system is important to unlock the potential benefits of an innovation. There has been much study of how to encour-age the uptake of innovations so that they become part of everyday practice and ben-efit many, rather than a few. In this research, we explore this from the demand side. We explore how FHWs and leaders find solutions to their everyday challenges, and which sources are the most influential. We consider how these groups are sourcing solutions to their problems in six countries and how healthcare organizations can source innovations more effectively to meet the needs of FHWs and leaders. The study also explores the role that ‘curator organizations’ – a specialized set of organ-izations that source innovations from around the world – are playing in helping to diffuse innovations into clinical practice. We consider what role these organizations could play in future to ensure that they are relevant to frontline needs. The study builds on previous findings from 2013 GDHI research that showed how cer-tain system characteristics, enablers and frontline behaviors are critical to diffusion.1It follows on from the 2015 GDHI study that assessed the importance and prevalence of these elements in eight case studies of rapid, successfully scaled innovations.2This year, our study focuses on how FHWs and organization leaders source innova-tion in the first place. Our research draws on quantitative surveys of more than 1,350 FHWs in major urban centers of six countries (England, the United States (US), Qatar, Brazil, India and Tanzania). We conducted more than 90 personal interviews with healthcare leaders in these locations and in-depth conversations with the managers of 10 curator organizations.

CONFERENCE PAPER

Harris MJ, Bhatti Y, Prime M, del Castillo J, Parston G, Darzi Aet al., 2016, Global Diffusion of Healthcare Innovation: Making the Connections, Global Diffusion of Healthcare Innovation: Making the Connections, Publisher: Qatar Foundation

REPORT

Majeed A, Hansell A, Saxena S, Millett C, Ward H, Harris M, Hayhoe B, Car J, Easton G, Donnelly CA, Perneczky R, Jarvelin M-R, Ezzati M, Rawaf S, Vineis P, Ferguson N, Riboli Eet al., 2016, How would a decision to leave the European Union affect medical research and health in the United Kingdom?, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 109, Pages: 216-218, ISSN: 0141-0768

JOURNAL ARTICLE

Prime M, Bhatti Y, Harris M, 2016, Frugal and Reverse Innovations in Surgery, Global Surgery: The Essentials, Editors: Park, Price

BOOK CHAPTER

Vamos EP, Pape UJ, Curcin V, Harris MJ, Valabhji J, Majeed A, Millett Cet al., 2016, Effectiveness of the influenza vaccine in preventing admission to hospital and death in people with type 2 diabetes, CANADIAN MEDICAL ASSOCIATION JOURNAL, Vol: 188, Pages: E342-E351, ISSN: 0820-3946

JOURNAL ARTICLE

Cowling TE, Harris MJ, Majeed A, 2015, Access to Primary Care in England, JAMA INTERNAL MEDICINE, Vol: 175, Pages: 467-467, ISSN: 2168-6106

JOURNAL ARTICLE

Cowling TE, Harris MJ, Majeed A, 2015, Evidence and rhetoric about access to UK primary care, BMJ-BRITISH MEDICAL JOURNAL, Vol: 350, ISSN: 1756-1833

JOURNAL ARTICLE

Harris M, Burgess CP, Kringos DS, 2015, Hope for US health care despite strong headwinds, British Journal of General Practice, Vol: 65, Pages: 367-367, ISSN: 0960-1643

JOURNAL ARTICLE

Harris M, Dadwal V, Wu A, Syed SBet al., 2015, It takes threat of Ebola to see lessons from low income countries, Globalization and Health, Vol: 11

JOURNAL ARTICLE

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.

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