Publications
103 results found
Jarman B, Bottle A, Aylin P, et al., 2002, Mortality rates. Dead confusing., Health Serv J, Vol: 112, Pages: 26-27, ISSN: 0952-2271
There is considerable disagreement over how hospital mortality rates should be measured. There are concerns that hospitals with a high number of geriatric beds and long-stay patients are bound to appear to do badly in terms of mortality rates. Analysis of death rates in English trusts shows mortality rates do vary for length of stay. After standardisation for age group and length of stay, the adjusted mortality rates show no bias against hospitals with more patients staying more than 28 days, or against hospitals with more geriatric beds.
Pitman R, Jarman B, Coker R, 2002, Tuberculosis transmission and the impact of intervention on the incidence of infection, INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, Vol: 6, Pages: 485-491, ISSN: 1027-3719
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- Citations: 22
Jarman B, Hurwitz B, Cook A, et al., 2002, Effects of community based nurses specialising in Parkinson's disease on health outcome and costs: randomised controlled trial, BRITISH MEDICAL JOURNAL, Vol: 324, Pages: 1072-1075, ISSN: 0959-535X
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- Citations: 70
Bajekal M, Alves B, Jarman B, et al., 2001, Rationale for the new GP deprivation payment scheme in England: effects of moving from electoral ward to enumeration district underprivileged area scores, BRITISH JOURNAL OF GENERAL PRACTICE, Vol: 51, Pages: 451-455, ISSN: 0960-1643
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- Citations: 8
Coid J, Kahtan N, Cook A, et al., 2001, Predicting admission rates to secure forensic psychiatry services, PSYCHOLOGICAL MEDICINE, Vol: 31, Pages: 531-539, ISSN: 0033-2917
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- Citations: 20
Bennett J, Pitman R, Jarman B, et al., 2001, A study of the variation in tuberculosis incidence and possible influential variables in Manchester, Liverpool, Birmingham and Cardiff in 1991-1995., Int J Tuberc Lung Dis, Vol: 5, Pages: 158-163, ISSN: 1027-3719
SETTING AND OBJECTIVE: The reversal of the decline in United Kingdom tuberculosis rates has sparked a resurgence of interest in the epidemiology and prevention of tuberculosis in the UK. In this paper we quantify the primary factors explaining the variability in the electoral ward level relative risk of tuberculosis in Manchester, Liverpool, Birmingham and Cardiff. DESIGN: Ecological analysis of the incidence of tuberculosis in 397 wards using hospital admissions data as a proxy for tuberculosis incidence. Admissions were evaluated from the financial years 1991/1992 to 1994/1995. Ward level covariates included measures of country of birth, ethnicity and various socio-economic measures. RESULTS: Separate analyses were carried out for pulmonary and non-pulmonary tuberculosis. For pulmonary tuberculosis the final model included measures of the ward population born in India and Pakistan, overcrowded housing and not-owner-occupied housing. For non-pulmonary tuberculosis the covariates were ward population born in India and Pakistan, overcrowded housing and the proportion of households with no car. CONCLUSIONS: The country of birth of the ward population is the single most influential explanatory factor in the variability of the ward rates for both pulmonary and non-pulmonary tuberculosis in these four cities. Measures of poverty are of secondary importance.
Coid J, Kahtan N, Gault S, et al., 2001, Medium secure forensic psychiatry services: comparison of seven English health regions., Br J Psychiatry, Vol: 178, Pages: 55-61, ISSN: 0007-1250
BACKGROUND: Regional medium secure developments have proceeded unevenly, with wide variations in resources to deliver services. AIMS: To compare patients admitted to seven (pre-reorganisation) regional services and styles of service delivery. METHOD: A record survey of a complete sample of 2608 patients admitted on 3403 occasions between 1 January 1988 and 31 December 1994. RESULTS: Services differed according to location of patients before admission, their legal basis for detention, criminal and antisocial behaviour, diagnosis, security needs and length of stay. Regions with more resources and lower demand provided a wider range of services. Thames services were relatively under-provided during the study period, with North East Thames substantially reliant on admissions to private hospitals. CONCLUSIONS: Uncoordinated development led to under-provision despite high demand. Certain regions prioritised offender patients and did not support local psychiatric services. New standards are required for service specification and resource allocation to redress inequality. Traditional performance measures were of limited usefulness in comparing services.
Dept of Health, 2001, Learning from Bristol: report of the Public Enquiry into Children's Heart Surgery at Bristol Royal Infirmary 1984-1995: summary and recommendations, London, Publisher: Bristol Royal Infirmary Inquiry, ISBN: 9780101520737
Coid J, Kahan N, Gault S, et al., 2000, Women admitted to secure forensic psychiatry services: II. Identification of categories using cluster analysis, JOURNAL OF FORENSIC PSYCHIATRY, Vol: 11, Pages: 296-315, ISSN: 0958-5184
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- Citations: 16
Coid J, Kahtan N, Gault S, et al., 2000, Ethnic differences in admissions to secure forensic psychiatry services, BRITISH JOURNAL OF PSYCHIATRY, Vol: 177, Pages: 241-247, ISSN: 0007-1250
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- Citations: 61
Coid J, Kahtan N, Gault S, et al., 2000, Women admitted to secure forensic psychiatry services: I. Comparison of women and men, JOURNAL OF FORENSIC PSYCHIATRY, Vol: 11, Pages: 275-295, ISSN: 0958-5184
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- Citations: 70
Jarman B, 2000, The quality of care in hospitals, JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF LONDON, Vol: 34, Pages: 75-91, ISSN: 0035-8819
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- Citations: 8
Howard R, Jarman B, Kennedy I, et al., 2000, Report into the Removal and Retention of Human Material, London, Publisher: Department of Health
Coid J, Kahtan N, Gault S, et al., 1999, Patients with personality disorder admitted to secure forensic psychiatry services, BRITISH JOURNAL OF PSYCHIATRY, Vol: 175, Pages: 528-536, ISSN: 0007-1250
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- Citations: 54
Jarman B, Gault S, Alves B, et al., 1999, Explaining differences in English hospital death rates using routinely collected data, BMJ-BRITISH MEDICAL JOURNAL, Vol: 318, Pages: 1515-1520, ISSN: 1756-1833
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- Citations: 280
Higginson IJ, Jarman B, Astin P, et al., 1999, Do social factors affect where patients die: an analysis of 10 years of cancer deaths in England, JOURNAL OF PUBLIC HEALTH MEDICINE, Vol: 21, Pages: 22-28, ISSN: 0957-4832
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- Citations: 92
Hurwitz B, Bajekal M, Jarman B, 1999, Evaluating community-based Parkinson's disease nurse specialists: rationale, methodology, and representativeness of patient sample in a large randomized controlled trial., Adv Neurol, Vol: 80, Pages: 431-438, ISSN: 0091-3952
Bajekal M, 1997, Deprivation payments to general practitioners. Scores are calculated relative to national average., BMJ, Vol: 314, Pages: 227-228, ISSN: 0959-8138
Bajekal M, Jan S, Jarman B, 1996, The Swedish UPA score: An administrative tool for identification of underprivileged areas., SCANDINAVIAN JOURNAL OF SOCIAL MEDICINE, Vol: 24, Pages: 177-184, ISSN: 0300-8037
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- Citations: 27
Sundquist J, Bajekal M, Jarman B, et al., 1996, Underprivileged area score, ethnicity, social factors and general mortality in district health authorities in England and Wales, SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE, Vol: 14, Pages: 79-85, ISSN: 0281-3432
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- Citations: 5
Dolan SA, Jarman B, Bajekal M, et al., 1995, Measuring disadvantage: Changes in the underprivileged area, Townsend, and Carstairs scores 1981-91, JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, Vol: 49, Pages: S30-S33, ISSN: 0143-005X
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- Citations: 45
Elliott P, Diggle P, Hills M, et al., 1995, Use of deprivation indices in small area studies of environment and health - General discussion, JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, Vol: 49, Pages: S81-S88, ISSN: 0143-005X
Jarman B, 1995, Public policy issues: a British perspective., J R Soc Med, Vol: 88 Suppl 26, Pages: 11-12, ISSN: 0141-0768
Bruster S, Jarman B, Bosanquet N, et al., 1994, National survey of hospital patients., BMJ, Vol: 309, Pages: 1542-1546, ISSN: 0959-8138
OBJECTIVE: To survey patients' opinions of their experiences in hospital in order to produce data that can help managers and doctors to identify and solve problems. DESIGN: Random sample of 36 NHS hospitals, stratified by size of hospital (number of beds), area (north, midlands, south east, south west), and type of hospital (teaching or non-teaching, trust or directly managed). From each hospital a random sample of, on average, 143 patients was interviewed at home or the place of discharge two to four weeks after discharge by means of a structured questionnaire about their treatment in hospital. SUBJECTS: 5150 randomly chosen NHS patients recently discharged from acute hospitals in England. Subjects had been patients on medical and surgical wards apart from paediatric, maternity, psychiatric, and geriatric wards. MAIN OUTCOME MEASURES: Patients' responses to direct questions about preadmission procedures, admission, communication with staff, physical care, tests and operations, help from staff, pain management, and discharge planning. Patients' responses to general questions about their degree of satisfaction in hospitals. RESULTS: Problems were reported by patients, particularly with regard to communication with staff (56% (2824/5020) had not been given written or printed information); pain management (33% (1042/3162) of those suffering pain were in pain all or most of the time); and discharge planning (70% (3599/5124) had not been told about warning signs and 62% (3177/5119) had not been told when to resume normal activities). Hospitals failed to reach the standards of the Patient's Charter--for example, in explaining the treatment proposed and giving patients the option of not taking part in student training. Answers to questions about patient satisfaction were, however, highly positive but of little use to managers. CONCLUSIONS: This survey has highlighted several problems with treatment in NHS hospitals. Asking patients direct questions about what happened rath
Lorentzon M, Jarman B, Bajekal M, et al., 1994, Report of the Inner City Task Force of the Royal College of General Practitioners., Occas Pap R Coll Gen Pract, Pages: 1-53, ISSN: 1352-2450
Jarman B, 1994, The crisis in London Medicine: how many hospital beds does the Capital need?, London, Publisher: University of London
Abel-Smith B, Calltorp J, Dixon M, et al., 1994, Report on the Greek Health Services, Athens, Publisher: Pharmetrica, ISBN: 9780853282075
Wallace P, Jarman B, 1994, Alcoholism: strengthening the primary care response, London, Publisher: British Medical Bulletin
Lorentzon M, Jarman B, Bajekal M, 1994, Royal College of General Practitioners Inner City Taskforce Report, London, Publisher: Royal college of general Practitioners
Jarman B, 1993, Is London overbedded?, BMJ, Vol: 306, Pages: 979-982, ISSN: 0959-8138
OBJECTIVE: To examine whether there are too many hospital beds in London. DESIGN: Analysis of data from the Hospital In-Patient Enquiry, Mental Health Enquiry, health service indicators, and Emergency Bed Service. SETTING: England, London, and inner London. RESULTS: Hospital admission rates for acute plus geriatric services for London residents were very similar to the national values in all age groups. In the special case considered in the Tomlinson report--acute services in inner London--the admission rate was 22% above the value for England. However, the admission rate of inner deprived Londoners was 9% below that of comparable areas outside London. For psychiatry, admission rates in London roughly equalled those in comparable areas. When special health authorities were excluded, in 1990-1 there were 4% more acute plus geriatric beds available per resident in London than in England. Bed provision has been reduced more rapidly in London than nationally. Extrapolating the trend of bed closures forward indicates that beds (all and acute) per resident in London are now at about the national average. Data from the Emergency Bed Service indicate that the pressure on available hospital beds in London has been increasing since 1985. CONCLUSIONS: Data regarding bed provision and utilisation for all specialties by London residents do not provide a case for reducing the total hospital bed stock in London at a rate faster than elsewhere. Bed closures should take account of London's relatively poorer social and primary health care circumstances, longer hospital waiting lists, poorer provision of residential homes, and evidence from the Emergency Bed Service of increasing pressure on beds. Higher average costs in London, some unavoidable, are forcing hospital beds to be closed at a faster rate in London than nationally.
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