Publications
338 results found
Greaves F, Laverty AA, Ramirez Cano D, et al., 2014, Tweets about hospital quality: a mixed methods study, BMJ Quality & Safety, Vol: 23, Pages: 838-846, ISSN: 2044-5423
Background Twitter is increasingly being used by patients to comment on their experience of healthcare. This may provide information for understanding the quality of healthcare providers and improving services.Objective To examine whether tweets sent to hospitals in the English National Health Service contain information about quality of care. To compare sentiment on Twitter about hospitals with established survey measures of patient experience and standardised mortality rates.Design A mixed methods study including a quantitative analysis of all 198 499 tweets sent to English hospitals over a year and a qualitative directed content analysis of 1000 random tweets. Twitter sentiment and conventional quality metrics were compared using Spearman's rank correlation coefficient.Key results 11% of tweets to hospitals contained information about care quality, with the most frequent topic being patient experience (8%). Comments on effectiveness or safety of care were present, but less common (3%). 77% of tweets about care quality were positive in tone. Other topics mentioned in tweets included messages of support to patients, fundraising activity, self-promotion and dissemination of health information. No associations were observed between Twitter sentiment and conventional quality metrics.Conclusions Only a small proportion of tweets directed at hospitals discuss quality of care and there was no clear relationship between Twitter sentiment and other measures of quality, potentially limiting Twitter as a medium for quality monitoring. However, tweets did contain information useful to target quality improvement activity. Recent enthusiasm by policy makers to use social media as a quality monitoring and improvement tool needs to be carefully considered and subjected to formal evaluation.
Jawad M, Millett C, 2014, Impact of EU flavoured tobacco ban on waterpipe smoking, British Medical Journal, Vol: 348, ISSN: 1468-5833
Thomas G, Khunti K, Curcin V, et al., 2014, Obesity paradox in people newly diagnosed with type 2 diabetes with and without prior cardiovascular disease, DIABETES OBESITY & METABOLISM, Vol: 16, Pages: 317-325, ISSN: 1462-8902
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- Citations: 39
Jawad M, Lee JT, Millett C, 2014, The Relationship between Waterpipe and Cigarette Smoking in Low and Middle Income Countries: Cross-Sectional Analysis of the Global Adult Tobacco Survey, PLOS One, Vol: 9, ISSN: 1932-6203
IntroductionWaterpipe tobacco smoking is receiving growing attention due to accumulating evidence suggesting increasing prevalence in some populations and deleterious health effects. Nevertheless, the relationship between waterpipe and cigarette smoking remain unknown, particularly in low and middle income countries.Materials and MethodsWe analysed waterpipe and cigarette smoking using data from Global Adult Tobacco Survey, a household survey of adults aged ≥15 years conducted between 2008–2010 in LMICs. Factors associated with waterpipe and cigarette use were assessed using multiple logistic regression. Factors associated with the quantity of waterpipe and cigarette smoking were assessed using log-linear regression models.ResultsAfter adjusting for age, gender, residence, education, occupation and smokeless tobacco use, waterpipe smoking was significantly higher among cigarette users than in non-cigarette users in India (5.6% vs. 0.6%, AOR 13.12, 95% CI 7.41–23.23) and Russia (6.7% vs. 0.2%, AOR 27.73, 95% CI 11.41–67.43), but inversely associated in Egypt (2.6% vs. 3.4%, AOR 0.21, 95% CI 0.15–0.30) and not associated in Vietnam (13.3% vs. 4.7%, AOR 0.96, 95% CI 0.74–1.23). Compared to non-cigarette smokers, waterpipe smokers who also used cigarettes had more waterpipe smoking sessions per week in Russia (1.3 vs. 2.9, beta coefficient 0.31, 95% CI 0.06, 0.57), but less in Egypt (18.2 vs. 10.7, beta coefficient −0.45, 95% CI −0.73, −0.17) and Vietnam (102.0 vs. 79.3, beta coefficient −0.31, 95% CI −0.56, −0.06) and similar amounts in India (29.4 vs. 32.6, beta coefficient −0.12, 95% CI −0.46, 0.22).ConclusionsWaterpipe smoking is low in most LMICs but important country-level differences in use, including concurrent cigarette smoking, should be taken into account when designing and evaluating tobacco control interventions.
Laverty AA, Millett C, 2014, Smoking ban in cars will benefit disadvantaged children most, British Medical Journal
Barrera L, Leaper C, Pape UJ, et al., 2014, Impact of ethnic-specific guidelines for anti-hypertensive prescribing in primary care in England: a longitudinal study, BMC HEALTH SERVICES RESEARCH, Vol: 14
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- Citations: 3
Artac M, Dalton ARH, Majeed A, et al., 2014, Re: Questionable evidence of effectiveness of a national cardiovascular disease risk assessment program, PREVENTIVE MEDICINE, Vol: 59, Pages: 84-85, ISSN: 0091-7435
Majeed A, El-Sayed AA, Khoja T, et al., 2014, Diabetes in the Middle-East and North Africa: An update, DIABETES RESEARCH AND CLINICAL PRACTICE, Vol: 103, Pages: 218-222, ISSN: 0168-8227
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- Citations: 115
Nazar GP, Lee JT, Glantz SA, et al., 2014, Association between being employed in a smoke-free workplace and living in a smoke-free home: Evidence from 15 low and middle income countries, PREVENTIVE MEDICINE, Vol: 59, Pages: 47-53, ISSN: 0091-7435
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- Citations: 37
Ahmad A, Laverty AA, Aasheim E, et al., 2014, Eligibility for bariatric surgery among adults in England: analysis of a national cross-sectional survey., JRSM Open, Vol: 5, ISSN: 2054-2704
OBJECTIVES: This study aimed to determine the number eligible for bariatric surgery and their sociodemographic characteristics. DESIGN: We used Health Survey for England 2006 data, representative of the non-institutionalized English population. SETTING: The number of people eligible for bariatric surgery in England based on national guidance is unknown. The UK National Institute for Health and Clinical Excellence criteria for eligibility are those with body mass index (BMI) 35-40 kg/m(2) with at least one comorbidity potentially improved by losing weight or a BMI > 40 kg/m(2). PARTICIPANTS: Of 13,742 adult respondents (≥18 years), we excluded participants with invalid BMI (n = 2103), comorbidities (n = 2187) or sociodemographic variables (n = 27) data, for a final study sample of 9425 participants. MAIN OUTCOME MEASURES: The comorbidities examined were hypertension, type 2 diabetes, stroke, coronary heart disease and osteoarthritis. Sociodemographic variables assessed included age, sex, employment status, highest educational qualification, social class and smoking status. RESULTS: 5.4% (95% CI 5.0-5.9) of the non-institutionalized adult population in England could meet criteria for having bariatric surgery after accounting for survey weights. Those eligible were more likely than the general population to be women (60.1% vs. 39.9%, p<0.01), retired (22.4% vs. 12.8% p<0.01), and have no formal educational qualifications (35.7% vs. 21.3%, p<0.01). CONCLUSIONS: The number of adults potentially eligible for bariatric surgery in England (2,147,683 people based on these results and 2006 population estimates) far exceeds previous estimates of eligibility. In view of the sociodemographic characteristics of this group, careful resource allocation is required to ensure equitable access on the basis of need.
Dalton A, Vamos E, Harris M, et al., 2014, Impact of universal coverage on hypertension management: a cross-national study in the United States and England, PLoS ONE, Vol: 9, ISSN: 1932-6203
Background: The Patient Protection and Affordable Care Act (ACA) galvanised debate in the United States (US) overuniversal health coverage. Comparison with countries providing universal coverage may illustrate whether the ACA canimprove health outcomes and reduce disparities. We aimed to compare quality and disparities in hypertensionmanagement by socio-economic position in the US and England, the latter of which has universal health care.Method: We used data from the Health and Retirement Survey in the US, and the English Longitudinal Study for Aging fromEngland, including non-Hispanic White respondents aged 50–64 years (US market-based v NHS) and .65 years (USMedicarev NHS) with diagnosed hypertension. We compared blood pressure control to clinical guideline (140/90 mmHg)and audit (150/90 mmHg) targets; mean systolic and diastolic blood pressure and antihypertensive prescribing, anddisparities in each by educational attainment, income and wealth, using regression models.Results: There were no significant differences in aggregate achievement of clinical targets aged 50 to 65 years (US marketbasedvs. NHS- 62.3% vs. 61.3% [p = 0.835]). There was, however, greater control in the US in patients aged 65 years and over(US Medicare vs. NHS- 53.5% vs. 58.2% [p = 0.043]). England had no significant socioeconomic disparity in blood pressurecontrol (60.9% vs. 63.5% [p = 0.588], high and low wealth aged $65 years). The US had socioeconomic differences in the 50–64 years group (71.7% vs. 55.2% [p = 0.003], high and low wealth); these were attenuated but not abolished in Medicarebeneficiaries.Conclusion: Moves towards universal health coverage in the US may reduce disparities in hypertension management. Thecurrent situation, providing universal coverage for residents aged 65 years and over, may not be sufficient for equality incare.
Hamilton FLH, Laverty AA, Gluvajic D, et al., 2014, Effect of financial incentives on delivery of alcohol screening and brief intervention (ASBI) in primary care: longitudinal study, Journal of Public Health
Mathur MR, Tsakos G, Millett C, et al., 2014, Socioeconomic inequalities in dental caries and their determinants in adolescents in New Delhi, India, BMJ OPEN, Vol: 4, ISSN: 2044-6055
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- Citations: 23
Jawad M, Wilson A, Lee JT, et al., 2013, Prevalence and Predictors of Water Pipe and Cigarette Smoking Among Secondary School Students in London, NICOTINE & TOBACCO RESEARCH, Vol: 15, Pages: 2069-2075, ISSN: 1462-2203
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- Citations: 61
Greaves F, Ramirez-Cano D, Millett C, et al., 2013, Use of Sentiment Analysis for Capturing Patient Experience From Free-Text Comments Posted Online, JOURNAL OF MEDICAL INTERNET RESEARCH, Vol: 15, ISSN: 1438-8871
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- Citations: 164
Soljak M, Majeed A, Millett C, 2013, Response to Krogsboll and colleagues: NHS health checks or government by randomised controlled trial?, BMJ-BRITISH MEDICAL JOURNAL, Vol: 347, ISSN: 1756-1833
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- Citations: 4
Jawad M, Abass J, Hariri A, et al., 2013, Waterpipe smoking: prevalence and attitudes among medical students in London (vol 17, pg 137, 2013), INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, Vol: 17, Pages: 1246-1246, ISSN: 1027-3719
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- Citations: 1
Sreeharan V, Madden H, Lee JT, et al., 2013, Improving Access to Psychological Therapies and antidepressant prescribing rates in England: a longitudinal time-series analysis, BRITISH JOURNAL OF GENERAL PRACTICE, Vol: 63, Pages: E649-E653, ISSN: 0960-1643
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- Citations: 11
Artac M, Dalton ARH, Babu H, et al., 2013, Primary care and population factors associated with NHS Health Check coverage: a national cross-sectional study, JOURNAL OF PUBLIC HEALTH, Vol: 35, Pages: 431-439, ISSN: 1741-3842
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- Citations: 35
Greaves F, Laverty AA, Millett C, 2013, FRIENDS AND FAMILY TEST Friends and family test results only moderately associated with conventional measures of hospital quality, BMJ-BRITISH MEDICAL JOURNAL, Vol: 347, ISSN: 1756-1833
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- Citations: 6
Laverty AA, Mindell JS, Webb E, et al., 2013, Active Travel to Work and Cardiovascular Risk Factors in the United Kingdom, American Journal of Preventive Medicine
Artac M, Dalton ARH, Majeed A, et al., 2013, Uptake of the NHS Health Check programme in an urban setting, FAMILY PRACTICE, Vol: 30, Pages: 426-435, ISSN: 0263-2136
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- Citations: 55
Artac M, Dalton ARH, Majeed A, et al., 2013, Effectiveness of a national cardiovascular disease risk assessment program (NHS Health Check): Results after one year, PREVENTIVE MEDICINE, Vol: 57, Pages: 129-134, ISSN: 0091-7435
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- Citations: 42
Agrawal S, Karan A, Selvaraj S, et al., 2013, Socio-economic patterning of tobacco use in Indian states, INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, Vol: 17, Pages: 1110-1117, ISSN: 1027-3719
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- Citations: 20
Vellakkal S, Subramanian SV, Millett C, et al., 2013, Socioeconomic Inequalities in Non-Communicable Diseases Prevalence in India: Disparities between Self-Reported Diagnoses and Standardized Measures, PLOS ONE, Vol: 8, ISSN: 1932-6203
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- Citations: 139
Basu S, Glantz S, Bitton A, et al., 2013, The Effect of Tobacco Control Measures during a Period of Rising Cardiovascular Disease Risk in India: A Mathematical Model of Myocardial Infarction and Stroke, PLOS MEDICINE, Vol: 10, ISSN: 1549-1277
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- Citations: 27
Basu S, Millett C, 2013, Social Epidemiology of Hypertension in Middle-Income Countries: Determinants of Prevalence, Diagnosis, Treatment, and Control in the WHO SAGE Study, HYPERTENSION, Vol: 62, Pages: 18-26, ISSN: 0194-911X
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- Citations: 201
Jones Nielsen JD, Laverty AA, Millett C, et al., 2013, Rising Obesity-Related Hospital Admissions among Children and Young People in England: National Time Trends Study, PLOS One
Cowling T, Soljak M, Cecil E, et al., 2013, Access to primary care and visits to emergency departments in England: a cross-sectional, population-based study, PLoS One, Vol: 8, ISSN: 1932-6203
BackgroundThe number of visits to hospital emergency departments (EDs) in England has increased by 20% since 2007-08, placing unsustainable pressure on the National Health Service (NHS). Some patients attend EDs because they are unable to access primary care services. This study examined the association between access to primary care and ED visits in England.MethodsA cross-sectional, population-based analysis of patients registered with 7,856 general practices in England was conducted, for the time period April 2010 to March 2011. The outcome measure was the number of self-referred discharged ED visits by the registered population of a general practice. The predictor variables were measures of patient-reported access to general practice services; these were entered into a negative binomial regression model with variables to control for the characteristics of patient populations, supply of general practitioners and travel times to health services.Main Result and ConclusionGeneral practices providing more timely access to primary care had fewer self-referred discharged ED visits per registered patient (for the most accessible quintile of practices, RR = 0.898; P<0.001). Policy makers should consider improving timely access to primary care when developing plans to reduce ED utilisation.
Laverty AA, Capewell S, Millett C, 2013, Regulation and the food industry, LANCET, Vol: 381, Pages: 1901-1901, ISSN: 0140-6736
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- Citations: 1
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