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Do practice characteristics explain differences in morbidity estimates between electronic health record based general practice registration networks?

published 1 day ago
Background: General practice based registration networks (GPRNs) provide information on population health derived from electronic health records (EHR). Morbidity estimates from different GPRNs reveal considerable, unexplained differences. Previous research showed that population characteristics could not explain this variation. In this study we investigate the influence of practice characteristics on the variation in incidence and prevalence figures between general practices and between GPRNs. Methods: We analyzed the influence of eight practice characteristics, such as type of practice, percentage female general practitioners, ... more

Transient ischaemic attack: a qualitative study of the long term consequences for patients

published 2 days ago
Background: Transient ischaemic attack (TIA) is characterised by its transient nature with symptoms of neurological dysfunction resolving within 24?hours. The occurrence of TIA is a major risk factor for stroke with 10?15% of TIA patients going on to have ischaemic stroke. Internationally, recommendations for the management of TIA focus on the need for early diagnosis and medical management of the acute increased risk of ischaemic stroke. However there is a limited amount of evidence that some patients suffer enduring consequences ... more

Tools for primary care patient safety: a narrative review

published Sat, Oct 25 2014 19:00 GMT
Background: Patient safety in primary care is a developing field with an embryonic but evolving evidence base. This narrative review aims to identify tools that can be used by family practitioners as part of a patient safety toolkit to improve the safety of the care and services provided by their practices. Methods: Searches were performed in 6 healthcare databases in 2011 using 3 search stems; location (primary care), patient safety synonyms and outcome measure synonyms. Two reviewers analysed the results ... more

A qualitative exploration of the use of calendar landmarking instruments in cancer symptom research

published Fri, Oct 24 2014 19:00 GMT
Background: Late diagnosis is considered to be a major factor contributing to poorer cancer survival rates in the UK. Interventions have focussed on the promotion of earlier diagnosis in patients with potential cancer symptoms. However, to assess the effectiveness of these interventions, the time from symptom onset to presentation needs to be reliably and accurately measured. This qualitative study explored the use of calendar landmarking instruments in cancer symptom research. Methods: We performed a secondary analysis of transcripts of interviews ... more

`Just another incentive scheme¿: a qualitative interview study of a local pay-for-performance scheme for primary care

published Fri, Oct 24 2014 19:00 GMT
Background: A range of policy initiatives have addressed inequalities in healthcare and health outcomes. Local pay-for-performance schemes for primary care have been advocated as means of enhancing clinical ownership of the quality agenda and better targeting local need compared with national schemes such as the UK Quality and Outcomes Framework (QOF). We investigated whether professionals? experience of a local scheme in one English National Health Service (NHS) former primary care trust (PCT) differed from that of the national QOF in ... more