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Health and Social Care Delivery Research
Scopus
ISSN 2755-0060 · NIHR Journals Library · 216 artikel di indeks
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Artikel Jurnal
A randomised feasibility trial of an intervention involving mental health support workers as link workers to improve dental visiting in people with severe mental illness: The Mouth Matters in Mental Health Study
Background People with severe mental illness (e.g. bipolar disorder, psychosis) experience poor oral health compared to the general population. They are more likely to have decayed, missing or filled teeth, and periodontal disease, which can affect quality of life and functioning. It can add to the…
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‘Tired of spinning plates’: Synopsis of mixed methods exploration of mental health experiences of adult/older carers of adults with learning disabilities
Background This research addresses the mental health of family carers of adults with learning disabilities. We investigated participants’ perceptions of their mental health and views on the accessibility and quality of support. Design and methods The research involved seven work packages which…
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Developing research resources and minimum data set for care homes’ adoption and use (DACHA)
Background In England, care homes are the primary providers of long-term care for older adults. The increasing recognition of the importance of social care underscores the importance of collaboration between the National Health Service and care homes. The lack of data sharing among stakeholders…
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Utilisation of the support workforce in diagnostic imaging: a mixed-methods investigation
Background Demand for imaging in England massively outstrips supply in terms of workforce capacity, with well-documented shortages of both radiographers and radiologists. The COVID-19 pandemic exacerbated already stretched services, which have remained ‘in crisis’. Three high profile national…
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Digital alerting to improve sepsis detection and patient outcomes in NHS Trusts: a multi-methods study
Background Identifying clinical deterioration is a global health priority. Sepsis is a leading cause of deterioration, responsible for around 46,000 deaths annually in the United Kingdom. Early warning scores based on patients’ vital signs can be embedded into electronic patient records to…
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Recovery Colleges for post-diagnostic dementia support: The DiSCOVERY realist evaluation synopsis
Background Recovery Colleges offer peer-led, coproduced psychoeducational courses to support people to have meaningful lives. There is limited knowledge of their use in the context of dementia. This study used a realist programme theory approach to develop an in-depth understanding of how United…
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Developing the evidence and associated service models to improve pain management in older people living with frailty: a synopsis of the POPPY mixed method, co-design study
Background Frailty increases vulnerability to adverse events (falls, illness) resulting in poorer health outcomes in later life. Persistent pain is common and impactful in older adults with frailty. Pain impact is potentially modifiable, and addressing it is important for supporting this…
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Family Group Conferences as an alternative to Initial Child Protection Conferences for families on the Child Protection pathway: Synopsis
Background When children are at risk of significant harm due to abuse or neglect, local authority children’s services in the United Kingdom intervene to protect them and support families. This usually involves an initial child protection conference, a multiagency meeting that includes parents but…
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Exploring and improving resuscitation decisions in out of hospital cardiac arrest: synopsis of the PROTECTeD mixed-method study
Background The PROTECTeD study sought to develop an evidence-based termination of resuscitation guideline for use within United Kingdom ambulance services. Methods This mixed-methods study comprised several work packages: Work package 1 – diagnostic test accuracy meta-analysis of termination of…
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Extra care housing in the UK: a scoping review
Background Extra care housing is a model of housing for older people where residents live in self-contained accommodation with flexible care and support available at all times. Ageing populations, seen globally and in the United Kingdom, mean increasing demand for this type of housing. While extra…
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Individual Participant Data Meta-Analysis (IPDMA) of long-term COVID-19 outcomes in a systematic review-informed, international, multidisciplinary database
Background Identifying and addressing long-term health and societal challenges after COVID-19 is a research priority. Objectives To create an international, multidisciplinary COVID-19 database, and synthesise long-term outcomes, predictors and costs. Design Systematic identification of COVID-19…
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Referral pathways into the NHS Digital Weight Management Programme for musculoskeletal and perioperative patients: rapid process evaluation
Background The National Health Service in England is piloting an extension of access to its Digital Weight Management Programme, a digital service to support behavioural and lifestyle changes for weight loss. Access is being piloted to include referrals for patients with a body mass index above a…
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Implementing artificial intelligence in chest diagnostics for lung disease: A mixed-methods evaluation
Background Artificial intelligence tools simulate aspects of human intelligence. Policy and research highlight artificial intelligence’s potential to support delivery of radiology pathways. In 2023, National Health Service (NHS) England invested £21M to deploy artificial intelligence diagnostic…
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Ethnic differences in injury mortality rates among adult emergency healthcare service users in high-income countries: a scoping review
Background Ethnic disparities in healthcare access and outcomes have been widely reported across different settings. In this scoping review, we aimed to explore whether adults from minority racial and ethnic backgrounds face higher risks of death after presenting with injuries to emergency…
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Independence and interdependence of non-medical practitioners in the emergency care skill-mix (SKILLMix-ED): a multi-method study to develop a measurement tool
Background In addressing the many challenges that face them, some emergency departments are changing their staffing to include new roles, such as nurse practitioners and physician associates. Known collectively as non-medical practitioners, they work with varying levels of independence and…
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Artikel Jurnal
Asymptomatic testing compared with standard care of the care home staff in shaping care home COVID-19 testing policy: the VIVALDI-CT pragmatic cluster RCT (VIVALDI-CT)
Background Regular severe acute respiratory syndrome coronavirus 2 testing of care home staff was introduced to reduce transmission following significant morbidity, mortality and disruption for residents early in the pandemic. However, evidence was lacking on benefits relative to disadvantages…
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Evaluating the implementation of Electronic Palliative Care Co-ordination Systems (EPaCCS) and optimising future service provision for palliative and end-of-life care: a synopsis of the Optimal Care mixed-method study
Background Electronic Palliative Care Co-ordination Systems are central to end-of-life care policy despite critical gaps in the evidence base underpinning their use. It is unclear how Electronic Palliative Care Co-ordination Systems are being implemented across England and there is a lack of…
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Improving medicines use in people with polypharmacy in primary care: a synopsis from the IMPPP cluster-RCT with pilot-feasibility study
Background Polypharmacy is a major challenge for patient safety and effective resource use. High-quality evidence supporting polypharmacy management is lacking. Aim To develop, optimise and evaluate a primary care complex intervention for reducing medically defined potentially inappropriate…
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Accounting for Needs in Geographical Health Care Resource Allocation
Background Many countries use geographical funding formulae to distribute public funds for health care to local planning areas in proportion to need. In England, these aim to distribute resources in proportion to all healthcare needs regardless as to whether these are currently met or unmet. The…
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Artikel Jurnal
Evaluating the national rollout of the NHS App in England using qualitative and quantitative methods
Background In 2019, the NHS App was launched as a ‘digital front door’ to England’s National Health Service, aiming to improve access to primary care, enhance patient experience, save time in general practitioner practices and promote self-care. Aims and objectives This project aimed to identify…