Conference report: SAPC London & the South East Regional Meeting

Madingley 2015

Well, I always think of SAPC at Madingley Hall as a cosy sort of conference, and it felt even cosier this year surrounded by ice and snow. It’s friendly, too. By the second day, I noticed a distinct increase in nods of hello and recognition between delegates, potentially the result of a lively night at …read more

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Understanding user interactions with the artificial pancreas

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The ‘artificial pancreas’ is a new treatment for diabetes which allows for the automatic control of blood glucose levels by replicating some of the functions of a healthy pancreas. The system wirelessly links together a set of devices – a continuous glucose monitor (CGM) and insulin pump, both body-mounted, and a tablet-mounted algorithm – in …read more

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Does Hinchingbrooke spell the end for privately run NHS hospitals?

Hinchingbrooke

Well, it doesn’t look good, does it? The private sector comes in with a flourish and then when the financial going gets tough and they’re about to get a dressing down on quality, Circle just walks away. However, the reality is a bit more complex than that. This hospital has struggled financially for years. For …read more

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CCHSR is recruiting Health Economists

We are expanding our team of health economists and wish to recruit two health economists, one at the University of Cambridge and one at RAND Europe.

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ROC curves and the forgotten lesson of Pythagoras

pythagoras_ROC

You know the feeling – someone has said something at some point, but you can’t find the reference to back it up. Well according to Wikipedia, no specific attribution of Pythagoras’ theorem to Pythagoras exists in the surviving Greek literature from the five centuries after Pythagoras lived, let alone from the big man himself. So …read more

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Conference report: NAPCRG (North American Primary Care Research Group) Annual Meeting 2014

NAPCRG 2014a-630

What were the highlights of the US meeting this year? Apart from cake for breakfast, much was going on as primary care researchers gathered in Times Square from across the world…conference report here

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Multi-morbidity and the Emperor’s New Clothes: a challenge for primary care researchers

Are single disease guidelines and indicators are going out of fashion? Well they are with people interested in multi-morbidity. The argument is straightforward. Single disease guidelines are usually based on trials which exclude people with multiple complex problems. So how does the physician know how a cholesterol guideline developed from trials on 65 year old …read more

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The economics won’t go away: NHS Cancer Drugs Fund to consider cost-effectiveness

This week, NHS England published its revised process for operation of the cancer drugs fund.  Of particular interest is the requirement to take into account both costs and effects of treatments. NICE was set up in 1999 with the remit of considering the value for money, or cost-effectiveness of new and existing treatments. It is …read more

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So does QOF really reduce emergency hospital admissions?

What should you make of our latest paper suggesting that QOF reduced emergency admissions? There have now been over 20 systematic reviews of pay for performance (P4P) and even a systematic review of systematic reviews. A reasonable summary would be that P4P seems to improve the processes of care somewhat (and with the potential for …read more

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When does a ‘poor’ practice mean a ‘poor’ doctor?

Mean communication score (best estimate) by practice and doctor. Practices (n=25) are sorted by their mean communication score.

This was the title of our paper published today in the BMJ when we first submitted it to the journal. However, the BMJ doesn’t allow questions as titles so it became the less sensationalist “Understanding high and low patient experience scores in primary care: analysis of patients’ survey data for general practices and individual doctors”. …read more

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  • The Cambridge Centre for Health Services Research (CCHSR) is a collaboration between the University of Cambridge Health Services Research Group at the Institute of Public Health and the Health and Healthcare Group at RAND Europe. We aim to inform policy through evidence-based research on health services in the UK and internationally.