Monthly Archives: February 2013

Why Joan Taylor matters: current research on patient experience

Joan Taylor is in her late 50s now, and was diagnosed with type 2 diabetes 8 years ago. She attends her GP practice for her annual diabetic review, so the nurse can “tickle her feet”, as she describes it. She still doesn’t quite understand what being diabetic means – she’s never had a funny fit …read more

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Multimorbidity and hospitalisation

Recent work published in the Canadian Medical Association Journal (CMAJ) shows the impact on unplanned hospital admissions of mental health problems and socioeconomic deprivation, over and beyond physical multimorbidity.

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What does ‘shared decision-making’ mean, and to whom?

According to the current UK Government, in the NHS there should be ‘no decision about me, without me’.  Shared decision-making  – enabling patients to be involved in choices about treatment and management of their health, in partnership with health professionals – could breathe life into policy rhetoric.  But our efforts are hampered by a lack …read more

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Ecological fallacy and Wikipedia

I really do like Wikipedia. Following up on my post about correction for attenuation, Wikipedia is also quite good on ecological fallacy (that you can’t make inference at the individual level from data observed at the population level). Their example at the moment is nice too. Rich states voted for Kerry in the 2004 US …read more

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The future of primary care in Europe: the Nuffield Trust summit

The Nuffield Trust summit on the Future of Primary Care in Europe was an interesting event. You can read all about it, including videos of conference speeches at In some ways it emphasised the differences between countries more than the similarities. The contrasts were certainly stark, from Romania with very little funding in primary …read more

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Detecting cancer earlier

For cancer patients, on average, more pre-referral consultations mean more “delay”: we unpick the story behind CCHSR’s latest cancer paper

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What do we mean by ‘multimorbidity’?

Multimorbidity is becoming the norm, not the exception. There are currently 15 million people in the UK with long-term conditions. Of these, 6.75 million (45%) have more than one long-term condition. And this number is rising. Fast. We are witness to growing interest in multimorbidity among health services researchers, and among the policy community. However …read more

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Measures of patient experience: Should we adjust for case-mix?

Measuring quality of care through the patients’ eyes is important. Patient experience sits at the centre of our efforts to monitor and improve quality; it is one of the core domains of ‘quality’ in health care. But there are some important unresolved methodological issues here. When we measure patient experience, we have a choice about …read more

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How do we compare with other countries?

The Commonwealth Fund published it’s annual survey comparing health care systems of developed countries, this year through the eyes of primary care doctors. They were summarised in a webinar held yesterday with commentaries from the UK (Martin Roland), Netherlands (Jago Burgers) and Switzerland (Thomas Zeltner). The UK continues to do quite well in these comparisons: …read more

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Applying for NHS Ethics approval – key tips

So, you’re planning a research project and you want to conduct it in NHS settings – so you need NHS Ethical approval. Doing this for the first time (or even second or third!) can be a rather daunting task so I thought I’d share my experience with you. I have always found that the key …read more

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  • The Cambridge Centre for Health Services Research (CCHSR) is a thriving collaboration between the University of Cambridge and RAND Europe. We aim to inform health policy and practice by conducting research and evaluation studies of organisation and delivery of healthcare, including safety, effectiveness, efficiency and patient experience.