Tag Archives: Primary care

Don’t incentivise withholding of antibiotics!

Don’t prescribe too many antibiotics. And just to make sure you behave, we’ll pay you not to. That’s the latest message GPs are being given by the government. I personally find this very irritating. GPs are well aware of the public health implications of prescribing too many antibiotics, and the consequent risks of antibiotic resistance. …read more

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What can we do to promote person-centred primary care? Response to BMJ spotlight

 Patient centred care invites doctors and patients to work collaboratively to improve the way healthcare is designed and delivered so that it better meets the needs and priorities of patients. Charlotte Paddison reflects on the BMJ spotlight on patient centred care, and asks what this might mean for primary care? How can we get better …read more

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Seven day access – policy goes in the wrong direction – again!

Politicians just don’t get it. They are (and have been for years) obsessed with increasing access to GPs. And of course it sounds good for elections. But it’s not what the population needs. Increasing access comes at the expense of continuity of care. You can’t see your own doctor and expect him or her to …read more

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Medication errors in primary care in the developing world

Global spending on pharmaceuticals is roughly a $1 trillion, dominated by the US, Japan and major EU economies. Yet emerging markets and the developing world still account for around a third of expenditure. That’s a lot of medicines and it’s growing. With this substantial use of medications comes a significant risk of harm, compounded by …read more

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Care plans and care planning: a rare event?

Have you seen a care plan recently? Despite a massive effort, we didn’t see many in our national evaluation of care plans and care planning. Our new paper reports the findings of this work, summarised here.

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Medicalising life

Medicines have been getting into the mainstream news quite a lot in recent times. A couple of days ago saw the publication in Annals of Oncology of a review of the evidence for a protective effect of aspirin in reducing cancer in the general population. The role of aspirin in cardiovascular disease prevention is well …read more

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European Conference on Health Economics – Dublin, July 2014

Last week saw the European Conference on Health Economics (ECHE) hosted by Trinity College Dublin.  CCHSR’s Ed Wilson was there. International conferences are always a great opportunity to find out what your colleagues are up to in different corners of the world.  ECHE was no exception.  The venue was Trinity College Dublin, home to the beautifully …read more

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A letter from Brazil

No not football, but QOF. The Brazilians have introduced a pay for performance scheme for primary care. As a nation they are strikingly positive and ambitious. A decade or so ago they decided they needed universal healthcare coverage, so instituted Primary Care Units which cover geographically defined populations across the whole of Brazil. Each consists …read more

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How can we improve GP access?

A recent study led by researchers from the CCHSR, in collaboration with our Exeter colleagues, has found that poor access to GPs during normal working hours is associated with increased out of hours primary care use. In this study using data from about 567,000 patients in the 2011/12 GP Patient Survey, we found that: Inconvenient …read more

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Want to assess doctors’ communication skills? Introducing the Global Consultation Rating Scale (or GCRS, for short)

CCHSR researchers publish a new scale to evaluate the communication quality of consultations – read more for full details

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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.