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Can primary care research be conducted more efficiently using routinely reported practice-level data: a cluster randomised controlled trial conducted in England?
Published 2022-07-01“…Data on the coprimary outcomes were almost 100%.Conclusions The infrastructure for trials at the practice level using routinely collected data for primary outcomes is viable in England and should be promoted for primary care research where appropriate.Trial registration number ISRCTN11405239.…”
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Why are there discrepancies between depressed patients’ Global Rating of Change and scores on the Patient Health Questionnaire depression module? A qualitative study of primary care in England
Published 2017-05-01“…Our objectives were to ascertain patients’ views on the source and meaning of mismatches and assess their clinical significance.Design Qualitative study nested within a cohort, in a programme investigating the indications for prescribing antidepressants that will lead to a clinical benefit.Setting Primary care practices in north-west England.Participants We invited 32 adults with a recent diagnosis of depression and evidence of mismatch between GRC and PHQ-9 Scores to participate. …”
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英國、臺灣、馬來西亞戶外冒險教育發展之 比較分析 A Comparative Analysis on Outdoor Adventure Education Development in England, Taiwan, and Malaysia
Published 2024-12-01“…This cross-cultural study explored the development and interpretation of OAE in academic systems of three countries, namely England, Taiwan, and Malaysia. The goal of this research was to provide insight into the development of OAE profiling measures by comparing the curricula of these countries’ schools. …”
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Does accountability for reasonableness work? A protocol for a mixed methods study using an audit tool to evaluate the decision-making of clinical commissioning groups in England
Published 2015-07-01“…Introduction Clinical commissioning groups (CCGs) in England are tasked with making difficult decisions on which healthcare services to provide against the background of limited budgets. …”
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Mixed methods evaluation of the Getting it Right First Time programme in elective orthopaedic surgery in England: an analysis from the National Joint Registry and Hospital Episode Statistics
Published 2022-06-01“…Objective To evaluate the impact of the ‘Getting it Right First Time’ (GIRFT) national improvement programme in orthopaedics, which started in 2012.Design Mixed-methods study comprising statistical analysis of linked national datasets (National Joint Registry; Hospital Episode Statistics; Patient-Reported Outcomes); economic analysis and qualitative case studies in six National Health Service (NHS) Trusts.Setting NHS elective orthopaedic surgery in England.Participants 736 088 patients who underwent primary hip or knee replacement at 126 NHS Trusts between 1 April 2009 and 31 March 2018, plus 50 NHS staff.Intervention Improvement bundle including ‘deep dive’ visits by senior clinician to NHS Trusts, informed by bespoke set of routine performance data, to discuss how improvements could be made locally.Main outcome measures Number of procedures conducted by low volume surgeons; use of uncemented hip implants in patients >65; arthroscopy in year prior to knee replacement; hospital length of stay; emergency readmissions within 30 days; revision surgery within 1 year; health-related quality of life and functional status.Results National trends demonstrated substantial improvements beginning prior to GIRFT. …”
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Heterogeneous association of health with patient and general practice characteristics by region, age and chronic condition: pooled cross-sectional study of patient-level data from England
Published 2025-02-01“…Three concentration indices embodying different value judgements summarise income-related health inequality in the full sample and subsamples.Setting Primary care in England.Participants Over 1 million adult patients in 6426 general practices in 2015/2016 and 2016/2017.Primary outcome measures Patient-reported health (the 5-level EQ-5D version or EQ-5D-5L).Results Patients who are younger, male, more satisfied with their practice, have fewer chronic conditions and live in less-income or education-deprived areas report better health. …”
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Applying Hotspot Detection Methods in Forestry: A Case Study of Chestnut Oak Regeneration
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MIHI QUAESTIO FACTUS SUM (“I HAVE BECOME A QUESTION TO MYSELF”, AUGUSTINE: CONFESSIONS X. XXXIII):
Published 2019-06-01Get full text
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Music, theology, and space: listening as a way of seeking God
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An architectonics of desire: the person on the path to Nada in John of the Cross
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Essential tort for SQE1 /
Published 2022Subjects: “…Torts England Examinations, questions, etc. 11931…”
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Jeremy Belknap and the Origins of American Exceptionalism
Published 2020-02-01Subjects: Get full text
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Avant-propos : Représenter l’histoire immédiate sur les scènes britanniques modernes et post-modernes
Published 2022-01-01Subjects: Get full text
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What impact has the NIHR Academic Clinical Fellowship (ACF) scheme had on clinical academic careers in England over the last 10 years? A retrospective study
Published 2017-06-01“…Objectives The Academic Clinical Fellowship (ACF) was introduced to support the early career clinical and research training of potential future clinical academics in England. The driver for the model was concern about falling numbers of clinical academic trainees. …”
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