Prevalence and changes of BMI categories in China and related chronic diseases: Cross-sectional National Health Service Surveys (NHSSs) from 2013 to 2018

ObjectiveThis research explores measures of employee engagement in the National Health Service (NHS) acute Trusts in England and examines the association between organisation-level engagement scores and quality ratings by the Care Quality Commission (CQC).DesignCross-sectional.Setting97 acute NHS Trusts in England.Participants97 NHS acute Trusts in England (2012–2016). Data include provider details, staff survey results and CQC reports. Hybrid Trusts or organisations affected by recent mergers are excluded.Outcome measuresAnalysis uses organisation-level employee engagement and CQC quality ratings.ResultsEmployee engagement is affected by organisational factors, including patient bed numbers (β=−0.46, p<0.05) and financial revenue (β=0.38, p<0.05). CQC ratings are predicted by overall employee engagement score (β=0.57, p<0.001) and financial deficit (β=−0.19, p<0.05). The most influential employee engagement dimension on provider ratings is ‘advocacy’ (λ=0.54, p<0.001). Analysis supports the notion that employee engagement can be predicted from advocacy scores alone (eigenvalue=4.03). Better still, combining advocacy scores from the previous year’s survey or adding in motivation scores is a highly reliable indication of overall employee engagement (95.4% of total variance).ConclusionsNHS acute Trusts with high employee engagement scores tend to have better CQC ratings. Trusts with a high financial deficit tend to have lower ratings. Employee engagement subdimensions have different associations with CQC ratings, the most influential dimension being advocacy score. A two subdimension model of engagement efficiently predicts overall employee engagement in NHS acute Trusts in England. Healthcare leaders should pay close attention to the proportion of employees who would recommend their organisation as a place to work or receive treatment, because this is a proxy for the level of engagement, and it predicts CQC ratings.

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Sensitivity to being betrayed and betraying others in Obsessive Compulsive Disorder

10.31234/osf.io/nyxbu ◽

2020 ◽

Author(s):

Sarah Louise Howkins ◽

Josie Frances Adeline Millar ◽

Paul M. Salkovskis

Keyword(s):

National Health Service ◽

Health Service ◽

Obsessive Compulsive Disorder ◽

National Health ◽

Physical Contact ◽

Obsessive Compulsive ◽

Cross Sectional ◽

Compulsive Disorder ◽

Mental Contamination ◽

Low Levels

Abstract:Objectives Mental contamination (MC) describes subjective internal feelings of ‘dirtiness’ which are experienced in the absence of direct physical contact/contaminants. There isevidence of a link between MC in Obsessive Compulsive Disorder (OCD) and the experience of past betrayals. However, it has also been noted that “perpetrators” also experience MC. We aimed to replicate the previous finding of specificity of OCD for sensitivity to being betrayed, and to extend this by evaluating whether people with high MC OCD are also relatively more sensitive to the idea that they might betray others compared to those with low levels of MC OCD.Design A cross-sectional, between-groups design was used.Method Four groups, high MC OCD (N= 60), low MC OCD (N=61), depression (N=28) andnon-clinical controls (N=46) completed online questionnaires. Participants were recruitedthrough the National Health Service (NHS) and social media.Results Relative to all groups, the high MC OCD group had significantly higher scores both for betrayal sensitivity and sensitivity to betraying others. The depression group showed similar levels to low MC OCD in betrayal sensitivity but were significantly lower (and comparable to non-clinical controls) in sensitivity to betraying others.Conclusions Betrayal sensitivity occurs trans-diagnostically. There may be a specific linkbetween the development of OCD and the perception of betraying others, perhaps linked to the trauma of being betrayed making those so affected more likely to worry about their own responsibility for betraying others.

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What is the relationship between mortality alerts and other indicators of quality of care? A national cross-sectional study

Journal of Health Services Research & Policy ◽

10.1177/1355819619847689 ◽

2019 ◽

Vol 25 (1) ◽

pp. 13-21

Author(s):

Elizabeth Cecil ◽

Alex Bottle ◽

Aneez Esmail ◽

Charles Vincent ◽

Paul Aylin

Keyword(s):

National Health Service ◽

Health Service ◽

Hospital Mortality ◽

National Health ◽

Hospital Setting ◽

Cross Sectional Study ◽

Hospital Quality ◽

Sectional Study ◽

Cross Sectional ◽

Process Indicator

Objectives To assess whether mortality alerts, triggered by sustained higher than expected hospital mortality, are associated with other potential indicators of hospital quality relating to factors of hospital structure, clinical process and patient outcomes. Methods Cross-sectional study of National Health Service hospital trusts in England (2011–2013) using publicly available hospital measures reflecting organizational structure (mean acute bed occupancy, nurse/bed ratio, training satisfaction and proportion of trusts with low National Health Service Litigation Authority risk assessment or in financial deficit); process (mean proportion of eligible patients who receive percutaneous coronary intervention within 90 minutes) and outcomes (mean patient satisfaction scores, summary measures of hospital mortality and proportion of patients harmed). Mortality alerts were based on hospital administrative data. Results Mortality alerts were associated with structural indicators and outcome indicators of quality. There was insufficient data to detect an association between mortality alerts and the process indicator. Conclusions Mortality alerts appear to reflect aspects of quality within an English hospital setting, suggesting that there may be value in a mortality alerting system in highlighting poor hospital quality.

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Pharmacoepidemiological data from drug dispensing charities as a measure of health patterns in a population not assisted by the Italian National Health Service

Journal of Public Health Research ◽

10.4081/jphr.2016.623 ◽

2016 ◽

Vol 5 (2) ◽

Cited By ~ 2

Author(s):

Silvia Bini ◽

Cesare Cerri ◽

Antonello E. Rigamonti ◽

Pietro A. Bertazzi ◽

Gianfrancesco Fiorini ◽

...

Keyword(s):

National Health Service ◽

Health Service ◽

Chronic Diseases ◽

National Health ◽

Italian Population ◽

Anatomic Therapeutic Chemical ◽

Tailored Interventions ◽

Health Patterns ◽

Italian National Health Service ◽

Italian National Health

We analysed drug dispensation by charitable organisations in a year time. Drugs were grouped according to the Anatomic Therapeutic Chemical classification and the amount dispensed was calculated with the system of the Daily Defined Dose (DDD) and expressed as DDD/1000 subjects/day. A number of 87,550 subjects were studied (13,308 Italians; 74,242 Immigrants). Though we noticed a great sesonal variability, the drugs most frequently dispensed were those for the respiratory, cardiovascular and gastrointestinal system and antibiotics, which is different from the rest of the Italian population and the immigrant population assisted by our National Health Service (NHS). We also found that chronic diseases are increasing in these subjects. We conclude that the subjects not receiving NHS assitance have, at least in part, different health patterns and requirements. This should be considered when planning tailored interventions.

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