scholarly journals Quality of Care in the United Kingdom after Removal of Financial Incentives

2018 ◽  
Vol 379 (22) ◽  
pp. 2178-2179 ◽  
Keyword(s):  
United Kingdom ◽  
Quality Of Care ◽  
Financial Incentives ◽  
The United Kingdom

scholarly journals Quality of Care in the United Kingdom after Removal of Financial Incentives

2018 ◽  
Vol 379 (10) ◽  
pp. 948-957 ◽  
Author(s):  
Mark Minchin ◽  
Martin Roland ◽  
Judith Richardson ◽  
Shaun Rowark ◽  
Bruce Guthrie
Keyword(s):  
United Kingdom ◽  
Quality Of Care ◽  
Financial Incentives ◽  
The United Kingdom

Wales

2019 ◽  
pp. 283-290
Author(s):  
Bob Woods
Keyword(s):  
United Kingdom ◽  
Quality Of Care ◽  
Older People ◽  
Social Movement ◽  
Third Sector ◽  
The United Kingdom ◽  
New Strategy ◽  
The Subject ◽  
Artistic Heritage

This chapter documents the developments in Wales relating to a National Dementia Vision and Strategy. A new Strategy is to appear by December 2016. While activity and progress are evident in many areas, much remains to be done. Wales benefits from having an Older People’s Commissioner, a statutory voice for older people, including those living with dementia, and from its rich cultural, linguistic, and artistic heritage, with active third-sector organizations. Like many countries, Wales has had well-publicized scandals in relation to quality of care in hospitals and care homes, which have provided learning and impetus for development. Compared with other parts of the United Kingdom, dementia diagnosis rates in Wales appear low and are now the subject of government targets. The new Strategy will need to fully engage with people living with dementia in order to address these challenges, while building on the growing social movement of dementia-friendly communities.

scholarly journals Quality of British and American Nationwide Quality of Care and Patient Safety Benchmarking Programs: Case Neurosurgery

Neurosurgery ◽  
2018 ◽  
Vol 85 (4) ◽  
pp. 500-507 ◽  
Author(s):  
Elina Reponen ◽  
Hanna Tuominen ◽  
Miikka Korja
Keyword(s):  
United States ◽  
United Kingdom ◽  
Quality Of Care ◽  
Sample Size ◽  
Health Care Policy ◽  
Adverse Outcomes ◽  
University Hospital ◽  
Improvement Program ◽  
The United Kingdom

Abstract BACKGROUND Multiple nationwide outcome registries are utilized for quality benchmarking between institutions and individual surgeons. OBJECTIVE To evaluate whether nationwide quality of care programs in the United Kingdom and United States can measure differences in neurosurgical quality. METHODS This prospective observational study comprised 418 consecutive adult patients undergoing elective craniotomy at Helsinki University Hospital between December 7, 2011 and December 31, 2012.We recorded outcome event rates and categorized them according to British Neurosurgical National Audit Programme (NNAP), American National Surgical Quality Improvement Program (NSQIP), and American National Neurosurgery Quality and Outcomes Database (N2QOD) to assess the applicability of these programs for quality benchmarking and estimated sample sizes required for reliable quality comparisons. RESULTS The rate of in-hospital major and minor morbidity was 18.7% and 38.0%, respectively, and 30-d mortality rate was 2.4%. The NSQIP criteria identified 96.2% of major but only 38.4% of minor complications. N2QOD performed better, but almost one-fourth (23.2%) of all patients with adverse outcomes, mostly minor, went unnoticed. For NNAP, a sample size of over 4200 patients per surgeon is required to detect a 50.0% increase in mortality rates between surgeons. The sample size required for reliable comparisons between the rates of complications exceeds 600 patients per center per year. CONCLUSION The implemented benchmarking programs in the United Kingdom and United States fail to identify a considerable number of complications in a high-volume center. Health care policy makers should be cautious as outcome comparisons between most centers and individual surgeons are questionable if based on the programs.

scholarly journals The impact of symptoms on quality of life before and after diagnosis of coeliac disease: the results from a Polish population survey and comparison with the results from the United Kingdom

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emilia Majsiak ◽  
Magdalena Choina ◽  
Dominik Golicki ◽  
Alastair M. Gray ◽  
Bożena Cukrowska
Keyword(s):  
Quality Of Life ◽  
United Kingdom ◽  
Coeliac Disease ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
The United Kingdom ◽  
Before And After ◽  
The Mean ◽  
The Uk

Abstract Background Coeliac disease (CD) is characterised by diverse clinical symptoms, which may cause diagnostic problems and reduce the patients’ quality of life. A study conducted in the United Kingdom (UK) revealed that the mean time between the onset of coeliac symptoms and being diagnosed was above 13 years. This study aimed to analyse the diagnostic process of CD in Poland and evaluate the quality of life of patients before and after CD diagnosis. In addition, results were compared to the results of the original study conducted in the UK. Methods The study included 2500 members of the Polish Coeliac Society. The patients were asked to complete a questionnaire containing questions on socio-demographic factors, clinical aspects and quality of life, using the EQ-5D questionnaire. Questionnaires received from 796 respondents were included in the final analysis. Results The most common symptoms reported by respondents were bloating (75%), abdominal pain (72%), chronic fatigue (63%) and anaemia (58%). Anaemia was the most persistent symptom, with mean duration prior to CD diagnosis of 9.2 years, whereas diarrhoea was observed for the shortest period (4.7 years). The mean duration of any symptom before CD diagnosis was 7.3 years, compared to 13.2 years in the UK. CD diagnosis and the introduction of a gluten-free diet substantially improved the quality of life in each of the five EQ-5D-5L health dimensions: pain and discomfort, anxiety and depression, usual activities, self-care and mobility (p < 0.001), the EQ-Index by 0.149 (SD 0.23) and the EQ-VAS by 30.4 (SD 28.3) points. Conclusions Duration of symptoms prior to the diagnosis of CD in Poland, although shorter than in the UK, was long with an average of 7.3 years from first CD symptoms. Faster CD diagnosis after the onset of symptoms in Polish respondents may be related to a higher percentage of children in the Polish sample. Introduction of a gluten-free diet improves coeliac patients’ quality of life. These results suggest that doctors should be made more aware of CD and its symptoms across all age groups.

Color and Skill: British Immigration, 1955–1968

1968 ◽  
Vol 3 (1) ◽  
pp. 19-37
Author(s):  
Oscar Gish
Keyword(s):  
United Kingdom ◽  
Immigration Policy ◽  
The United Kingdom ◽  
Highly Skilled ◽  
Administrative Framework ◽  
Place Of Origin ◽  
British People

The factors conditioning immigration to the United Kingdom are analyzed in this article with the view to understand British immigration policy. The volume and place of origin of immigrants, the attitudes held toward immigrants by the British people, the legal and administrative framework placed around immigration, the emigration of highly skilled people from the United Kingdom in more recent years, all these aspects—the author shows—have contributed to the formulation of past governmental decisions and are likely to determine the volume and quality of future British immigration.

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