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Biomedical subjects

A Nocon

Publications and source records attributed to A Nocon.

14 recordsLinked to original sources
PubMed2004

Specialist general practitioners and diabetes clinics in primary care: a qualitative and descriptive evaluation.

AIMS: The aim of this study was to evaluate an innovative approach to the provision of primary care-based diabetes services in Bradford, UK. The service model differs from others in comprising 19 clinics which offer a specialist service, intermediate between primary and secondary care, to all patients within the Bradford area. METHODS: The study included: analysis of referral, attendance and register data; questionnaires to general practitioners (GPs) and specialist clinic providers; qualitative interviews with clinic and other professional staff and patients; and an economic analysis. RESULTS: The 19 clinics adopt a range of organizational models. In the first 3 1/2 years, 2415 patients were referred. There was a significant reduction in out-patient attendances at hospital, but also a significant increase in overall patient attendances. Specialist clinic patients differed from hospital patients in being older and having had diabetes for longer since diagnosis. Ten of the 14 clinics run by practising GPs attracted more referrals from within their practices than from outside. GPs and patients across the city believed the clinics were valuable, the main benefits being geographical accessibility, availability of specialists in a community setting, short waiting times for first appointments at most clinics, and continuity of staff. Their reservations included a lack of strategic planning in the location of clinics, long waiting times at some clinics, and poor communication at some clinics with referring GPs. The cost of the primary care clinics is similar to hospital clinics. CONCLUSIONS: This model of specialist primary care services offers an opportunity to develop diabetes services that are convenient to patients, popular with practitioners, and increase capacity. However, the shortcomings as well as the advantages of the model need to be addressed if it is to be implemented elsewhere or for other patient groups.

Adult↗
PubMed2001

Involving patients in research: setting up a service users' advisory group.

Looks at some of the issues raised by patients' involvment in the research process. Uses the example of a service users' advisory group established as part of a diabetes service evaluation in the north of England. Key conclusions were: a precise role for the group should be specified at the outset; genuine user involvement is needed; wide and accurate representation of all relevant groups in society is essential; and, researchers must approach users with open minds with a view to shared decision making rather than control.

Asia, Southeastern↗
PubMed1994

The waste land.

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Health Services Accessibility↗
PubMed1993

Made in heaven?

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Health Care Coalitions↗
PubMed1993

Fair assessment.

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Aged↗
PubMed1993

Factors that influence general practitioners' choice of hospital when referring patients for elective surgery.

To describe the factors that influence general practitioners' choice of hospital when referring patients for elective surgery in three specialties, a postal questionnaire was distributed in January 1991 to 449 doctors who had referred patients to one of six hospitals in the North Western Regional Health Authority. Responses were received from 260 general practitioners (58%). Of the respondents 95% selected 'local and convenient' as a factor that commonly influenced their choice of hospital for at least one specialty and 65% mentioned this across all three specialties. Seventy four per cent mentioned patient preference as influencing choice for at least one specialty and 57% across all three specialties. Only 32% of doctors mentioned waiting times for appointment across the three specialties and 26% waiting times for surgery across the three specialties. When asked to select the single most important factor 'local and convenient' was selected by 33% of general practitioners for a least one specialty, the general standard of clinical care by 28% and waiting time for appointment by 23%. Patient preference was only selected by 6% of doctors as the most important factor. It is of note that 33% of general practitioners perceived there to be no choice of hospital for at least one specialty and 14% thought this to be the single most important influence on choice for at least one specialty. Approximately half the general practitioners (49%) considered it always or often appropriate to give their patients a choice. Most general practitioners received waiting time information from hospitals in their own health district but fewer received such information from hospitals outside their district.(ABSTRACT TRUNCATED AT 250 WORDS)

Choice Behavior↗
PubMed1992

Old age benefit.

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Aged↗
PubMed1991

The social impact of asthma.

While much research has examined the aetiology and treatment of asthma, little work has been done on its social impact. Yet asthma, like any disease, has a social as well as a medical dimension and it is increasingly being recognized that these two dimensions are interlinked. This paper describes a study into the social and personal impact of asthma on the lives of sufferers and their families. It shows that people are affected in many different ways: in employment, schooling, physical activities, social interaction, personal relationships and emotional well-being. All of the people interviewed had experienced some impact on their lives, albeit to varying degrees. The overall social impact was positively correlated with the severity of the asthma itself; this correlation was statistically significant in the case of adults and children under school age.

Absenteeism↗
PubMed1990

A right to choose.

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Decision Making↗
PubMed1990

Joint planning. The day of reckoning draws high.

Joint planning: the very words seem to undermine the validity of the concept, so synonymous have they become with the bidding cycle for joint finance. Taken in a wider sense to encompass the development of all statutory and voluntary services to a priority client group, they conjure up the image of a most arduous and unmanageable task. Dylan Tomlinson and Andrew Nocon discuss the prospects for joint planning after "Caring for People".

Community Participation↗