Journal articles: 'Medical care in UK'

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Ward, JD. "Standards of medical care in UK." Lancet 349, no. 9053 (March 1997): 736. http://dx.doi.org/10.1016/s0140-6736(05)60182-1.

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McManus, Laura, and Laura Waley. "Challenging primary care curricula in UK medical schools." Education for Primary Care 28, no. 6 (August 7, 2017): 353. http://dx.doi.org/10.1080/14739879.2017.1362668.

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Jones, Robert G., Milan M. Mehta, and Robert K. McKinley. "Medical student access to electronic medical records in UK primary care." Education for Primary Care 22, no. 1 (January 1, 2011): 4–6. http://dx.doi.org/10.1080/14739879.2011.11493953.

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Lee, C., and K. Porter. "Medical training in the UK fire service." Emergency Medicine Journal 24, no. 5 (May 1, 2007): 353–54. http://dx.doi.org/10.1136/emj.2006.041376.

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Sullivan, F. M., and C. Shamlaye. "Primary Medical Care in Seychelles." Tropical Doctor 22, no. 3 (July 1992): 100–104. http://dx.doi.org/10.1177/004947559202200303.

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This paper describes some of the current health problems faced by a tropical country whose standard of living and lifestyle is approaching that of many countries in Western Europe. Long-term health problems such as cardiovascular diseases and diabetes have become at least as important as infectious diseases. A change in approach to a more proactive style of primary care is needed to allow the contribution of community doctors to be effective. The system of primary care in the Republic of Seychelles is based on the UK model of general practice where recent improvements in education and organization are raising standards. How some of these improvements might be transferred elsewhere is discussed.

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Neupane, Harish Chandra, Niki Shrestha, and Daya Ram Lamsal. "Emergency Medicine Education at a Medical Institute in Nepal: Breaking the Frontiers." Journal of Nepal Health Research Council 18, no. 1 (April 20, 2020): 120–25. http://dx.doi.org/10.33314/jnhrc.v18i1.2006.

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Emergency medicine, globally, is a developing specialty. The President of International Federation for Emergency Medicine penned down in a 2007 editorial that emergency medicine is rapidly becoming a global specialty. There are an increasing number of countries which are exploring ways to further build emergency medicine. The Hybrid International Emergency Medicine Training Program is the first collaborative international Emergency Medicine training developed in the UK. A Memorandum of Understanding has been signed among Doncaster& Bassetlaw Teaching Hospital,, UK, International Centre for Emergency Medicine UK, International Academy of Medical Leadership, UK and Chitwan Medical College, Nepal.The HIEM program has been executed by CMC from November 15, 2018. As per the MOU, the International Training Registrars of HIEM Program will undergo 1st& 4rth Year of training at CMC, Nepal and the 2nd year and 3rd year of training at DBTH, UK. The HIEM Training Program is the first of its kind in the country; HIEM is the first post graduate emergency medicine program in Nepal which also has an international recognition and is unique in the sense that the programme is integrated with training in leadership and management.The HIEM Training Program is recognized by Royal College of Emergency Medicine, UK. CMC has committed to improving emergency care in Nepal by pioneering the HIEM Training Program. We are committed to fulfilling our moral and social responsibility to improve emergency care systems in the country through building up of a cadre of adequately trained Emergency Physicians.Keywords: Emergencies; emergency care; emergency medicine; Nepal

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Redmond, A. D., and J. Li. "The UK medical response to the Sichuan earthquake." Emergency Medicine Journal 28, no. 6 (September 3, 2010): 516–20. http://dx.doi.org/10.1136/emj.2009.089920.

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Gordon, Morris. "Training on handover of patient care within UK medical schools." Medical Education Online 18, no. 1 (January 2013): 20169. http://dx.doi.org/10.3402/meo.v18i0.20169.

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Paniagua, Hilary, and Antony Stewart. "Medical care practitioners: introducing a new profession into the UK." British Journal of Nursing 14, no. 7 (April 2005): 405–8. http://dx.doi.org/10.12968/bjon.2005.14.7.17949.

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Spurgeon, Peter, Paul Long, John Clark, and Frank Daly. "Do we need medical leadership or medical engagement?" Leadership in Health Services 28, no. 3 (July 6, 2015): 173–84. http://dx.doi.org/10.1108/lhs-03-2014-0029.

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Purpose – The purpose of this paper is to address issues of medical leadership within health systems and to clarify the associated conceptual issues, for example, leadership versus management and medical versus clinical leadership. However, its principle contribution is to raise the issue of the purpose or outcome of medical leadership, and, in this respect, it argues that it is to promote medical engagement. Design/methodology/approach – The approach is to provide evidence, both from the literature and empirically, to suggest that enhanced medical engagement leads to improved organisational performance and, in doing so, to review the associated concepts. Findings – Building on current evidence from the UK and Australia, the authors strengthen previous findings that effective medical leadership underpins the effective organisational performance. Research limitations/implications – There is a current imbalance between the size of the databases on medical engagement between the UK (very large) and Australia (small but developing). Practical implications – The authors aim to equip medical leaders with the appropriate skill set to promote and enhance greater medical engagement. The focus of leaders in organisations should be in creating a culture that fosters and supports medical engagement. Social implications – This paper provides empowerment of medical professionals to have greater influence in the running of the organisation in which they deliver care. Originality/value – The paper contains, for the first time, linked performance data from the Care Quality Commission in the UK and from Australia with the new set of medical engagement findings.

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Diver, Ruth, Thelma Quince, Stephen Barclay, John Benson, James Brimicombe, Diana Wood, and Pia Thiemann. "Palliative care in medical practice: medical students' expectations." BMJ Supportive & Palliative Care 8, no. 3 (April 4, 2018): 285–88. http://dx.doi.org/10.1136/bmjspcare-2017-001486.

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ObjectivesDuring their careers, all doctors will be involved in the care of the dying, and this is likely to increase with current demographic trends. Future doctors need to be well-prepared for this. Little is known about medical students’ expectations about providing palliative care. Our aim was to investigate how satisfying students expect palliative care to be, and any attitudes towards palliative care associated with a negative expectation.MethodsFifteen UK medical schools participated in the study, with 1898 first and final year students completing an online questionnaire which investigated how satisfying they expect providing palliative care to be and their attitudes towards palliative care.ResultsAt both the beginning and end of their training, a significant proportion of students expect palliative care to be less satisfying than other care (19.3% first year, 16% final year). Students expecting palliative care to be less satisfying were more likely to be men, and their attitudes suggest that while they understand the importance of providing palliative care they are concerned about the potential impact of this kind of work on them personally.ConclusionsMedical student education needs to address why palliative care is important and how to deliver it effectively, and the strategies for dealing positively with the impact of this work on future clinicians.

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Imiela, Jacek, Maria Strzemieczna, and Mikołaj Pawlak. "HEALTH CARE FOR IMMIGRANTS IN THE UNITED KINGDOM: HOW IS THE BRITISH SYSTEM PREPARED FOR SERVICING PATIENTS WHO ARE FOREIGNERS?" Polityka Społeczna 553, no. 4 (April 30, 2020): 17–29. http://dx.doi.org/10.5604/01.3001.0014.1369.

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The article presents solutions that enable access to British health care system by foreigners. The migration situation and health care system in the UK is presented. The actions that have been taken to ensure foreigners get access to medical care are described. According to the law, the Primary Care is free for all patients staying in the UK. Secondary Care is free for patients with ordinary residents status, people who have access to healthcare on the basis of international agreements or immigration health surcharge. In order to enable the use of medical care, for non-English speakers, telephone interpretation is commonly used. The Equality and Diversity Council is dealing with problems related to equal access to medical care. Actions taken in the UK can be a reference point in searching for solutions that can be introduced in Poland to ensure equal access to medical care for foreigners.

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Jakes, Adam D., Ingrid Watt-Coote, Matthew Coleman, and Catherine Nelson-Piercy. "Obstetric medical care and training in the United Kingdom." Obstetric Medicine 10, no. 1 (December 12, 2016): 40–42. http://dx.doi.org/10.1177/1753495x16681201.

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The UK confidential enquiry into maternal deaths identified poor management of medical problems in pregnancy to be a contributory factor to a large proportion of indirect maternal deaths. Maternal (obstetric) medicine is an exciting subspecialty that encompasses caring for both women with pre-existing medical conditions who become pregnant, as well as those who develop medical conditions in pregnancy. Obstetrics and gynaecology trainees have some exposure to maternal medicine through their core curriculum and can then complete an advanced training skills module, subspecialise in maternal–fetal medicine or take time out to complete the Royal College of Physicians membership examination. Physician training has limited exposure to medical problems in pregnancy and has therefore prompted expansion of the obstetric physician role to ensure physicians with adequate expertise attend joint physician–obstetrician clinics. This article describes the role of an obstetric physician in the UK and the different career pathways available to physicians and obstetricians interested in maternal medicine.

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&NA;. "Seamless care aided by smoother prescribing at the UK primary/secondary care interface." Drugs & Therapy Perspectives 15, no. 10 (May 2000): 12–16. http://dx.doi.org/10.2165/00042310-200015100-00004.

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Ghosh, Montila, and Suvalagna Chatterjee. "Aspirations of unemployed international medical graduates in the UK." Sushruta Journal of Health Policy & Opinion 14, no. 2 (May 1, 2021): 1–8. http://dx.doi.org/10.38192/14.2.2.

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The trials and tribulations of immigrant professionals such as international medical graduates (IMGs) to the UK have been a topic for discussion and debate over many years. Many challenges faced by immigrant doctors have been reviewed and reformed over time and many rules pertaining to the registration and induction of international doctors to UK practice has been modified to facilitate safe delivery of care in the UK National Health Service (NHS). The General Medical Council (GMC), NHS employers, and the UK Home Office contribute to a three-tier filtration sieve for selecting suitable IMGs who aspire to either education and training or pursue a career in the UK health and care sector. This article pertains to the cohort of IMGs, who have been cleared by immigration regulations to reside in the UK but have not been able to initiate a career or active employment in a medical profession. The process of GMC registration referred to and discussed in this article is based on GMC rules prior to Jan 2021. The perspective from which some of the attributes of the current system has been observed has shown it to be efficient but not uniform, robust but not considerate, thorough but not perfect. During the research for this article, we realised that there are many different opinions or conflicting views on this topic, which have all developed either from an individual or a group’s own experience in the UK. There are similarities and differences in opinions and thus to broaden the scope of the discussion, we report the results of a survey exploring where and how the IMGs (currently resident in the UK) are at the start of their careers in the UK.

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Bartram, Lisa, Adrian McGrath, Peter Crome, Ilana Crome, Oliver J. Corrado, and Stephen Allen. "Geriatric medicine training in UK undergraduate medical schools." Reviews in Clinical Gerontology 15, no. 3-4 (August 2005): 237–43. http://dx.doi.org/10.1017/s0959259806001973.

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It is generally accepted that the study of human aging and the health-care needs of older people should form part of the undergraduate medical curriculum. This view was supported by policy documents from the World Health Organization, the Royal College of Physicians of London and the General Medical Council. Surveys in the 1980s showed that geriatric medicine was being taught in almost all medical schools, most commonly by a compulsory attachment to a hospital-based department of geriatric medicine.

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Walker, A., and B. Robson. "Medical and prehospital care training in UK fire and rescue services." Emergency Medicine Journal 27, no. 12 (October 6, 2010): 960–61. http://dx.doi.org/10.1136/emj.2009.081828.

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Quinn, L., K. Challen, and D. Walter. "Medical and prehospital care training in UK fire and rescue services." Emergency Medicine Journal 26, no. 8 (July 22, 2009): 601–3. http://dx.doi.org/10.1136/emj.2008.063784.

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Fanaras, Nikolaos, and Saman Warnakulasuriya. "Oral Cancer Diagnosis in Primary Care." Primary Dental Journal 5, no. 1 (February 2016): 64–68. http://dx.doi.org/10.1177/205016841600500108.

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The incidence of oral cancer in the UK is rising, with approximately 7,300 new cases diagnosed in 2012. The number of oral cancer cases in the UK has risen by more than a quarter in the last decade. Mouth cancer is within the ten most common cancers encountered among men in the UK. Primary care practitioners, both in a dental and medical setting, have a role in the early diagnosis of oral malignancy, and in providing patients with information regarding risk factors such as smoking, alcohol and betel quid use. The purpose of this paper is to present the epidemiology and risk factors related to oral cancer and particularly review the literature regarding the level of awareness and practice in primary care as recorded in relevant research.

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Begum, Mursheda, Grant Lewison, Mark Lawler, and Richard Sullivan. "The value of European immigration for high-level UK research and clinical care: cross-sectional study." Journal of the Royal Society of Medicine 112, no. 1 (October 10, 2018): 29–35. http://dx.doi.org/10.1177/0141076818803427.

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Summary Objective The UK’s impending departure (‘Brexit’) from the European Union may lead to restrictions on the immigration of scientists and medical personnel to the UK. We examined how many senior scientists and clinicians were from other countries, particularly from Europe, in two time periods. Design Cross-sectional study. Setting United Kingdom. Participants Individuals who had been elected as Fellows of the Royal Society or of the Academy of Medical Sciences, and UK medical doctors currently practising and listed in the Medical Register for 2015. Main outcome measures Percentages of Fellows of the Royal Society, Fellows of the Academy of Medical Sciences and UK medical doctors by nationality (UK and Irish: UKI, European: EUR and rest of world: RoW) over time. Fellows of the Royal Society and the Academy of Medical Sciences proportions were assessed for two time periods, and doctors over decades of qualification (<1960s to 2010s). Results Percentages of European Fellows of the Royal Society increased from 0.8% (1952–1992) (the year the UK signed the Maastricht treaty) to 4.3% (1993–2015). For Fellows of the Academy of Medical Sciences, percentages increased from 2.6% (pre-1992) to 8.9% (post-1992) (for both, p < 0.001). In the 1970s, only 6% of doctors were trained in the EU; the proportion increased to 11% in the last two decades (also p < 0.001). Europeans replaced South Asians as the main immigrant group. Among these, doctors from the Czech Republic, Greece, Poland and Romania made the largest contribution. Conclusions Any post-Brexit restriction on the ability of the UK to attract European researchers and medical doctors may have serious implications for the UK’s science leadership globally and healthcare provision locally.

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Lasserson, Daniel, Christian Subbe, Timothy Cooksley, and Mark Holland. "SAMBA18 Report – A National Audit of Acute Medical Care in the UK." Acute Medicine Journal 18, no. 2 (April 1, 2019): 76–87. http://dx.doi.org/10.52964/amja.0755.

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SAMBA18 took place on Thursday 28th June 2018 with follow up data at 7 days. Acute medical teams from 127 Acute Medical Units (AMUs) across the UK collected data relating to operational performance, clinical quality indicators and standards from NHS Improvement. Data was collected from 6114 patients.

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Stewart, PJ, J. Martin, J. Thomas, and C. Hayhurst. "P55 The neurosurgical physician: a new role in the UK." Journal of Neurology, Neurosurgery & Psychiatry 90, no. 3 (February 14, 2019): e38.1-e38. http://dx.doi.org/10.1136/jnnp-2019-abn.120.

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ObjectivesWith reduction in numbers of junior doctors and strict deanery requirements for training opportunities, the provision of ward cover and continuity has consistently fallen. Various methods of addressing this have been implemented in the UK, including increased nurse practitioners and physician associates. We introduced a new position of GP with a specialist neuroscience interest in line with the North American model of hospitalist and review the impact on patients and trainees.DesignQualitative descriptive study.Subjects14 core and speciality trainees.MethodsRetrospective review of the impact of a permanent neurosurgical physician on ward care and provision of training with a qualitative study of trainee experience. Saturation was reached at 14 interviews.ResultsA neurosurgical physician role was instituted in 2013, enabling a formal training rota to fulfil deanery requirements for core training and provide continuity of care at senior medical level, reducing medical ward consults to zero, improved communication with relatives and reduced the need for ST ward rounds. Qualitative assessment revealed a senior medical presence aided trainees own knowledge, resulted in better rapport and communication with patients and improved patient care through knowledge of best medical practice guidelines.ConclusionsThe addition of the neurosurgical physician role has positively impacted on the quality of patient care and junior doctor training. Senior medical care is provided with continuity, in contrast to other models.

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Hall, Gillian. "Pharmacoepidemiology using a UK database of primary care records." Pharmacoepidemiology & Drug Safety 1, no. 1 (January 1992): 33–37. http://dx.doi.org/10.1002/pds.2630010108.

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Al Mahdy, Husayn. "Quality of coroner's post-mortems in a UK hospital." International Journal of Health Care Quality Assurance 27, no. 1 (February 4, 2014): 25–35. http://dx.doi.org/10.1108/ijhcqa-07-2012-0073.

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Purpose – The aim of this paper was, principally, to look at the coroner's post-mortem report quality regarding adult medical patients admitted to an English hospital; and to compare results with Royal College of Pathologists guidelines. Design/methodology/approach – Hospital clinical notes of adult medical patients dying in 2011 and who were referred to the coroner's office to determine the cause of death were scrutinised. Their clinical care was also reviewed. Findings – There needs to be a comprehensive approach to coroner's post-mortems such as routinely taking histological and microbiological specimens. Acute adult medical patient care needs to improve. Research limitations/implications – Steps should be taken to ensure that comprehensive coroner's post-mortems are performed throughout the UK, including with routine histological and microbiological specimens examination. Additionally, closer collaboration between clinicians and pathologists needs to occur to improve emergency adult medical patient clinical care. Originality/value – The study highlights inadequacies in coroner's pathology services.

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Nair, Manisha, Catherine Nelson-Piercy, and Marian Knight. "Indirect maternal deaths: UK and global perspectives." Obstetric Medicine 10, no. 1 (February 1, 2017): 10–15. http://dx.doi.org/10.1177/1753495x16689444.

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Indirect maternal deaths outnumber direct deaths due to obstetric causes in many high-income countries, and there has been a significant increase in the proportion of maternal deaths due to indirect medical causes in low- to middle-income countries. This review presents a detailed analysis of indirect maternal deaths in the UK and a perspective on the causes and trends in indirect maternal deaths and issues related to care in low- to middle-income countries. There has been no significant decrease in the rate of indirect maternal deaths in the UK since 2003. In 2011–2013, 68% of all maternal deaths were due to indirect causes, and cardiac disease was the single largest cause. The major issues identified in care of women who died from an indirect cause was a lack of clarity about which medical professional should take responsibility for care and overall management. Under-reporting and misclassification result in underestimation of the rate of indirect maternal deaths in low- to middle-income countries. Causes of indirect death include a range of communicable diseases, non-communicable diseases and nutritional disorders. There has been evidence of a shift in incidence from direct to indirect maternal deaths in many low- to middle-income countries due to an increase in non-communicable diseases among women in the reproductive age. The gaps in care identified include poor access to health services, lack of healthcare providers, delay in diagnosis or misdiagnosis and inadequate follow-up during the postnatal period. Irrespective of the significant gains made in reducing maternal mortality in many countries worldwide, there is evidence of a steady increase in the rate of indirect deaths due to pre-existing medical conditions. This heightens the need for research to generate evidence about the risk factors, management and outcomes of specific medical comorbidities during pregnancy in order to provide appropriate evidence-based multidisciplinary care across the entire pathway: pre-pregnancy, during pregnancy and delivery, and postpartum.

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Reid, Emily Frances, Mamidipudi Thirumala Krishna, and Claire Bethune. "Allergy teaching is suboptimal and heterogeneous in the undergraduate medical curriculum in the UK." Journal of Clinical Pathology 72, no. 3 (January 5, 2018): 221–24. http://dx.doi.org/10.1136/jclinpath-2017-204885.

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AimTo record the level of allergy teaching occurring in UK medical schools. The UK has experienced an ‘allergy epidemic’ during the last 3–4 decades. Previous government reviews have emphasised the importance of allergy education and training, treating common allergies in primary care with referral pathways to a specialist and the creation of regional networks. It is acknowledged that the delivery of allergy teaching in UK medical schools is variable, despite the well-recognised need.MethodsAll consultant members of the British Society for Allergy and Clinical Immunology involved in teaching medical students were invited to partake in qualitative research, employing an online questionnaire for data collection. Participants were asked to comment on the format of the allergy teaching delivered, the student participation and the clinical opportunities provided. Students were recruited to complete a similar survey as supporting evidence.Results44 responses were collected, representing 64.7% of medical schools in the UK. Clinical allergy placements were compulsory in 31.8% of medical schools that responded. In 36.4%, it was reported that less than 10% of students had an opportunity to take an independent history from a patient with allergic disease, or practise using an epinephrine autoinjector. 90.9% responded that an allergy rotation was not offered to final year students.ConclusionsAllergy undergraduate teaching is suboptimal and heterogeneous in UK medical schools and there is a real need for standardisation as a means to enhance quality of care.

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Stronge, Kirsty, and Jennie Burch. "Education in stoma care: a survey and interviews with stoma care nurses." Gastrointestinal Nursing 17, no. 8 (October 2, 2019): 26–31. http://dx.doi.org/10.12968/gasn.2019.17.8.26.

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Guidance for stoma care clinical nurse specialists (CNSs) provided by the Association of Stoma Care Nurses (ASCN) UK and Royal College of Nursing (RCN) states that senior nurses are expected to have at least a degree-level specialist qualification in conjunction with clinical experience. To determine how to better meet the educational needs of stoma care CNSs, data were collected from this group of professionals. One-in-five stoma care CNS in the UK replied to an online survey, plus telephone interviews. The findings showed that, when attending a course, accreditation was important, as well as that education was predominantly used for professional development and underpinning clinical knowledge. There were three themes that emerged from the surveys and interviews: development of education, delivery style and future developments. These were felt to be important to the nurses when attending educational courses.

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Boon, Veronica, Matthew Ridd, and Andrew Blythe. "Medical undergraduate primary care teaching across the UK: what is being taught?" Education for Primary Care 28, no. 1 (September 14, 2016): 23–28. http://dx.doi.org/10.1080/14739879.2016.1222887.

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Onyigbuo, Chineme Christian, Camille Alexis-Garsee, and Olga van den Akker. "Predicting attitudes towards seeking medical care among Nigerian immigrants in the UK." Mental Health, Religion & Culture 21, no. 8 (September 14, 2018): 810–24. http://dx.doi.org/10.1080/13674676.2018.1551343.

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Knight, P. V., D. Oliver, Z. Wyrko, A. L. Gordon, and G. Turner. "Frailty related aspects of care are under-recognised in UK medical curriculums." BMJ 348, may28 2 (May 28, 2014): g3325. http://dx.doi.org/10.1136/bmj.g3325.

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Freeman, Howard. "Two-tiered medicine: the increasing disparity in medical care in the UK." British Journal of General Practice 71, no. 705 (March 26, 2021): 158.2–158. http://dx.doi.org/10.3399/bjgp21x715385.

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Dawson, Judith. "Two-tiered medicine: the increasing disparity in medical care in the UK." British Journal of General Practice 71, no. 703 (January 28, 2021): 72. http://dx.doi.org/10.3399/bjgp21x714737.

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Puffer, Frank. "Access to Primary Health Care: A Comparison of the US and the UK." Journal of Social Policy 15, no. 3 (July 1986): 293–313. http://dx.doi.org/10.1017/s0047279400015178.

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ABSTRACTThis paper examines the extent to which low household income influences access to primary health care in both the US and the UK. The basic approach is to ask whether, given data about a person's age, sex, and self-reported general health status and history, extra information about whether or not they come from a low-income household adds a statistically significant amount to the probability of their obtaining various amounts of primary medical care. The measure of primary medical care is derived from the number of physician visits and it, along with the other data, is drawn from the 1977 US National Medical Care Expenditure Survey and the 1980 UK General Household Survey. Although the two surveys cover different sample periods, they are similar enough to make comparisons between the two countries possible. The main conclusion drawn from the study is that low household income is not an important determinant of the actual use of primary health care resources. Only with subgroups of the low-income population (UK women and US relatively unhealthy individuals) does there appear to be a statistically significant effect, which is quite small in comparison to other factors.

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Coutrot, Isabel Pifarré, Richard Smith, and Laura Cornelsen. "Is the rise of crowdfunding for medical expenses in the United Kingdom symptomatic of systemic gaps in health and social care?" Journal of Health Services Research & Policy 25, no. 3 (January 28, 2020): 181–86. http://dx.doi.org/10.1177/1355819619897949.

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Crowdfunding for medical care is a new phenomenon but increasingly used by individuals to seek financial help to cover the costs of health care. Ethical concerns have been raised about medical crowdfunding, including implications for equity, resource allocation, medical decision-making, the promotion of non-evidence based therapies, platforms’ lack of transparency and corporate interests. Medical crowdfunding efforts may point to shortcomings in health service provision, but they tend to have wider motivations and implications. However, there is no firm evidence base for establishing answers to even the most basic questions, such as who is seeking funds, for what, where and why. In this Essay, we provide an introduction to medical crowdfunding in the United Kingdom (UK). We synthesize what is currently known and the insights that might be gained from an exploratory review of 400 medical crowdfunding campaigns on the GoFundMe UK website: for instance, whether medical crowdfunding occurs in response to gaps in service provision, supports ‘queue jumping’ and how it relates to ‘medical tourism’. We conclude with a call for research on medical crowdfunding in the UK (and elsewhere) as a means to better understand patients’ perceived or actual unmet need for health and social care and inform policy development.

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Garnett, Sarah, Hajira Dambha-Miller, and Beth Stuart. "Quantifying empathy levels among UK undergraduate medical students: an online survey." British Journal of General Practice 70, suppl 1 (June 2020): bjgp20X711293. http://dx.doi.org/10.3399/bjgp20x711293.

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BackgroundEmpathy is a key health care concept and refers to care that incorporates understanding of patient perspective’s, shared decision making, and consideration of the broader context in which illness is experience. Evidence suggests experiences of doctor empathy correlate with improved health outcomes and patient satisfaction. It has also been linked to job satisfaction, and mental wellbeing for doctors. To date, there is a paucity of evidence on empathy levels among medical students. This is critical to understand given that it is a key point at which perceptions and practices of empathy in the longer term might be formed.AimTo quantify the level of empathy among UK undergraduate medical studentsMethodAn anonymised cross-sectional online survey was distributed to medical students across three universities. The previously validated Davis’s Interpersonal Reactivity Index was used to quantify empathy. The survey also collected information on age, sex, ethnicity, year of medical school training and included a free-text box for ‘any other comments’.ResultsData analysis is currently underway with high response rates. Mean empathy scores by age, sex, year of study and ethnic group are presented. A correlation analysis will examine associations between age and year of study, and mean empathy sores.ConclusionThese data will help to provide a better understanding of empathy levels to inform the provision of future empathy training and medical school curriculum design. Given previous evidence linking experiences of empathy to better health outcomes, the findings may also be significant to future patient care

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Coulthard, Paul. "Medical Management of Dental Anxiety." Primary Dental Journal 7, no. 4 (May 2018): 40–44. http://dx.doi.org/10.1177/205016841800700410.

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The use of medical management techniques for the management of anxiety is fundamental to the practice of dentistry. Around 7% of the population are likely to need these techniques for general dental care and a higher proportion for more invasive treatment such as oral surgery. This paper highlights the current expectation of effective and safe practice of conscious sedation techniques in light of recent updated guidance from several UK institutions.

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Moore, Gregory. "Editorial: UK quality of care drive improving ulcerative colitis hospital outcomes." Alimentary Pharmacology & Therapeutics 50, no. 5 (August 14, 2019): 601–2. http://dx.doi.org/10.1111/apt.15412.

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Gadoud, Amy, Wei-Hsin Lu, Lisa Strano-Paul, Susan Lane, and Jason W. Boland. "A pilot study of interprofessional palliative care education of medical students in the UK and USA." BMJ Supportive & Palliative Care 8, no. 1 (June 21, 2017): 67–72. http://dx.doi.org/10.1136/bmjspcare-2016-001267.

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BackgroundEducating medical students to care for patients at the end-of-life is increasingly recognised as an essential component of training. Traditionally, medical student programmes are run by doctors, but patient care is delivered by an interprofessional team. Our programmes in the UK and USA independently developed a teaching experience led by an interprofessional team of palliative care health professionals.ObjectivesThis study explores the palliative care health professionals’ perceptions, regarding their unique role in medical student palliative care education.MethodsThis is the first study to ascertain views of an interprofessional team delivering palliative care education to medical students. Focus groups enable interaction between members of the group as well as the generation of consensus of comments among group members.ResultsTwo major themes were identified: perceived benefits and value of the experience, and the challenges and lessons learnt from the experiences.ConclusionsDespite different structures and settings, this experiential learning in palliative care provided a rewarding interprofessional experience that has historically been difficult to achieve.

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Bowley, Douglas M., D. Lamb, P. Rumbold, P. Hunt, J. Kayani, and A. M. Sukhera. "Nursing and medical contribution to Defence Healthcare Engagement: initial experiences of the UK Defence Medical Services." Journal of the Royal Army Medical Corps 165, no. 3 (August 4, 2018): 143–46. http://dx.doi.org/10.1136/jramc-2017-000875.

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IntroductionThe WHO Constitution enshrines ‘…the highest attainable standard of health as a fundamental right of every human being.’ Strengthening delivery of health services confers benefits to individuals, families and communities, and can improve national and regional stability and security. In attempting to build international healthcare capability, UK Defence Medical Services (DMS) assets can contribute to the development of healthcare within overseas nations in a process that is known as Defence Healthcare Engagement (DHE).MethodsIn the first bespoke DMS DHE tasking, a team of 12 DMS nurses and doctors deployed to a 1000-bedded urban hospital in a partner nation and worked alongside indigenous healthcare workers (doctors, nurses and paramedical staff) during April and May 2016. The DMS nurses focused on nursing hygiene skills by demonstrations of best practice and DMS care standards, clinical leadership and female empowerment. A Quality Improvement Programme was initiated that centred on hand hygiene (HH) compliance before and after patient contact, and the introduction of peripheral cannula care and surveillance.ResultsAfter a brief induction on the ward, it was apparent that compliance with HH was poor. Peripheral cannulas were secured with adhesive zinc oxide tape and no active surveillance process (such as venous infusion phlebitis (VIP) scoring) was in place. After intensive education and training, initial week-long audits were undertaken and repeated after a further 2 weeks of training and coworking. In the second audit cycle, HH compliance had increased to 69% and VIP scoring compliance to 99%. In the final audit cycle, it was noted that nursing compliance with HH (75/98: 77%) was significantly higher than the doctors’ HH compliance (76/200: 38%); p<0.0001.ConclusionsDHE is a long-term collaborative process based on the establishment and development of comprehensive relationships that can help transform indigenous healthcare services towards patient-centred systems with a focus on safety and quality of care. Short deployments to allow clinical immersion of UK healthcare workers within indigenous teams can have an immediate impact. Coworking is a powerful method of demonstrating standards of care and empowering staff to institute transformative change. A multidisciplinary group of Quality Improvement Champions has been identified and a Hospital Oversight Committee established, which will offer the prospect of longer term sustainability and development.

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Lewis, Richard, and John Wattis. "Continuing care of Old People—A Medical Viewpoint." Ageing and Society 8, no. 2 (June 1988): 189–209. http://dx.doi.org/10.1017/s0144686x00006760.

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ABSTRACTProvision for old people who are in need of continuing care requires close co-operation between informal carers and different agencies and disciplines providing health and social care. In the United Kingdom, the present system of care has evolved from earlier patterns of care centred on the asylums and the poor law with its workhouse institutions. It lacks cohesion. Despite the designation of old people as a priority group, resources are still inadequate to provide a good quality of care. Organisational differences between health and social services can lead to inefficient use of existing resources. More specialised medical, psychiatric and social services for old people enhance the possibilities for co-operation even though they may appear to lead to greater fragmentation. The history of the development of these services in the UK, including the recent expansion of private sector care, is reviewed, with special attention from the medical perspective to the phenomenon of ‘bed blocking’. The recently published Griffiths Report on community care is briefly considered, and some principles for future developments are laid down.

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Gelding, Susan V., Shanti Vijayaraghavan, Clare Davison, and Tahseen A. Chowdhury. "Community Diabetes: An East London Perspective." Journal of the Royal Society of Medicine 98, no. 3 (March 2005): 96–100. http://dx.doi.org/10.1177/014107680509800303.

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The rising prevalence of type 2 diabetes in the UK has necessitated a change in the delivery of diabetes care, with a shift of focus from hospital to community. The National Service Framework for Diabetes has enshrined this approach, and the new General Medical Services (GMS2) contract rewards primary healthcare professionals for developing high-quality diabetes care. New approaches cross the primary/secondary care divide and are patient focused. The evolution of diabetes care in the UK is illustrated by service developments in Newham, East London.

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Huang, Beatrice, and Stefan Priebe. "Media coverage of mental health care in the UK, USA and Australia." Psychiatric Bulletin 27, no. 09 (September 2003): 331–33. http://dx.doi.org/10.1017/s0955603600002968.

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Aims and Method We aimed to assess the contents and tone of articles on mental health care in the UK print media by comparing them with reporting in the USA and Australia. Two broadsheets from each country were analysed using the Internet for a random 4 months over a 1-year period. The number of articles, their content and the views expressed in them were identified and compared. Results A total of 118 articles on mental health care issues were found. The predominant tone of the articles in all three countries was negative, though there were slightly more positive articles in the USA and Australian media. Positive articles highlighted in the UK media covered mostly medical conferences and research findings. Clinical Implications Efforts to achieve a more positive attitude towards people with mental illnesses in the public, such as anti-stigma campaigns, operate against a background of predominantly negative coverage of mental health care issues in broadsheets. The coverage in the UK may tend to be even less positive than in the USA and Australia. Medical conferences and research findings can, however, be used to promote positive views of mental health care in the media.

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Huang, Beatrice, and Stefan Priebe. "Media coverage of mental health care in the UK, USA and Australia." Psychiatric Bulletin 27, no. 9 (September 2003): 331–33. http://dx.doi.org/10.1192/pb.27.9.331.

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Aims and MethodWe aimed to assess the contents and tone of articles on mental health care in the UK print media by comparing them with reporting in the USA and Australia. Two broadsheets from each country were analysed using the Internet for a random 4 months over a 1-year period. The number of articles, their content and the views expressed in them were identified and compared.ResultsA total of 118 articles on mental health care issues were found. The predominant tone of the articles in all three countries was negative, though there were slightly more positive articles in the USA and Australian media. Positive articles highlighted in the UK media covered mostly medical conferences and research findings.Clinical ImplicationsEfforts to achieve a more positive attitude towards people with mental illnesses in the public, such as anti-stigma campaigns, operate against a background of predominantly negative coverage of mental health care issues in broadsheets. The coverage in the UK may tend to be even less positive than in the USA and Australia. Medical conferences and research findings can, however, be used to promote positive views of mental health care in the media.

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Pang, Gordon Hwa Mang, Elizabeth Gar Mit Chong, Rizah Mazzuin Razali, Fatt Soon Lee, and Weng Keong Yau. "61 HIP Fracture Management of Older Adults in a Public Tertiary Hospital in Kuala Lumpur: Analysis and Comparison with the Standard of Care in UK." Age and Ageing 48, Supplement_4 (December 2019): iv13—iv17. http://dx.doi.org/10.1093/ageing/afz164.61.

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Abstract Background There has been rapid improvement in evidence-based care for hip fracture in UK in which prompt, effective, multidisciplinary management has been shown to improve quality and reduce costs. The aim of this study was to evaluate the current outcome of hip fractures in our hospital, and to compare it to the outcome of evidence-based management of hip fractures in UK. Methods A cross-sectional study of all hip fracture patients aged 60 and above, admitted from 1st March 2018 until 28th Feb 2019. Medical records of 105 patients obtained from a hip fracture registry were reviewed. Clinical data such as patients’ sociodemographics, fall circumstances, fractures, peri-operative details, complications and mortality were extracted and analysed. Results The surgery rate was 67% (96.5% in UK). Among the 37 patients (35.2%) not operated, 15 refused operation. Rate of early surgery was only 9.3% (71.3% in UK). Medical stabilisation (28.2%) and no operating time (40.8%) were the main reasons for surgical delay. None had falls assessment (98% in UK) and only 7.6% was started on bone protection prior to discharge (60% in UK). The average length of stay was 17 days (15.8 days in UK). The 30 day mortality was 9.5% (8.5% in UK). Discussion Our results showed that there was no significant difference in length of stay and 30 day mortality compared to UK. However, this may be due to our small sample size. Lack of awareness of falls assessment and bone protection suggests that our current model of care needed improvement. Conclusion Our results highlighted the need to implement proactive strategies to improve the management of hip fracture in our centre. Ortho-geriatrics shared-care in hip fracture management was subsequently implemented in an effort to improve patient care and service. Further studies need to be done to re-evaluate the outcomes post implementation.

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Irvine, NJ, and J. Penston. "Cocaine abuse: acute medical manifestations & current recommended management strategies." Acute Medicine Journal 7, no. 1 (January 1, 2008): 28–33. http://dx.doi.org/10.52964/amja.0187.

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Recreational cocaine use in the UK is steadily rising. This review summarises some of the common clinical manifestations of cocaine use which may be encountered by acute physicians and discusses the available treatment options.

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Mowat, Andrew. "PO233 Clinical neurology teaching in uk medical schools: a foundation for primary care?" Journal of Neurology, Neurosurgery & Psychiatry 88, Suppl 1 (December 2017): A73.3—A74. http://dx.doi.org/10.1136/jnnp-2017-abn.254.

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Wright, Christopher John, and Russell Allan. "Progressing care in the Medical High Dependency Unit: unit configurations, staffing, standards, and daily routine." Acute Medicine Journal 16, no. 1 (January 1, 2017): 16–20. http://dx.doi.org/10.52964/amja.0646.

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There are currently various models of care for provision of high dependency care for acutely ill medical patients across the UK. Acute Physicians are integral to the development and progression of this both challenging and rewarding area of medicine. This article outlines current standards, best evidence, and our own experience of both setting up and developing a medical high dependency unit (MHDU).

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Tullo, Ellen, and Louise Allan. "What should we be teaching medical students about dementia?" International Psychogeriatrics 23, no. 7 (April 4, 2011): 1044–50. http://dx.doi.org/10.1017/s1041610211000536.

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ABSTRACTBackground: Doctors working in the majority of medical subspecialties provide care for patients with dementia, but there is current international concern that many do not have adequate knowledge or skills to deliver appropriate care for these patients in hospital or community settings. The aim of this review is to draw together recommendations for medical education on dementia and empirical research on teaching interventions concerning dementia in order to assess the current provision of training using the UK model as an example.Methods: Database and manual searches were undertaken to identify relevant articles for a narrative review.Results: UK national guidelines recommend that dementia-specific education should be available to trainees in the undergraduate and postgraduate environment. A sample of undergraduate curricula shows considerable variation in the delivery of teaching about dementia. “Non-specialist” postgraduate curricula make reference to care of patients with confusion, but do not always include learning outcomes specific to cognitive impairment or dementia. Teaching interventions trialed in the postgraduate environment provide encouraging qualitative feedback from participants, but do not consistently demonstrate improvement in participants' knowledge, skills or attitudes.Conclusions: There is a pressing need to improve undergraduate medical education on dementia in order to help future doctors obtain the ability to provide competent care for patients. There is scope for ongoing research to refine existing curricula covering dementia and to build an evidence-base for successful dementia-specific teaching interventions.

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Marks, Isaac, Joseph Connolly, and Matthijs Muijen. "New Directions in Mental Health Care Evaluation." Bulletin of the Royal College of Psychiatrists 12, no. 2 (February 1988): 78. http://dx.doi.org/10.1192/pb.12.2.78.

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Mental health care evaluation is a priority area as mental health care services are changing rapidly, more than are most other medical services. Budgets are finite, and there is concern for value for money in meeting the needs of patients and families. A one-day workshop brought together leading figures in the USA and Europe to discuss how a unit and consortium might be established to give cohesion and catalyse evaluative research in this fragmented field in the UK. Sound scientific data are available which have not yet been widely disseminated or used in policy making. There are rich opportunities for cross-national projects. The USA has intriguing innovations in evaluative research in mental health, some on a large scale, and these are relevant to the UK.

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Williams, Norman, and Simon Edwards. "Improving surgery through research: barriers and solutions." Bulletin of the Royal College of Surgeons of England 91, no. 6 (June 1, 2009): 192–93. http://dx.doi.org/10.1308/147363509x450445.

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The UK government spends over £1.5 billion on medical research every year. Despite substantial year-on-year increases for the last decade, less than 1.5% of this investment is spent on surgical research. Questions are now being asked about the type of medical research undertaken in the UK and its benefit to patient care as well as how innovation and translation can be improved.

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Journal articles on the topic 'Medical care in UK'

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