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Displaying Results 1 - 25 of 89 on page 1 of 4
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How to Foster PPI With Those Excluded From Public Involvement Itself?
(2018)
Dinsmore, John
How to Foster PPI With Those Excluded From Public Involvement Itself?
(2018)
Dinsmore, John
Abstract:
Background While there is encouragement of public involvement in the development of health interventions and healthcare issues, PPI seeks to go a step further with this involvement ?with recognition of the need to engage citizens not only in providing feedback on health-care delivery or interventions, but in processes whereby decisions are made...? (Baxter, Clowes, Muir et al., 2016). But what happens to those citizens who find themselves socially excluded from their healthcare needs? One such group is our homeless population. This presentation, drawing upon previous research on health seeking behaviours of homeless individuals (N? Cheallaigh, Cullivan, Sears, et al., 2017), will challenge PPI to go further in how it seeks to understand involvement. We argue that a way of achieving this is through applying experience- centred design (ECD), which gives ?...people the chance to have a richer life, to include people who otherwise feel excluded, and to ensure that everybody has a chance...
http://hdl.handle.net/2262/85308
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A national chronic disease management patient support programme for HSE: report of the Steering Committee (3.26 MB)
(2006)
Health Service Executive (HSE)
A national chronic disease management patient support programme for HSE: report of the Steering Committee (3.26 MB)
(2006)
Health Service Executive (HSE)
Abstract:
HSE / 2006
http://hdl.handle.net/10147/45843
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Designing a ProACTive, Person Centred Digital Integrated Care Ecosystem
(2017)
DINSMORE, JOHN; Kotoulaus, Spyros; Barton, John; Murphy, Ed; Walker, David; Medina, Jai...
Designing a ProACTive, Person Centred Digital Integrated Care Ecosystem
(2017)
DINSMORE, JOHN; Kotoulaus, Spyros; Barton, John; Murphy, Ed; Walker, David; Medina, Jaime; Hoogerwerf, Evert-Jan; Cudd, Peter; Maluccelli, Lorenza; Kadyrbaeva, Asel; Jacobs, An; Hannigan, Caoimhe; Murphy, Emma; Galvin, Mary; Doyle, Julie
http://hdl.handle.net/2262/91787
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Application of the UK Foresight Obesity Model in Ireland: The health and economic consequences of projected obesity trends in Ireland
(2013)
Keaver, Laura; Webber, Laura; Dee, Anne; Shiely, Frances; Marsh, Tim; Balanda, Kevin; P...
Application of the UK Foresight Obesity Model in Ireland: The health and economic consequences of projected obesity trends in Ireland
(2013)
Keaver, Laura; Webber, Laura; Dee, Anne; Shiely, Frances; Marsh, Tim; Balanda, Kevin; Perry, Ivan; Bassaganya-Riera, Josep
Abstract:
Given the scale of the current obesity epidemic and associated health consequences there has been increasing concern about the economic burden placed on society in terms of direct healthcare costs and indirect societal costs. In the Republic of Ireland these costs were estimated at €1.13 billion for 2009. The total direct healthcare costs for six major obesity related conditions (coronary heart disease & stroke, cancer, hypertension, type 2 diabetes and knee osteoarthritis) in the same year were estimated at €2.55 billion. The aim of this research is to project disease burden and direct healthcare costs for these conditions in Ireland to 2030 using the established model developed by the Health Forum (UK) for the Foresight: Tackling Obesities project.
http://hdl.handle.net/10147/305786
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Care Models/Pathways for Managing Multimorbidity
(2016)
Dinsmore, John; Brady, Anne-Marie; Doyle, Julie; Hoogerwerf, Evert-Jan; Van der Auwerme...
Care Models/Pathways for Managing Multimorbidity
(2016)
Dinsmore, John; Brady, Anne-Marie; Doyle, Julie; Hoogerwerf, Evert-Jan; Van der Auwermeulen, Thomas; Murphy, Emma; Maluccelli, Lorenza; Kuiper, Janneke; Fiordelmondo, Valentina; Jacobs, An; Desideri, Lorenzo; Edirisinghe, Nuwani; Pascale, Alessandra
http://hdl.handle.net/2262/89772
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Chronic disease burden associated with overweight and obesity in Ireland: the effects of a small BMI reduction at population level
(2014)
Kearns, Karen; Dee, Anne; Fitzgerald, Anthony P; Doherty, Edel; Perry, Ivan J
Chronic disease burden associated with overweight and obesity in Ireland: the effects of a small BMI reduction at population level
(2014)
Kearns, Karen; Dee, Anne; Fitzgerald, Anthony P; Doherty, Edel; Perry, Ivan J
Abstract:
Overweight and obesity prevalence has risen dramatically in recent decades. While it is known that overweight and obesity is associated with a wide range of chronic diseases, the cumulative burden of chronic disease in the population associated with overweight and obesity is not well quantified. The aims of this paper were to examine the associations between BMI and chronic disease prevalence; to calculate Population Attributable Fractions (PAFs) associated with overweight and obesity; and to estimate the impact of a one unit reduction in BMI on the population prevalence of chronic disease.
Abstract Background Overweight and obesity prevalence has risen dramatically in recent decades. While it is known that overweight and obesity is associated with a wide range of chronic diseases, the cumulative burden of chronic disease in the population associated with overweight and obesity is not well quantified. The aims of this paper were to examine the associat...
http://dx.doi.org/10.1186/1471-2458-14-143
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Chronic disease burden associated with overweight and obesity in Ireland: the effects of a small BMI reduction at population level
(2014)
Kearns, Karen; Dee, Anne; Fitzgerald, Anthony P.; Doherty, Edel; Perry, Ivan J.
Chronic disease burden associated with overweight and obesity in Ireland: the effects of a small BMI reduction at population level
(2014)
Kearns, Karen; Dee, Anne; Fitzgerald, Anthony P.; Doherty, Edel; Perry, Ivan J.
Abstract:
Background: Overweight and obesity prevalence has risen dramatically in recent decades. While it is known that overweight and obesity is associated with a wide range of chronic diseases, the cumulative burden of chronic disease in the population associated with overweight and obesity is not well quantified. The aims of this paper were to examine the associations between BMI and chronic disease prevalence; to calculate Population Attributable Fractions (PAFs) associated with overweight and obesity; and to estimate the impact of a one unit reduction in BMI on the population prevalence of chronic disease. Methods: A cross-sectional analysis of 10,364 adults aged ≥18 years from the Republic of Ireland National Survey of Lifestyle, Attitudes and Nutrition (SLÁN 2007) was performed. Using binary regression, we examined the relationship between BMI and the selected chronic diseases. In further analyses, we calculated PAFs of selected chronic diseases attributable to overweight and obesity ...
http://hdl.handle.net/10468/2247
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Chronic disease burden associated with overweight and obesity in ireland: the effects of a small bmi reduction at population level
(2018)
Kearns, Karen; Dee, Anne; Fitzgerald, Anthony P; Doherty, Edel; Perry, Ivan J
Chronic disease burden associated with overweight and obesity in ireland: the effects of a small bmi reduction at population level
(2018)
Kearns, Karen; Dee, Anne; Fitzgerald, Anthony P; Doherty, Edel; Perry, Ivan J
Abstract:
Background: Overweight and obesity prevalence has risen dramatically in recent decades. While it is known that overweight and obesity is associated with a wide range of chronic diseases, the cumulative burden of chronic disease in the population associated with overweight and obesity is not well quantified. The aims of this paper were to examine the associations between BMI and chronic disease prevalence; to calculate Population Attributable Fractions (PAFs) associated with overweight and obesity; and to estimate the impact of a one unit reduction in BMI on the population prevalence of chronic disease. Methods: A cross-sectional analysis of 10,364 adults aged >= 18 years from the Republic of Ireland National Survey of Lifestyle, Attitudes and Nutrition (SLAN 2007) was performed. Using binary regression, we examined the relationship between BMI and the selected chronic diseases. In further analyses, we calculated PAFs of selected chronic diseases attributable to overweight...
http://hdl.handle.net/10379/12183
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Comparison of self-reported health & healthcare utilisation between asylum seekers and refugees: an observational study.
(2009)
Toar, Magzoub; O'Brien, Kirsty K; Fahey, Tom
Comparison of self-reported health & healthcare utilisation between asylum seekers and refugees: an observational study.
(2009)
Toar, Magzoub; O'Brien, Kirsty K; Fahey, Tom
Abstract:
<p>This article is available at http://www.biomedcentral.com/1471-2458/9/214</p>
<p>BACKGROUND: Adult refugees and asylum seekers living in Western countries experience a high prevalence of mental health problems, especially post traumatic stress disorder (PTSD), depression and anxiety. This study compares and contrasts the prevalence of health problems, and potential risk factors as well as the utilisation of health services by asylum seekers and refugees in the Irish context. METHODS: Cross sectional study using validated self reported health status questionnaires of adult asylum seekers (n = 60) and refugees (n = 28) from 30 countries, living in Ireland. Outcome measures included: general health status (SF-36), presence of PTSD symptoms and anxiety/depression symptoms. Data on chronic conditions and pre or post migration stressors are also reported. The two groups are compared for utilisation of the health care system and the use of over the counter medicati...
https://epubs.rcsi.ie/gpart/2
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Computerized decision support systems for multimorbidity care - an urgent call for research and development
(2016)
Grace, Audrey; O'Donoghue, John; Mahony, Carolanne; Heffernan, Tony; Molony, David...
Computerized decision support systems for multimorbidity care - an urgent call for research and development
(2016)
Grace, Audrey; O'Donoghue, John; Mahony, Carolanne; Heffernan, Tony; Molony, David; Carroll, Thomas
Abstract:
Healthcare organisations and General Practitioners (GPs) in particular, are overwhelmed by the growing number of patients with multiple chronic diseases (i.e. multimorbid) and the additional complexity involved in their associated treatments. There is evidence to suggest that Computerized Decision Support Systems (CDSS) offer many potential benefits to support multimorbidity care, but this remains under investigated. For example CDSS have been shown to improve the quality/safety of medication prescribing; to increase clinician adherence to guideline/protocol based care; as well as to enhance communication and decision making among providers and patients. This chapter draws on extant literature to discuss these and other potential benefits of CDSS for enhancing multiborbidity care and calls for further research and development in this area. The chapter also identifies the required features of such software systems and underlines a number of key challenges that must be overcome for th...
http://hdl.handle.net/10468/6567
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Do adolescents with long-term illnesses and disabilities have increased risks of sports related injuries?
(2017)
Ng, Kwok W.; Tynjälä, Jorma; Rintala, Pauli; Kokko, Sami; Kannas, Lasse
Do adolescents with long-term illnesses and disabilities have increased risks of sports related injuries?
(2017)
Ng, Kwok W.; Tynjälä, Jorma; Rintala, Pauli; Kokko, Sami; Kannas, Lasse
Abstract:
Background: The aim of this study is to examine the rates of sports related injuries in adolescents based on the severity of their long-term illnesses or disabilities (LTID). Few injury prevention strategies in sports and health promotion have explored disaggregation by disability. Methods: Data obtained from the 2014 Finnish Health Behaviour in School-aged Children survey (n = 3716, mean age = 14.8, SD = 1.03) were grouped into adolescents with and without LTID. A further indicator or severity was determined when adolescents reported their LTID affected their participation (affected LTID). Odds ratio (95% CI) were used to determine the associations between sports related injuries and LTID, daily moderate to vigorous physical activities (MVPA), being a sports club member, physical competence, and family encouragement, after controlling for age, gender and family affluence. Results: One in four adolescents (25%) reported to have LTID and one in eight adolescents (12.5%) reported spor...
http://hdl.handle.net/10344/6989
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Dynapaenic obesity and its association with health outcomes in older adult populations: Protocol for a systematic review
(2019)
Leahy, Siobhan; Cassarino, Marica; O'Connell, Matthew D. L.; Glynn, Liam G.; Galvi...
Dynapaenic obesity and its association with health outcomes in older adult populations: Protocol for a systematic review
(2019)
Leahy, Siobhan; Cassarino, Marica; O'Connell, Matthew D. L.; Glynn, Liam G.; Galvin, Rose
Abstract:
Two major global health challenges are the rapidly ageing population and the high prevalence of obesity in all age groups. Older adults are also susceptible to age-related loss of muscle strength, termed dynapaenia. The co-occurrence of both obesity and dynapaenia, termed dynapaenic obesity (DO), has been associated with poorer health outcomes and increased healthcare usage compared with either state alone. The purpose of this systematic review is to quantify the prevalence and incidence of DO in older adult populations, and to explore the association between DO and health outcomes, specifically chronic disease and multimorbidity, functional disability and healthcare usage. Methods and analysis Using the Meta-analyses Of Observational Studies in Epidemiology guidelines, we will conduct a systematic review of cross-sectional and longitudinal observational studies of older adults, which include measures of DO and specified outcomes. Detailed literature searches of will be conducted us...
http://hdl.handle.net/10344/7888
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Early life socioeconomic adversity is associated in adult life with chronic inflammation, carotid atherosclerosis, poorer lung function and decreased cognitive performance: a crosssectional, population-based study
(2011)
Packard, Chris J.; Bezlyak, Vladimir; McLean, Jennifer S.; Batty, David G.; Ford, Ian; ...
Early life socioeconomic adversity is associated in adult life with chronic inflammation, carotid atherosclerosis, poorer lung function and decreased cognitive performance: a crosssectional, population-based study
(2011)
Packard, Chris J.; Bezlyak, Vladimir; McLean, Jennifer S.; Batty, David G.; Ford, Ian; Burns, Harry; Cavanagh, Jonathan; Deans, Kevin A.; Henderson, Marion; McGinty, Agnes; Millar, Keith; Sattar, Naveed; Shiels, Paul G.; Nathan, Yoga; Tannahill, Carol
Abstract:
Background: Socioeconomic gradients in health persist despite public health campaigns and improvements in healthcare. The Psychosocial and Biological Determinants of Ill-health (pSoBid) study was designed to uncover novel biomarkers of chronic disease that may help explain pathways between socioeconomic adversity and poorer physical and mental health. Methods: We examined links between indicators of early life adversity, possible intermediary phenotypes, and markers of ill health in adult subjects (n = 666) recruited from affluent and deprived areas. Classical and novel risk factors for chronic disease (lung function and atherosclerosis) and for cognitive performance were assessed, and associations sought with early life variables including conditions in the parental home, family size and leg length. Results: Associations were observed between father’s occupation, childhood home status (owner-occupier; overcrowding) and biomarkers of chronic inflammation and endothelial activation i...
http://hdl.handle.net/10344/2878
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Effectiveness of out-patient pulmonary rehabilitation in Galway
(2011)
McDonnell, MJ; Sulaiman, I; Duignan, N; McDonagh, C; Frawley, T; O'Reagan, A; Gilm...
Effectiveness of out-patient pulmonary rehabilitation in Galway
(2011)
McDonnell, MJ; Sulaiman, I; Duignan, N; McDonagh, C; Frawley, T; O'Reagan, A; Gilmartin, JJ; Finan, K; Rutherford, R
Abstract:
Pulmonary rehabilitation (PR) is an important therapeutic intervention in the management of symptomatic patients with chronic respiratory disease. This study aimed to evaluate the effects of an out-patient PR programme instituted in Galway University Hospitals in May 2008. A retrospective review was conducted of all patients attending the PR program to date. Our primary outcome measures were the 6-minute walk distance (6MWD) and St George’s Respiratory Disease Questionnaire (SGRQ) quality of life scores. Our secondary objective was to determine differences in outcomes based on length of PR with 6-week verses 8-week programmes. 89/118(75.4%) patients completed the PR programme (59 male, mean age 67.9(9.5) years, mean FEV1 1.34 (49.7% predicted), mean BODE score 7.9). 73/89(82.0%) patients had COPD. Significant improvements in 6MWD (mean change 74.9m, 95%CI 55.8- 94.0m) and SGRQ total score (mean change 7.1 units, 95%CI 3.5-10.7 units) were observed following PR. There was no signif...
http://hdl.handle.net/10147/189770
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Enhancing the value of care to people - How innovations meet end users' needs in integrated care contexts
(2018)
Dinsmore, John; Vargiu, Eloisa; Andrieu, L.; Rico de Heras, A.; Kelly, K; Roque, M.; No...
Enhancing the value of care to people - How innovations meet end users' needs in integrated care contexts
(2018)
Dinsmore, John; Vargiu, Eloisa; Andrieu, L.; Rico de Heras, A.; Kelly, K; Roque, M.; Notarangelo, Isabella; Barrue, Cristian; Aznar-Baranda, Jos? Ignacio
http://hdl.handle.net/2262/89774
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Evaluating the effectiveness of clinical decision support systems: the case of multimorbidity care
(2013)
Grace, Audrey; Mahony, Carolanne; O'Donoghue, John; Heffernan, Tony; Molony, David...
Evaluating the effectiveness of clinical decision support systems: the case of multimorbidity care
(2013)
Grace, Audrey; Mahony, Carolanne; O'Donoghue, John; Heffernan, Tony; Molony, David; Carroll, Thomas
Abstract:
General Practitioners (GPs) and healthcare systems, worldwide, are overwhelmed by the growing number of patients with multimorbidity, particularly in light of the additional complexity and costs involved in treating these patients. While it has been proven that clinical decision support systems (CDSS) play a key role in supporting healthcare decisions, there is little research into their role in the case of multimorbidity. This study examines practice systems currently used in Ireland and evaluates their effectiveness in such circumstances. The findings uncover a number of deficiencies, including: (1) the lack of provision of integrated medical guidelines for multiple chronic diseases within the CDSS, (2) the inability to centralise the patient rather than the disease, (3) the difficulty in seamlessly integrating CDSS into the patient consultation, and (4) the lack of adequate training of GPs on how best to use CDSS in multimorbidity decision making. The study underlines the need fo...
http://hdl.handle.net/10468/6565
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Explanations of educational differences in major depression and generalised anxiety disorder in the Irish population.
(2011)
Chazelle, Emilie; Lemogne, Cédric; Morgan, Karen; Kelleher, Cecily C; Chastang, Jean-Fr...
Explanations of educational differences in major depression and generalised anxiety disorder in the Irish population.
(2011)
Chazelle, Emilie; Lemogne, Cédric; Morgan, Karen; Kelleher, Cecily C; Chastang, Jean-François; Niedhammer, Isabelle
Abstract:
<p>This is the author’s version of a work that was accepted for publication in Journal of Affective Disorders. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders. 2011;134(1-3):304-14.</p> <p>DOI: 10.1016/j.jad.2011.05.049</p> <p>This article is also available at <a href="http://www.jad-journal.com/">http://www.jad-journal.com/</a></p>
<p>BACKGROUND: Social inequalities in mental disorders have been described, but studies that explain these inequalities are lacking, especially those using diagnostic interviews. This study investigates the contribution of various explanatory factors to the association between educational l...
https://epubs.rcsi.ie/psycholart/73
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Exploring the need for transition readiness scales within cystic fibrosis services: a qualitative descriptive study
(2018)
Bourke, Mary; Houghton, Catherine
Exploring the need for transition readiness scales within cystic fibrosis services: a qualitative descriptive study
(2018)
Bourke, Mary; Houghton, Catherine
Abstract:
Aims and objectivesTo explore healthcare professionals' and patients' perceptions of the potential use of a Transition Readiness Scale in cystic fibrosis care. This included an examination of barriers and facilitators to its implementation along with the identification of key items to include in a Transition Readiness Scale. BackgroundDue to increasing life expectancy and improved quality of life, more adolescents with cystic fibrosis are transitioning from paediatric to adult health care. To assess and correctly manage this transition, a more structured approach to transition is advocated. This can be achieved using a Transition Readiness Scale to potentially identify or target areas of care in which the adolescent may have poor knowledge. These key items include education, developmental readiness taking into account relationships, reproduction, future plans and self-management skills. Existing tools to gauge readiness concentrate mainly on education and self-care needs a...
http://hdl.handle.net/10379/10493
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Frameworks for self-management support for chronic disease: a cross-country comparative document analysis
(2018)
O'Connel, Selena; Mc Carthy, Vera J. C.; Savage, Eileen
Frameworks for self-management support for chronic disease: a cross-country comparative document analysis
(2018)
O'Connel, Selena; Mc Carthy, Vera J. C.; Savage, Eileen
Abstract:
Background: In a number of countries, frameworks have been developed to improve self-management support (SMS) in order to reduce the impact of chronic disease. The frameworks potentially provide direction for system-wide change in the provision of SMS by healthcare systems. Although policy formulation sets a foundation for health service reform, little is currently known about the processes which underpin SMS framework development as well as the respective implementation and evaluation plans. Methods: The aim of this study was to conduct a cross-country comparative document analysis of frameworks on SMS for chronic diseases in member countries of the Organisation for Economic Cooperation and Development. SMS frameworks were sourced through a systematic grey literature search and compared through document analysis using the Health Policy Triangle framework focusing on policy context, contents, actors involved and processes of development, implementation and evaluation. Results: Eight...
http://hdl.handle.net/10468/6660
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Frameworks for self-management support for chronic disease: a cross-country comparative document analysis.
(2018)
Mc Carthy, Vera J C; Savage, Eileen; O Connell, Selena
Frameworks for self-management support for chronic disease: a cross-country comparative document analysis.
(2018)
Mc Carthy, Vera J C; Savage, Eileen; O Connell, Selena
Abstract:
In a number of countries, frameworks have been developed to improve self-management support (SMS) in order to reduce the impact of chronic disease. The frameworks potentially provide direction for system-wide change in the provision of SMS by healthcare systems. Although policy formulation sets a foundation for health service reform, little is currently known about the processes which underpin SMS framework development as well as the respective implementation and evaluation plans.
In a number of countries, frameworks have been developed to improve self-management support (SMS) in order to reduce the impact of chronic disease. The frameworks potentially provide direction for system-wide change in the provision of SMS by healthcare systems. Although policy formulation sets a foundation for health service reform, little is currently known about the processes which underpin SMS framework development as well as the respective implementation and evaluation plans.
The aim of this s...
http://hdl.handle.net/10147/623159
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General Medical Services (Payments) Board report for the year ended 31st December, 1993
(1993)
Department of Health (DoH) General Medical Services Payments Board.
General Medical Services (Payments) Board report for the year ended 31st December, 1993
(1993)
Department of Health (DoH) General Medical Services Payments Board.
Abstract:
Many of the changes which have taken place in the organisation and delivery of General Practitioner services in recent times are reflected in this report of the Board for 1993 - in the year under review the most noteworthy of these changes was the slowing down of the upward spiral of prescribing costs. The main business of the Board is the payment, on behalf of the Health Boards, of doctors and pharmacists who provide services to eligible persons under the General Medical Services, Drug Cost Subsidisation and Long Term Illness Schemes. In addition the compilation and dissemination of statistical information for the Health Boards and the Department of Health each month is important for the efficient management and future development of these schemes. A significant enhancement of the Boards ability to respond to the ever increasing demand for information was planned for in the Boards Information Technology strategy which was fulfilled, to a large extent, by the Computer System which w...
http://hdl.handle.net/10147/338982
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General Medical Services Payments Board: report for the year ended 31st December 1992
(1992)
Department of Health (DoH). General Medical (Payments) Board
General Medical Services Payments Board: report for the year ended 31st December 1992
(1992)
Department of Health (DoH). General Medical (Payments) Board
Abstract:
The statistical information contained in this report reflects the challenge to the Board each month to reach critical target dates for payments in the face of rising numbers of claims and extension in the range of payment categories. An increase in the level of claiming under the G.M.S. Scheme is explained in part by the larger national panel of eligible G.M.S. persons combined with the growth in the percentage of such persons availing of General Practitioner services. While the core business of the Board is the processing of claims and the issue of payments each month to doctors and pharmacists the Board also provides Health Boards and the Department of Health each month with detailed information on claiming patterns and costs for the General Medical Services, Long Term Illness/Drug Cost Subsidisation and E.C. Visitor Schemes - this information is vitally important for the management and ongoing planning of these schemes.
http://hdl.handle.net/10147/338994
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Healthcare expenditure on Indigenous and non-Indigenous Australians at high risk of cardiovascular disease.
(2017)
Angell, Blake; Laba, Tracey-Lea; Lung, Tom; Brown, Alex; Eades, Sandra; Usherwood, Tim;...
Healthcare expenditure on Indigenous and non-Indigenous Australians at high risk of cardiovascular disease.
(2017)
Angell, Blake; Laba, Tracey-Lea; Lung, Tom; Brown, Alex; Eades, Sandra; Usherwood, Tim; Peiris, David; Billot, Laurent; Hillis, Graham; Webster, Ruth; Tonkin, Andrew; Reid, Christopher; Molanus, Barbara; Rafter, Natasha; Cass, Alan; Patel, Anushka; Jan, Stephen
Abstract:
<p>The original article is available at www.biomedcentral.com</p>
<p><strong>BACKGROUND:</strong> In spite of bearing a heavier burden of death, disease and disability, there is mixed evidence as to whether Indigenous Australians utilise more or less healthcare services than other Australians given their elevated risk level. This study analyses the Medicare expenditure and its predictors in a cohort of Indigenous and non-Indigenous Australians at high risk of cardiovascular disease.</p> <p><strong>METHODS:</strong> The healthcare expenditure of participants of the Kanyini Guidelines Adherence with the Polypill (GAP) pragmatic randomised controlled trial was modelled using linear regression methods. 535 adult (48% Indigenous) participants at high risk of cardiovascular disease (CVD) were recruited through 33 primary healthcare services (including 12 Aboriginal Medical Services) across Australia.</p> <p><strong&g...
https://epubs.rcsi.ie/ephmart/71
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Improving health: what can psychology contribute?
(1990)
Psychological Society of Ireland; McGee, Hannah ed.; Gilligan, Paul ed; Rush, Dermot ed
Improving health: what can psychology contribute?
(1990)
Psychological Society of Ireland; McGee, Hannah ed.; Gilligan, Paul ed; Rush, Dermot ed
Abstract:
The promotion of health is a common goal for individuals and communities. Health can be improved by such diverse activities as campaigning for lead-free petrol, shopping for a balanced diet, having a dental check-up and teaching hygiene skills to children and parents. In the developed world we are increasingly aware that the elimination of the major infectious diseases in the early part of this century has not resulted in a state of optimal health. Instead, although we live longer on average, we suffer from chronic diseases such as arthritis, heart disease and bronchitis. Thus, while medical and environmental advances have added years to life, for many individuals those added years are often years of disability rather than ability. Many of the chronic diseases are diseases of lifestyle, products of years of inappropriate patterns of behaviour. Thus, for example, high cholesterol diets, cigarette smoking and sedentary lifestyles are risk factors for coronary heart disease. The only e...
http://hdl.handle.net/10147/556798
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Interventions for improving outcomes in patients with multimorbidity in primary care and community settings.
(2012)
Smith, Susan M; Soubhi, Hassan; Fortin, Martin; Hudon, Catherine; O'Dowd, Tom
Interventions for improving outcomes in patients with multimorbidity in primary care and community settings.
(2012)
Smith, Susan M; Soubhi, Hassan; Fortin, Martin; Hudon, Catherine; O'Dowd, Tom
Abstract:
<p>This article is also available at<a href="http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006560.pub2/epdf"> http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006560.pub2/epdf</a></p>
<p>BACKGROUND: Many people with chronic disease have more than one chronic condition, which is referred to as multimorbidity. While this is not a new phenomenon, there is greater recognition of its impact and the importance of improving outcomes for individuals affected. Research in the area to date has focused mainly on descriptive epidemiology and impact assessment. There has been limited exploration of the effectiveness of interventions for multimorbidity.</p> <p>OBJECTIVES: To determine the effectiveness of interventions designed to improve outcomes in patients with multimorbidity in primary care and community settings. Multimorbidity was defined as two or more chronic conditions in the same individual.</p> <p>SEARCH M...
https://epubs.rcsi.ie/gpart/83
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