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Subject = Health Services Research;
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Displaying Results 1 - 25 of 65 on page 1 of 3
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'Is someone going to saw off the plank behind me?' - Healthcare managers priorities, challenges and expectations for service delivery and transformation during economic crisis.
(2017)
BURKE, SARA
'Is someone going to saw off the plank behind me?' - Healthcare managers priorities, challenges and expectations for service delivery and transformation during economic crisis.
(2017)
BURKE, SARA
http://hdl.handle.net/2262/81706
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"How to match research designs to organisational issues in health and social care"
(2013)
LEE, MANDY S.
"How to match research designs to organisational issues in health and social care"
(2013)
LEE, MANDY S.
Abstract:
This paper provides an overview of the key considerations we need to take into account when deciding on a suitable research design for addressing particular service issues in health and social care, with emphasis on the task of identifying research questions at each stage of the applied research process. I present a model for determining research rigour in health services research and a model for defining research questions for each stage of the applied research cycle, from problem specification through to outcome assessment. The paper concludes with a check-list of the key issues we need to consider when designing a health services research project.
http://hdl.handle.net/2262/67460
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"I found myself staying" - A case study of the job embeddedness and retention of qualified health workers in rural and remote areas of Uganda
(2015)
Maniple, Everd B
"I found myself staying" - A case study of the job embeddedness and retention of qualified health workers in rural and remote areas of Uganda
(2015)
Maniple, Everd B
Abstract:
<p>Global health worker maldistribution affects poor countries and rural areas most adversely, despite their high disease burden. Health workers reject rural areas due to isolation, and lack of facilities. Recommended extrinsic interventions to address rural-urban imbalance are costly and not sustainable in most developing countries. However, some health workers serve in rural areas without such interventions, suggesting existence of strong intrinsic motives for rural practice choice and retention, knowledge of which could be used to select retainable staff. This PhD research, a mixed-methods case study of 50 purposively-selected doctors and nurses retained in 12 Ugandan rural government and private general hospitals for three or more years, sought to find the reasons some qualified health workers get retained in rural areas, and the role of job embeddedness, a construct which predicts employee turnover, in their retention.</p> <p>Rural practice choices were made f...
https://epubs.rcsi.ie/phdtheses/181
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A national audit of smoking cessation services in Irish maternity units
(2019)
Reynolds, C.M.E.; Egan, B.; Cawley, Shona; Kennedy, Rachel; Sheehan, Sharon; Turner, Mi...
A national audit of smoking cessation services in Irish maternity units
(2019)
Reynolds, C.M.E.; Egan, B.; Cawley, Shona; Kennedy, Rachel; Sheehan, Sharon; Turner, Michael J.
Abstract:
There is international consensus that smoking cessation in the first half of pregnancy improves foetal outcomes. We surveyed all 19 maternity units nationally about their antenatal smoking cessation practices. All units recorded details on maternal smoking at the first antenatal visit. Only one unit validated the self-reported smoking status of pregnant women using a carbon monoxide breath test. Twelve units (63%) recorded timing of smoking cessation. In all units women who reported smoking were given verbal cessation advice. This was supported by written advice in 12 units (63%), but only six units (32%) had all midwives trained to provide this advice. Only five units (26%) reported routinely revisiting smoking status later in pregnancy. Although smoking is an important modifiable risk factor for adverse pregnancy outcomes, smoking cessation services are inadequate in the Irish maternity services and there are variations in practices between hospitals.
http://hdl.handle.net/10197/10303
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Addressing the Burden of Uncorrected Refractive Error in Mozambique
(2011)
Thompson, Stephen; Loughman, James; Ramson, Prasidh; Bilotti, Luigi; Harris, Geoff; Nai...
Addressing the Burden of Uncorrected Refractive Error in Mozambique
(2011)
Thompson, Stephen; Loughman, James; Ramson, Prasidh; Bilotti, Luigi; Harris, Geoff; Naidoo, Kovin
Abstract:
A situational analysis indicates a lack of eye health personnel who can and do refract. The logical course of action would be to train more eye health personnel. A conservative estimated annual burden of URE in lost productivity in Mozambique is $14,486,692. To achieve the V2020 target ratio, an extra 184 workers are needed in six provinces analysed.The analysis assumes the existing personnel are well trained and dedicate time to offering a refraction service. It also assumes that the patient receives the care they require. Other aspects of the situational analysis suggest this is currently not always the case. A more comprehensive analysis would look at the number of work hours each person dedicates to refraction and the outcome.
https://arrow.dit.ie/otpomcon/6
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An exploration of personhood in dementia in formal care in Ireland
(2020)
Hennelly, Niamh
An exploration of personhood in dementia in formal care in Ireland
(2020)
Hennelly, Niamh
Abstract:
Personhood in dementia centres on recognising and treating the person with dementia as a person first and foremost. Supporting personhood is a key goal of person-centred care models and a key principle in Irish dementia policy and formal care regulation. However, there is ambiguity around the concept in policy and practice. In particular, there is difficulty in moving from conceptual understandings of personhood to practical manifestations of it. In Ireland, there is little evidence to show that personhood is being supported in practice. This thesis seeks to reduce the ambiguity around this concept by examining how personhood in dementia is conceptualised, expressed, facilitated and actualised in formal care in Ireland. It aims to explore the core elements of personhood and provide guidance to policy and practice in how it can structure formal care provision and formal care relationships around personhood. The thesis involves three studies. The first analyses personhood in Irish po...
http://hdl.handle.net/10379/16099
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An Optimisation-based Framework for Complex Business Process: Healthcare Application
(2011)
Abo-Hamad, Waleed
An Optimisation-based Framework for Complex Business Process: Healthcare Application
(2011)
Abo-Hamad, Waleed
Abstract:
The Irish healthcare system is currently facing major pressures due to rising demand, caused by population growth, ageing and high expectations of service quality. This pressure on the Irish healthcare system creates a need for support from research institutions in dealing with decision areas such as resource allocation and performance measurement. While approaches such as modelling, simulation, multi-criteria decision analysis, performance management, and optimisation can – when applied skilfully – improve healthcare performance, they represent just one part of the solution. Accordingly, to achieve significant and sustainable performance, this research aims to develop a practical, yet effective, optimisation-based framework for managing complex processes in the healthcare domain. Through an extensive review of the literature on the aforementioned solution techniques, limitations of using each technique on its own are identified in order to define a practical integrated approach tow...
https://arrow.dit.ie/busdoc/10
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Analysis of care of HIV positive patients: hospital and general practice components.
(1995)
Bradley, Fiona; Bury, Gerard; O'Kelly, Fergus; Shannon, William; Hickey, Anne; Mul...
Analysis of care of HIV positive patients: hospital and general practice components.
(1995)
Bradley, Fiona; Bury, Gerard; O'Kelly, Fergus; Shannon, William; Hickey, Anne; Mulcahy, Fiona
Abstract:
<p>The original article is available at www.imj.ie</p>
<p>Fifty-seven HIV positive adults (mostly injecting drug users) attending two inner city Dublin general practices were followed for one year to identify the general practice and hospital components of their care. Many patients had advanced disease; during the year 10/57 (17.5%) died. The group made a median of seven visits to general practice (range 0-35) and two visits to hospital HIV clinics (range 0-21). A quarter of the group (14/57) was seen only in general practice and did not attend hospital; only two patients did not attend either the HIV Clinic or the GP during the year. Hospital admission was needed for 15/57 (26.3%) patients on a total of 31 occasions with an average length of stay of 10 days per admission; 80% of these admissions were generated by 10 patients with AIDS. The indication for almost all admissions was serious physical illness or diagnostic or therapeutic procedure. Patients with sy...
https://epubs.rcsi.ie/psycholart/135
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Association of Anticholinergic burden with adverse effects in older people with Intellectual Disabilities in Ireland: An observational cross-sectional study
(2016)
Mc Carron, Mary; O'Dwyer, Maire; Henman, Martin
Association of Anticholinergic burden with adverse effects in older people with Intellectual Disabilities in Ireland: An observational cross-sectional study
(2016)
Mc Carron, Mary; O'Dwyer, Maire; Henman, Martin
Abstract:
Background:Older people with intellectual disabilities (ID) receive anticholinergic drugs but no studies to date have investigated cumulative anticholinergic exposure and its effects in adults with ID. Aim: To determine the cumulative exposure to anticholinergics and the factors associated with high exposure. Methods A modified Anticholinergic Cognitive Burden scale (ACB) was calculated for a representative cohort of 736 people over 40 years with intellectual disabilities, and associations with demographic and clinical factors assessed. Results Age over 65 years was associated with higher exposure (ACB 1-4- OR 3?28; 95% CI 1?49-7?28, ACB 5+- OR 3?08; 95% CI 1?20-7?63), as was a mental health condition (ACB 1-4- OR 9?79; 95% CI 5?63-17?02, ACB 5+- OR 23?74; 95% CI 12?29-45?83). Day time drowsiness was associated with higher ACB (p<0?001) and chronic constipation reported more frequently (26?6% ACB 5+ vs 7?5% ACB 0) (p<0?001). Conclusions Older people with intellectual disabilit...
http://hdl.handle.net/2262/77386
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Barriers to Glaucoma Case Finding as Perceived by Optometrists in Ireland
(2017)
Barrett, Catriona; O'Brien, Colm; Butler, John; Loughman, James
Barriers to Glaucoma Case Finding as Perceived by Optometrists in Ireland
(2017)
Barrett, Catriona; O'Brien, Colm; Butler, John; Loughman, James
Abstract:
Background: This research was designed to provide an in-depth exploration of the perceptions of optometrists relating to the challenges of glaucoma case finding in the Irish health-care system. Methods: A survey was developed, piloted and distributed for anonymous completion by optometrists registered to practice in Ireland. The survey included 10 five-level Likert items exploring potential barriers to glaucoma detection and a free-text box for participants to comment more broadly. Results: One hundred and ninety-nine optometrists (27 per cent of registrants) responded to the survey. Among the barriers identified, there was notable agreement (71 per cent) with the need for extra training on glaucoma detection. Logistic regression showed that optometrists without postgraduate qualifications were more likely to agree with the need for extra training (OR 3.2, 95 per cent CI 1.3–8.1). Respondents largely agreed (61 per cent) that patient unwillingness to pay additional fees for supplem...
https://arrow.dit.ie/otpomart/61
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Baseline study of Community Pharmacy Practice in Ireland - report
(2011)
Baseline study of Community Pharmacy Practice in Ireland - report
(2011)
http://hdl.handle.net/2262/68329
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Characterizing Potentially Inappropriate Prescribing of Proton Pump Inhibitors in Older People in Primary Care in Ireland from 1997 to 2012.
(2016)
Moriarty, Frank; Bennett, Kathleen; Cahir, Caitriona; Fahey, Tom
Characterizing Potentially Inappropriate Prescribing of Proton Pump Inhibitors in Older People in Primary Care in Ireland from 1997 to 2012.
(2016)
Moriarty, Frank; Bennett, Kathleen; Cahir, Caitriona; Fahey, Tom
Abstract:
<p>This is the peer reviewed version of the following article: Moriarty, F., Bennett, K., Cahir, C., and Fahey, T. Characterizing Potentially Inappropriate Prescribing of Proton Pump Inhibitors in Older People in Primary Care in Ireland from 1997 to 2012. J Am Geriatr Soc. 2016; 64(12): e291-e296, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/jgs.14528/abstract. This article may be used for noncommercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.</p>
<p>OBJECTIVES: To characterize prescribing of proton pump inhibitors (PPIs) and medicines that increase gastrointestinal bleeding risk (ulcerogenic) in older people from 1997 to 2012 and assess factors associated with maximal-dose prescribing in long-term PPI users.</p> <p>DESIGN: Repeated cross-sectional study of pharmacy claims data.</p> <p>SETTING: Eastern Health Board region of Ireland.</p> <p>PARTICIPANTS...
https://epubs.rcsi.ie/gpart/105
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Choosing important health outcomes for comparative effectiveness research: 4th annual update to a systematic review of core outcome sets for research
(2018)
Gargon, Elizabeth; Gorst, Sarah L.; Harman, Nicola L.; Smith, Valerie; Matvienko-Sikar,...
Choosing important health outcomes for comparative effectiveness research: 4th annual update to a systematic review of core outcome sets for research
(2018)
Gargon, Elizabeth; Gorst, Sarah L.; Harman, Nicola L.; Smith, Valerie; Matvienko-Sikar, Karen; Williamson, Paula R.
Abstract:
The Core Outcome Measures in Effectiveness Trials (COMET) database is a publically available, searchable repository of published and ongoing core outcome set (COS) studies. An annual systematic review update is carried out to maintain the currency of database content.
http://hdl.handle.net/10468/7922
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Communicable disease screening for asylum seekers and refugees in Ireland: an analysis of professional stakeholders’ insights into knowledge into action
(2014)
Smith, Gemma
Communicable disease screening for asylum seekers and refugees in Ireland: an analysis of professional stakeholders’ insights into knowledge into action
(2014)
Smith, Gemma
Abstract:
<p><strong>Introduction</strong></p> <p>Numerous countries employ migrant communicable disease screening programmes and initial health assessments (IHAs). Although the evidence base under-pinning screening policies has been criticised, relatively little is known about the extent to which screening policies, guidelines and programmes are implemented and practice is evidence-informed.</p> <p><strong>Methods</strong></p> <p><strong></strong> A case study design was employed to examine the development of communicable disease screening guidelines for asylum seekers and refugees in Ireland and the enacting of the guidelines and programme in practice. A national mapping study of screening service provision was undertaken, alongside a document review. Three sets of in-depth interviews were conducted with key informants involved in the guideline development, the related broader policy context, either current or pas...
https://epubs.rcsi.ie/phdtheses/189
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Dental RECUR Randomized Trial to Prevent Caries Recurrence in Children
(2020)
Pine, C. M.; Adair, P. M.; Burnside, G.; Brennan, L.; Sutton, L.; Edwards, R.T.; Ezeofo...
Dental RECUR Randomized Trial to Prevent Caries Recurrence in Children
(2020)
Pine, C. M.; Adair, P. M.; Burnside, G.; Brennan, L.; Sutton, L.; Edwards, R.T.; Ezeofor, V.; Albadri, S.; Curnow, M.; Deery, C.; Hosey, M. T.; Willis-Lake, J.; Lynn, J.; Parry, Jennifer A.; Wong, F. S. L.
Abstract:
The purpose of this study was to determine the efficacy of a dental nurse-delivered intervention-the Dental RECUR Brief Negotiated Interview for Oral Health (DR-BNI)-in reducing the recurrence of dental caries in children who have a primary tooth extracted. It was based on a 2-arm multicenter randomized controlled trial with blinded outcome assessment. Participants were 5- to 7-y-old children (n = 241) scheduled to have primary teeth extracted in 12 UK centers. Test intervention parents (n = 119) received DR-BNI led by trained dental nurses. DR-BNI is a 30-min structured conversation informed by motivational interviewing with a forward focus to prevent future caries. Preventive goals are agreed, and a review appointment is made with child's general dental practitioner, who is advised to treat the child as being at high caries risk. The control intervention (n = 122) was a parent-nurse conversation about child's future tooth eruption, with advice given to visit a general de...
http://hdl.handle.net/10468/9781
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Development of a complex intervention to promote appropriate prescribing and medication intensification in poorly controlled type 2 diabetes mellitus in irish general practice
(2018)
Murphy, Mark E.; Byrne, Molly; Zarabzadeh, Atieh; Corrigan, Derek; Fahey, Tom; Smith, S...
Development of a complex intervention to promote appropriate prescribing and medication intensification in poorly controlled type 2 diabetes mellitus in irish general practice
(2018)
Murphy, Mark E.; Byrne, Molly; Zarabzadeh, Atieh; Corrigan, Derek; Fahey, Tom; Smith, Susan M.
Abstract:
Background: Poorly controlled type 2 diabetes mellitus (T2DM) can be seen as failure to meet recommended targets for management of key risk factors including glycaemic control, blood pressure and lipids. Poor control of risk factors is associated with significant morbidity, mortality and healthcare costs. Failure to intensify medications for patients with poor control of T2DM when indicated is called clinical inertia and is one contributory factor to poor control of T2DM. We aimed to develop a theory and evidence-based complex intervention to improve appropriate prescribing and medication intensification in poorly controlled T2DM in Irish general practice. Methods: The first stage of the Medical Research Council Framework for developing and evaluating complex interventions was utilised. To identify current evidence, we performed a systematic review to examine the effectiveness of interventions targeting patients with poorly controlled T2DM in community settings. The Behaviour Change...
http://hdl.handle.net/10379/13043
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Development of a complex intervention to promote appropriate prescribing and medication intensification in poorly controlled type 2 diabetes mellitus in Irish general practice.
(2017)
Murphy, Mark E; Byrne, Molly; Zarabzadeh, Atieh; corrigan, derek; Fahey, Tom; Smith, Su...
Development of a complex intervention to promote appropriate prescribing and medication intensification in poorly controlled type 2 diabetes mellitus in Irish general practice.
(2017)
Murphy, Mark E; Byrne, Molly; Zarabzadeh, Atieh; corrigan, derek; Fahey, Tom; Smith, Susan M
Abstract:
<p>The original article is available at www.biomedcentral.com</p>
<p><strong>BACKGROUND:</strong> Poorly controlled type 2 diabetes mellitus (T2DM) can be seen as failure to meet recommended targets for management of key risk factors including glycaemic control, blood pressure and lipids. Poor control of risk factors is associated with significant morbidity, mortality and healthcare costs. Failure to intensify medications for patients with poor control of T2DM when indicated is called clinical inertia and is one contributory factor to poor control of T2DM. We aimed to develop a theory and evidence-based complex intervention to improve appropriate prescribing and medication intensification in poorly controlled T2DM in Irish general practice.</p> <p><strong>METHODS:</strong> The first stage of the Medical Research Council Framework for developing and evaluating complex interventions was utilised. To identify current evidence, w...
https://epubs.rcsi.ie/gpart/116
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Do guidelines for the prevention and control of methicillin-resistant Staphylococcus aureus make a difference?
(2009)
Humphreys, Hilary
Do guidelines for the prevention and control of methicillin-resistant Staphylococcus aureus make a difference?
(2009)
Humphreys, Hilary
Abstract:
<p>The definitive version is available at <a>www3.interscience.wiley.com</a></p>
<p>Many countries have national guidelines for the prevention and control of methicillin-resistant Staphylococcus aureus (MRSA) that are similar in approach. The evidence base for many recommendations is variable, and often, in the drafting of such guidelines, the evidence is either not analysed or not specifically reviewed. Guidelines usually recommend screening and early detection, hand hygiene, patient isolation or cohorting, and decolonization. Although many components of a prevention and control programme appear to be self-evident, e.g. patient isolation, the scientific base underpinning these is poor, and scientifically rigorous studies are required. Nonetheless, where measures, based on what evidence there is and on common sense, are implemented, and where the necessary resources are provided, MRSA can be controlled. In The Netherlands and in other low-prevalence...
https://epubs.rcsi.ie/clinmicart/8
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Drivers of potentially avoidable emergency admissions in Ireland: an ecological analysis
(2018)
Lynch, Brenda; Fitzgerald, Anthony P.; Corcoran, Paul; Buckley, Claire M.; Healy, Orla;...
Drivers of potentially avoidable emergency admissions in Ireland: an ecological analysis
(2018)
Lynch, Brenda; Fitzgerald, Anthony P.; Corcoran, Paul; Buckley, Claire M.; Healy, Orla; Browne, John P.
Abstract:
Background: Many emergency admissions are deemed to be potentially avoidable in a well-performing health system. Objective: To measure the impact of population and health system factors on county-level variation in potentially avoidable emergency admissions in Ireland over the period 2014–2016. Methods: Admissions data were used to calculate 2014–2016 age-adjusted emergency admission rates for selected conditions by county of residence. Negative binomial regression was used to identify which a priori factors were significantly associated with emergency admissions for these conditions and whether these factors were also associated with total/other emergency admissions. Standardised incidence rate ratios (IRRs) associated with a 1 SD change in risk factors were reported. Results: Nationally, potentially avoidable emergency admissions for the period 2014–2016 (266 395) accounted for 22% of all emergency admissions. Of the population factors, a 1 SD change in the county-level unemployme...
http://hdl.handle.net/10468/7052
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Economic Essays on Burden, Survivorship and Health Literacy - A Focus on HPV-Related Head and Neck Cancer
(2014)
Coughlan, James Diarmuid
Economic Essays on Burden, Survivorship and Health Literacy - A Focus on HPV-Related Head and Neck Cancer
(2014)
Coughlan, James Diarmuid
Abstract:
Our understanding of cancer and the role of specific agents in its cause continues to evolve. Head and Neck Cancers (HNC) in the developed world were traditionally associated with excessive smoking and drinking. Since 2000, the Human Papilloma Virus (HPV) has been linked with a subset of HNC in the oropharynx region and the prevalence of these has increased markedly among males aged 40-65 years of age. As with any emerging epidemic it is important to gain an understanding of the causes and effects to help inform a policy response. In this thesis, I examine issues around the characterisation of disease burden; cancer survivorship and health literacy supported by a range of empirical analyses to help provide insights into the development of a policy response to HPV-related HNC. In characterising the economic burden of HPV-related HNC in the United States, the absence of a consensus on or accepted guidelines for Cost-of-illness (COI) studies has seen a range of methods deployed in the ...
http://hdl.handle.net/10379/4774
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Ethical approval for national studies in Ireland: an illustration of current challenges.
(2004)
Smith, Mary; Doyle, Frank; McGee, Hannah; De La Harpe, Davida
Ethical approval for national studies in Ireland: an illustration of current challenges.
(2004)
Smith, Mary; Doyle, Frank; McGee, Hannah; De La Harpe, Davida
Abstract:
<p><em>“This is a post-peer-review, pre-copyedit version of an article published in Irish Journal of Medical Science. The final authenticated version is available online at: http://dx.doi.org/</em>10.1007/BF02914559<em>”.</em></p>
<p><strong>BACKGROUND:</strong> Ethical approval of research projects is, appropriately, an essential prerequisite in health settings. AIMS: This paper outlines difficulties encountered with procedures for gaining ethical approval for two multicentre surveys in Ireland.</p> <p><strong>METHODS:</strong> The experiences of two national surveys were documented. RESULTS: Delays in processing ethics applications led to substantial delays in both surveys. Research ethics committees (RECs) assessed applications in an idiosyncratic manner.</p> <p><strong>CONCLUSION:</strong> In Ireland, there is currently no accepted mechanism for single location ethical appr...
https://epubs.rcsi.ie/psycholart/14
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Factors associated with polypharmacy and excessive polypharmacy in older people with Intellectual Disability differ from the general population; a cross-sectional observational nationwide study
(2016)
MCCARRON, MARY; Henman, Martin; O'DWYER, MAIRE
Factors associated with polypharmacy and excessive polypharmacy in older people with Intellectual Disability differ from the general population; a cross-sectional observational nationwide study
(2016)
MCCARRON, MARY; Henman, Martin; O'DWYER, MAIRE
http://hdl.handle.net/2262/76213
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Factors influencing GP Referrals to Symptomatic Breast Units in Ireland
(2015)
O'Rourke, Niamh
Factors influencing GP Referrals to Symptomatic Breast Units in Ireland
(2015)
O'Rourke, Niamh
Abstract:
<p><strong>Background</strong></p> <p>A policy of centralisation of symptomatic breast services was implemented in Ireland in 2009. This included centralising surgical services in eight Symptomatic Breast Disease (SBD) units and introduction of evidence-based GP referral guidelines for suspected cancer.</p> <p><strong>Aim</strong></p> <p>To investigate the factors influencing GP referrals to SBD units in Ireland.</p> <p><strong>Methods</strong></p> <p>Four individual studies were conducted in a mixed-methods design. Study 1 analysed breast cancer referral and detection rates. Studies 2 and 3 comprised in-depth interviews with 9 cancer centres (hospitals) and 28 randomly-selected GPs to explore factors influencing GP referral. The impact of centralisation on referral patterns was analysed in Study 4, using the national cancer database.</p> <p><strong>Results </st...
https://epubs.rcsi.ie/phdtheses/185
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Focus on quality in healthcare in Ireland.
(2008)
Collins, Chris G; Joyce, Pauline
Focus on quality in healthcare in Ireland.
(2008)
Collins, Chris G; Joyce, Pauline
Abstract:
<p>This article is also available at <a href="http://www.emeraldinsight.com/doi/full/10.1108/09526860810859067">http://www.emeraldinsight.com/doi/full/10.1108/09526860810859067</a></p>
<p>PURPOSE: The purpose of this paper is to summarise the recent debates and issues on the healthcare system in Ireland, which have come to the fore through media exposure. The implications for these debates on quality are suggested and questions are raised to stimulate further debate.</p> <p>DESIGN/METHODOLOGY/APPROACH: Recent reports and media opinion articles are reviewed in the light of the health reform programme and the increased prosperity due to the Celtic Tiger era in Ireland.</p> <p>FINDINGS: The Health Service in Ireland is not what it should be. Progress has been made but resistance at all levels is significant due to the mistrust and miscommunication between the managerial and clinical personnel which have built up durin...
https://epubs.rcsi.ie/smedart/1
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Hospital Pharmacy in Ireland
(2012)
Hospital Pharmacy in Ireland
(2012)
http://hdl.handle.net/2262/68328
Displaying Results 1 - 25 of 65 on page 1 of 3
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