Title |
Innovations in major system reconfiguration in England: a study of the effectiveness, acceptability and processes of implementation of two models of stroke care
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Published in |
Implementation Science, January 2013
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DOI | 10.1186/1748-5908-8-5 |
Pubmed ID | |
Authors |
Naomi Fulop, Ruth Boaden, Rachael Hunter, Christopher McKevitt, Steve Morris, Nanik Pursani, Angus IG Ramsay, Anthony G Rudd, Pippa J Tyrrell, Charles DA Wolfe |
Abstract |
Significant changes in provision of clinical care within the English National Health Service (NHS) have been discussed in recent years, with proposals to concentrate specialist services in fewer centres. Stroke is a major public health issue, accounting for over 10% of deaths in England and Wales, and much disability among survivors. Variations have been highlighted in stroke care, with many patients not receiving evidence-based care. To address these concerns, stroke services in London and Greater Manchester were reorganised, although different models were implemented. This study will analyse processes involved in making significant changes to stroke care services over a short time period, and the factors influencing these processes. We will examine whether the changes have delivered improvements in quality of care and patient outcomes; and, in light of this, whether the significant extra financial investment represented good value for money. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Kingdom | 1 | 14% |
United States | 1 | 14% |
Unknown | 5 | 71% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 5 | 71% |
Scientists | 1 | 14% |
Science communicators (journalists, bloggers, editors) | 1 | 14% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 1% |
Unknown | 92 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 23 | 25% |
Student > Master | 18 | 19% |
Student > Ph. D. Student | 10 | 11% |
Librarian | 8 | 9% |
Professor > Associate Professor | 6 | 6% |
Other | 12 | 13% |
Unknown | 16 | 17% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 21 | 23% |
Social Sciences | 13 | 14% |
Business, Management and Accounting | 8 | 9% |
Nursing and Health Professions | 8 | 9% |
Economics, Econometrics and Finance | 5 | 5% |
Other | 15 | 16% |
Unknown | 23 | 25% |