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  1. Book: Studying the organisation and delivery of health services

    Fulop, Naomi

    research methods

    2001  

    Author's details ed. by Naomi Fulop
    Language English
    Size XI, 228 S. : graph. Darst.
    Publisher Routledge
    Publishing place London u.a.
    Publishing country Great Britain
    Document type Book
    HBZ-ID HT013589189
    ISBN 0-415-25762-X ; 0-415-25763-8 ; 978-0-415-25762-6 ; 978-0-415-25763-3
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2009 A 10037 order for loan Magazin

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  2. Article ; Online: The role of professional elites in healthcare governance: Exploring the work of the medical director.

    Jones, Lorelei / Fulop, Naomi

    Social science & medicine (1982)

    2021  Volume 277, Page(s) 113882

    Abstract: Medical leaders occupy a prominent position in healthcare policy in many countries, both in terms of the governance of quality and safety within healthcare organisations, and in broader system-wide governance. There is evidence that having doctors on ... ...

    Abstract Medical leaders occupy a prominent position in healthcare policy in many countries, both in terms of the governance of quality and safety within healthcare organisations, and in broader system-wide governance. There is evidence that having doctors on hospital boards is associated with higher quality services. What is not known is how they have this effect. Analysing data collected from observations, interviews and documents from 15 healthcare providers in England (2014-2019), we elaborate the role of medical directors in healthcare governance as 'translation work', 'diplomatic work', and 'repair work'. Our study highlights the often enduring emotional effects of repeated structural changes to clinical services. It also contributes to theories of professional restratification, showing the work of medical directors as regional 'political elites', and as 'corporate elites' in publicly-funded healthcare systems.
    MeSH term(s) Delivery of Health Care ; England ; Health Policy ; Hospitals ; Humans ; Physician Executives
    Language English
    Publishing date 2021-03-26
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 4766-1
    ISSN 1873-5347 ; 0037-7856 ; 0277-9536
    ISSN (online) 1873-5347
    ISSN 0037-7856 ; 0277-9536
    DOI 10.1016/j.socscimed.2021.113882
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Authors' reply to Wulaningsih and Dixon and colleagues.

    Black, Georgia B / Lyratzopoulos, Georgios / Vincent, Charles A / Fulop, Naomi J / Nicholson, Brian D

    BMJ (Clinical research ed.)

    2023  Volume 380, Page(s) 706

    Language English
    Publishing date 2023-03-30
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.p706
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  4. Article ; Online: Early diagnosis of cancer: systems approach to support clinicians in primary care.

    Black, Georgia B / Lyratzopoulos, Georgios / Vincent, Charles A / Fulop, Naomi J / Nicholson, Brian D

    BMJ (Clinical research ed.)

    2023  Volume 380, Page(s) e071225

    MeSH term(s) Humans ; Early Detection of Cancer ; Neoplasms/diagnosis ; Neoplasms/therapy ; Primary Health Care ; Systems Analysis ; Decision Support Systems, Clinical
    Language English
    Publishing date 2023-02-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj-2022-071225
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  5. Article ; Online: Correction to: Ethnographic research as an evolving method for supporting healthcare improvement skills: a scoping review.

    Black, Georgia B / van Os, Sandra / Machen, Samantha / Fulop, Naomi J

    BMC medical research methodology

    2022  Volume 22, Issue 1, Page(s) 109

    Language English
    Publishing date 2022-04-11
    Publishing country England
    Document type Published Erratum
    ZDB-ID 2041362-2
    ISSN 1471-2288 ; 1471-2288
    ISSN (online) 1471-2288
    ISSN 1471-2288
    DOI 10.1186/s12874-022-01587-9
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  6. Article ; Online: Learning networks in the pandemic: mobilising evidence for improvement.

    Sidhu, Manbinder S / Ford, Gary A / Fulop, Naomi J / Roberts, C Michael

    BMJ (Clinical research ed.)

    2022  Volume 379, Page(s) e070215

    MeSH term(s) Humans ; Machine Learning ; Neural Networks, Computer ; Pandemics
    Language English
    Publishing date 2022-10-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj-2022-070215
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  7. Article ; Online: Personal and organisational health literacy in the non-specific symptom pathway for cancer: An ethnographic study.

    Black, Georgia B / Moreland, Julie-Ann / Fulop, Naomi J / Lyratzopoulos, Georgios / Nicholson, Brian D / Whitaker, Katriina L

    Health expectations : an international journal of public participation in health care and health policy

    2024  Volume 27, Issue 3, Page(s) e14062

    Abstract: Introduction: People being investigated for cancer face a wealth of complex information. Non-specific symptom pathways (NSS) were implemented in the United Kingdom in 2017 to address the needs of patients experiencing symptoms such as weight loss, ... ...

    Abstract Introduction: People being investigated for cancer face a wealth of complex information. Non-specific symptom pathways (NSS) were implemented in the United Kingdom in 2017 to address the needs of patients experiencing symptoms such as weight loss, fatigue or general practitioner 'gut feeling', who did not have streamlined pathways for cancer investigation. This study aimed to explore the health literacy skills needed by patients being investigated for cancer in NSS pathways.
    Methods: This study employed ethnographic methods across four hospitals in England, including interviews, patient shadowing and clinical care observations, to examine NSS pathways for cancer diagnosis. We recruited 27 patients who were shadowed and interviewed during their care. We also interviewed 27 professionals. The analysis focused on patient communication and understanding, drawing on the concepts of personal and organisational health literacy.
    Results: Our analysis derived six themes highlighting the considerable informational demands of the NSS pathway. Patients were required to understand complex blood tests and investigations in primary care and often did not understand why they were referred. The NSS pathway itself was difficult to understand with only a minority of patients appreciating that multiple organs were being investigated for cancer. The process of progressing through the pathway was also difficult to understand, particularly around who was making decisions and what would happen next. The results of investigations were complex, often including incidental findings. Patients whose persistent symptoms were not explained were often unsure of what to do following discharge.
    Conclusion: We have identified several potential missed opportunities for organisations to support patient understanding of NSS pathways which could lead to inappropriate help-seeking post-discharge. Patients' difficulties in comprehending previous investigations and findings could result in delays, overtesting or inadequately targeted investigations, hindering the effective use of their medical history. Third, patients' limited understanding of their investigations and results may impede their ability to engage in patient safety by reporting potential care errors.
    Patient or public contribution: Patient, public, clinical and policy representatives contributed to developing the research objectives through a series of meetings and individual conversations in preparation for the study. We have held several events in which patients and the public have had an opportunity to give feedback about our results, such as local interest groups in North London and academic conferences. A clinical contributor (J.-A. M.) was involved in data analysis and writing the manuscript.
    MeSH term(s) Humans ; Neoplasms/therapy ; Anthropology, Cultural ; Health Literacy ; Female ; Male ; Middle Aged ; England ; Aged ; Adult ; Interviews as Topic ; Communication ; Qualitative Research
    Language English
    Publishing date 2024-04-23
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2119434-8
    ISSN 1369-7625 ; 1369-6513
    ISSN (online) 1369-7625
    ISSN 1369-6513
    DOI 10.1111/hex.14062
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  8. Article ; Online: Rapid evaluation of service innovations in health and social care

    Smith Judith / Ellins Jo / Sherlaw-Johnson Chris / Vindrola-Padros Cecilia / Appleby John / Morris Stephen / Sussex Jon / Fulop Naomi J

    Health and Social Care Delivery Research, Vol 11, Iss

    key considerations

    2023  Volume 11

    Abstract: This essay explores the emerging field of rapid evaluation in health and social care, drawing out the ways in which it is distinctive from or similar to other forms of applied research. It draws closely on the experience of two National Institute for ... ...

    Abstract This essay explores the emerging field of rapid evaluation in health and social care, drawing out the ways in which it is distinctive from or similar to other forms of applied research. It draws closely on the experience of two National Institute for Health and Care Research rapid service evaluation teams established in 2018, of which all authors of this essay are members. Reflection on the rapid evaluation teams’ body of work is used to highlight methodological and operational considerations for researchers, practitioners and policy-makers interested in the commissioning, conduct and application of rapid evaluations in health and social care. The essay is organised according to the ‘evaluation pathway’, from project selection and scoping, stakeholder involvement, research methods and activity, through skills and team working to feedback and dissemination. Its conceptual framing draws on Riley et al.’s rapidity, responsiveness and relevance framework, proposing a fourth dimension of rigour.1 Novel insights include: the primacy of scoping thoroughly a rapid evaluation; the trade-offs to be made in respect of patient and community engagement and rapid working; the opportunities presented by virtual and mixed research methods; the particular challenges of supervising and leading multiple studies undertaken simultaneously; and the need for flexible and dynamic approaches to disseminating emerging findings in as close to real time. The essay concludes by setting out key lessons about how to conduct rapid evaluations. Funding This project was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (RSET: 16/138/17; BRACE: 16/138/31). Scientific summary Rapid evaluation is increasingly used in health and social care to provide evidence about the design, implementation, experience and early outcomes of service innovations in a complex and typically fast-moving context. The methods used in rapid evaluation are often those of applied health and care research, ...
    Keywords rapid evaluation methods ; rapid evaluation ; evaluation methodology ; rapid research ; Medicine (General) ; R5-920 ; Public aspects of medicine ; RA1-1270
    Subject code 306
    Language English
    Publishing date 2023-07-01T00:00:00Z
    Publisher NIHR Journals Library
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Ethnographic research as an evolving method for supporting healthcare improvement skills: a scoping review.

    Black, Georgia B / van Os, Sandra / Machen, Samantha / Fulop, Naomi J

    BMC medical research methodology

    2021  Volume 21, Issue 1, Page(s) 274

    Abstract: Background: The relationship between ethnography and healthcare improvement has been the subject of methodological concern. We conducted a scoping review of ethnographic literature on healthcare improvement topics, with two aims: (1) to describe current ...

    Abstract Background: The relationship between ethnography and healthcare improvement has been the subject of methodological concern. We conducted a scoping review of ethnographic literature on healthcare improvement topics, with two aims: (1) to describe current ethnographic methods and practices in healthcare improvement research and (2) to consider how these may affect habit and skill formation in the service of healthcare improvement.
    Methods: We used a scoping review methodology drawing on Arksey and O'Malley's methods and more recent guidance. We systematically searched electronic databases including Medline, PsychINFO, EMBASE and CINAHL for papers published between April 2013 - April 2018, with an update in September 2019. Information about study aims, methodology and recommendations for improvement were extracted. We used a theoretical framework outlining the habits and skills required for healthcare improvement to consider how ethnographic research may foster improvement skills.
    Results: We included 283 studies covering a wide range of healthcare topics and methods. Ethnography was commonly used for healthcare improvement research about vulnerable populations, e.g. elderly, psychiatry. Focussed ethnography was a prominent method, using a rapid feedback loop into improvement through focus and insider status. Ethnographic approaches such as the use of theory and focus on every day practices can foster improvement skills and habits such as creativity, learning and systems thinking.
    Conclusions: We have identified that a variety of ethnographic approaches can be relevant to improvement. The skills and habits we identified may help ethnographers reflect on their approaches in planning healthcare improvement studies and guide peer-review in this field. An important area of future research will be to understand how ethnographic findings are received by decision-makers.
    MeSH term(s) Aged ; Anthropology, Cultural ; Delivery of Health Care ; Health Services Research ; Humans ; MEDLINE ; Research Design
    Language English
    Publishing date 2021-12-05
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2041362-2
    ISSN 1471-2288 ; 1471-2288
    ISSN (online) 1471-2288
    ISSN 1471-2288
    DOI 10.1186/s12874-021-01466-9
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  10. Article ; Online: Authors' reply to Moyle and Ashworth.

    Knight, Matthew / Greenhalgh, Trisha / Fulop, Naomi J / Inada-Kim, Matt

    BMJ (Clinical research ed.)

    2021  Volume 373, Page(s) n1096

    MeSH term(s) Carboxyhemoglobin ; Humans ; Oximetry
    Chemical Substances Carboxyhemoglobin (9061-29-4)
    Language English
    Publishing date 2021-05-11
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.n1096
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