Sharing patient data: patient views

Healthwatch has published How do people feel about their data being shared by the NHS?  This briefing presents the results from a poll of over 2000 people to find out their views and concerns on sharing their data.  Nearly three quarters of people said they would be happy for the NHS to use their patient data to improve the healthcare treatment of others and just over three quarters of people are confident in the ability of the NHS to protect their patient data. 

 

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Hip fracture database

The Royal College of Physicians has published National Hip Fracture Database (NHFD) annual report 2017. This ninth annual report examines trends in performance and outcome over the 10 years since the NHFD was established.  It shows that while more patients are receiving early surgery and surviving a hip fracture, two in five are not receiving all of the recommended elements of a hip fracture
programme that represent ‘best practice’.

 

GP and Hospital Choice

Choice in the presence of experts: the role of general practitioners in patients’ hospital choice

 

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This paper considers the micro-econometric analysis of patients’ hospital choice for elective medical procedures when their choice set is pre-selected by a general practitioner (GP). It proposes a two-stage choice model that encompasses both, patient and GP level optimization, and it discusses identification. The empirical analysis demonstrates biases and inconsistencies that arise when strategic pre-selection is not properly taken into account. We find that patients defer to GPs when assessing hospital quality and focus on tangible attributes, like hospital amenities; and that GPs, in turn, as patients’ agents present choice options based on quality, but as agents of health authorities also consider their financial implications….

Previous attempts to survey GPs have been frustrated by very low response rates. For example, in the Competition Commission’s (CC) Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust and Poole Hospital NHS Foundation Trust merger inquiry (2013), the important role of GPs in the referral process was recognized, but no strong conclusions could be drawn (para 6.98, Final Report), because out of 1099 GPs in the hospitals’ catchment areas only 36 GPs (associated with 23 GP practices).

 

Read the full report https://www.ifs.org.uk/uploads/publications/wps/WP201621.pdf

 

 

Website of the month – Healthtalkonline and Youthhealthtalk

youthhealthTwo for one on the website of the month with the following patient experiences websites.

Healthtalkonline.org and Youthhealthtalk.org are award-winning websites from the DIPex health information charity which let you share in more than 2,000 people’s experiences of over 60 health-related conditions and illnesses. Aimed at patients, their carers, family and friends; doctors, nurses and allied health professionals, you can watch videos, listen to audio clips of the interviews, read about people’s experiences and find reliable information about specific conditions, treatment choices and support. Whether you are looking for a direction in which to send patients for further information or are seeking examples of patient experiences this site is worth considering.

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Supported by The Health Experiences Research Group at the University of Oxford this is a unique database of personal and patient experiences identified through in-depth qualitative research into over 50 different illnesses and health conditions. Their target is to complete at least 100 conditions within the next 5-10 years. The HER Group uses rigorous and systematic research methods to sample, collect and analyse interviews with individuals of all ethnic groups over the age of sixteen. These methods provide a high quality evidence-based approach to patient experience and ensure that a full range of patients’ perspectives are analysed in terms of what someone might expect to experience when diagnosed with a particular condition or illness. More recent studies have focused on broader health and personal issues, from both the individual’s perspective and that of their carers and families.

http://www.healthtalkonline.org

http://www.youthhealthtalk.org/

Website of the Month: ClinicalKey

If you need fast access to reliable evidence based clinical information we recommend that you try ClinicalKey.

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The search function is similar to Google but you can filter your  results by study type – systematic reviews etc., date, speciality or content type.

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You may just want to browse the latest issue of Lancet: Oncology; you may need a quick overview of Fibromyalgia; perhaps you need to check a fact in Gray’s Basic Anatomy or need an image to illustrate a presentation about Diabetic Foot or a video to explain venous cannula insertion to a group of students.  ClinicalKey can provide quick access to all of these and so much more.

When logged-in with an NHS ATHENS password you can access the full functionality of ClinicalKey from any internet connection and get access to:

Books – over 900 of Elsevier’s medical and surgical reference books

Journals – over 500 of Elsevier’s medical and surgical journals

Procedures Consult – all Procedures Consult content and associated procedural videos in various specialties

First Consult –over 800 Point-of-Care clinical monographs

Drug Monographs –– over 2,800 clinical pharmacology drug monographs from Gold Standard

Patient Education -over 15,000 patient education handouts

Clinical Trials – all clinical trials from the ClinicalTrials.gov database

Practice Guidlelines – over 2,000 practice guidelines

MEDLINE – fully indexed MEDLINE abstracts

Multimedia – over 13,000 medical and surgical videos and over 5 million images

Contact Library Staff to arrange a demonstration of ClinicalKey and start exploring.