Clinical efficacy of COMPASS, a digital cognitive ... - BMJ Open
Introduction Approximately 30% of people with long-term physical health conditions (LTCs) experience mental health problems, with negative consequences and costs for individuals and healthcare services. Access to psychological treatment is scarce and, when available, often focuses on treating primary mental health problems rather than illness-related …
Adverse drug reactions, multimorbidity and polypharmacy: a …
Objective To ascertain the burden and associated cost of adverse drug reactions (ADRs), polypharmacy and multimorbidity through a prospective analysis of all medical admissions to a large university teaching hospital over a 1-month period. Design Prospective observational study. Setting Liverpool University Hospital Foundation National Health Service (NHS) Trust, …
Evidence-based practice models and frameworks in the ... - BMJ …
Objectives The aim of this scoping review was to identify and review current evidence-based practice (EBP) models and frameworks. Specifically, how EBP models and frameworks used in healthcare settings align with the original model of (1) asking the question, (2) acquiring the best evidence, (3) appraising the evidence, (4) applying the findings to clinical practice and (5) …
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Patients’ perspectives of facilitators and barriers to patient-centred ...
Objectives Previous studies on patient-centred care (PCC) and its facilitators and barriers usually considered specific patient groups, healthcare settings and aspects of PCC or focused on expert perspectives. The objective of this study was to analyse patients’ perspectives of facilitators and barriers towards implementing PCC. Design We conducted semistructured individual …
Barriers and enablers to implementing clinical practice guidelines …
Objectives To identify the barriers and enablers to implementing clinical practice guidelines (CPGs) recommendations in primary care and to provide recommendations that could facilitate the uptake of CPGs recommendations. Design An overview of systematic reviews. Data sources Nine electronic databases (PubMed, Cochrane Library, CINAHL, MEDLINE, PsycINFO, Web …
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Is LDL cholesterol associated with long-term mortality among …
Objectives Among primary prevention-type adults not on lipid-lowering therapy, conflicting results exist on the relationship between low-density lipoprotein cholesterol (LDL-C) and long-term mortality. We evaluated this relationship in a real-world evidence population of adults. Design Retrospective cohort study. Setting Electronic medical record data for adults, from 4 January …
Is an ounce of prevention worth a pound of cure? A cross …
Objectives The UK government is proposing to cease cutting the local authority public health grant by reallocating part of the treatment budget to preventative activity. This study examines whether this proposal is evidenced based and, in particular, whether these resources are best reallocated to prevention, or whether this expenditure would generate more health gains if used for …