Andrew Street
Biographic Data
| ID | 3582810 |
|---|---|
| NAME | Andrew Street |
| GIVEN NAMES | Andrew |
| FAMILY NAME | Street |
| SIGNATURE | STREET A |
| AFFILIATIONS | University of York |
| ORCID | 0000-0002-2540-0364 |
| VERIFIED | Yes |
| TOTAL WORKS | 12 |
| TOTAL CITATIONS | 34 |
| AUTHOR COUNT | 12 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1995 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 2 |
Combining the Hospital Frailty Risk Score With the Charlson and Elixhauser Multimorbidity Indices to Identify Older Patients at Risk of Poor Outcomes in Acute Care
OBJECTIVE: The Hospital Frailty Risk Score (HFRS) can be applied to medico-administrative datasets to determine the risks of 30-day mortality and long length of stay (LOS) in hospitalized older patients. The objective of this study was to compare the HFRS with Charlson and Elixhauser comorbidity indices, used separately or combined. DESIGN: A retrospective analysis of the French medical information database. The HFRS, Charlson index, and Elixhaus…
Living longer in declining health
Our results suggest that age and proximity to death are poor predictors of higher costs. Rather, healthcare costs are explained mainly by morbidity status, particularly whether someone has neoplasms or multiple LTCs. Morbidity measures should be included in future studies of healthcare costs
Evidence to support delivery of effective health services
Background Two UK academic centres were commissioned to provide a responsive rapid evidence synthesis service. The service covered topics identified by the National Institute for Health Research Health Services & Delivery Research (NIHR HSDR) programme as priorities for the National Health Service or to inform research commissioning. Aims and objectives To describe and evaluate the review teams’ interactions with the evidence users the programme …
Integrated Care to Address the Physical Health Needs of People with Severe Mental Illness
People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests this is due to a combination of clinical risk factors, socioeconomic factors, and health system factors, notably a lack of integration when care is required across service settings. Several recent reports have looked at ways to better integrate physical and mental health care for people with severe m…
Use of large-scale HRQoL datasets to generate individualised predictions and inform patients about the likely benefit of surgery
Patients are heterogeneous in their expected benefit from surgery, and decision aids should reflect this. Large administrative datasets on HRQoL can be used to generate the required individualised predictions to inform patients
Who would most benefit from improved integrated care? Implementing an analytical strategy in South Somerset
The linked dataset makes it possible to understand existing patterns of health and social care utilisation and to analyse variation in annual costs, for the whole population and for sub-groups, in total and by setting. This has made it possible to identify who would most benefit from improved integrated care and to calculate capitated budgets to support financial integration
How much should be paid for specialised treatment
English health policy has moved towards establishing specialist multi-disciplinary teams to care for patients suffering rare or particularly complex conditions. But the healthcare resource groups (HRGs), which form the basis of the prospective payment system for hospitals, do not explicitly account for specialist treatment. There is a risk, then, that hospitals in which specialist teams are based might be financially disadvantaged if patients req…
Examining cost variation across hospital departments–a two-stage multi-level approach using patient-level data
Comparing hospital costs
Establishing the economics of engaging communities in health promotion
Over the last 30 years, there has been a growing recognition of the potential for community-based efforts to improve public health. However, the costs and ?added value? of community engagement approaches remain unclear. This paper reports findings from a systematic review of the economic evidence relating to planning design, delivery or governance of health promotion interventions. Key databases were searched, review bibliographies were checked a…
Medical Care Output and Productivity
As a proportion of GDP, the USA spends more than any other country on health care. Yet it is not obvious that there is a substantial return to justify this higher level of spending. Against most indicators of health (infant mortality, life expectancy, etc.), the USA does not top the international league. In view of this, the productivity of US health care has been long questioned. Health sector productivity is not measured easily. In most sectors…
Maximizing health benefits vs egalitarianism
Maximizing health benefits vs egalitarianism
Examining cost variation across hospital departments–a two-stage multi-level approach using patient-level data
Who would most benefit from improved integrated care? Implementing an analytical strategy in South Somerset
The linked dataset makes it possible to understand existing patterns of health and social care utilisation and to analyse variation in annual costs, for the whole population and for sub-groups, in total and by setting. This has made it possible to identify who would most benefit from improved integrated care and to calculate capitated budgets to support financial integration
Comparing hospital costs
Maximizing health benefits vs egalitarianism
Medical Care Output and Productivity
As a proportion of GDP, the USA spends more than any other country on health care. Yet it is not obvious that there is a substantial return to justify this higher level of spending. Against most indicators of health (infant mortality, life expectancy, etc.), the USA does not top the international league. In view of this, the productivity of US health care has been long questioned. Health sector productivity is not measured easily. In most sectors…
Establishing the economics of engaging communities in health promotion
Over the last 30 years, there has been a growing recognition of the potential for community-based efforts to improve public health. However, the costs and ?added value? of community engagement approaches remain unclear. This paper reports findings from a systematic review of the economic evidence relating to planning design, delivery or governance of health promotion interventions. Key databases were searched, review bibliographies were checked a…
Comparing hospital costs
Examining cost variation across hospital departments–a two-stage multi-level approach using patient-level data
How much should be paid for specialised treatment
English health policy has moved towards establishing specialist multi-disciplinary teams to care for patients suffering rare or particularly complex conditions. But the healthcare resource groups (HRGs), which form the basis of the prospective payment system for hospitals, do not explicitly account for specialist treatment. There is a risk, then, that hospitals in which specialist teams are based might be financially disadvantaged if patients req…
Who would most benefit from improved integrated care? Implementing an analytical strategy in South Somerset
The linked dataset makes it possible to understand existing patterns of health and social care utilisation and to analyse variation in annual costs, for the whole population and for sub-groups, in total and by setting. This has made it possible to identify who would most benefit from improved integrated care and to calculate capitated budgets to support financial integration
Use of large-scale HRQoL datasets to generate individualised predictions and inform patients about the likely benefit of surgery
Patients are heterogeneous in their expected benefit from surgery, and decision aids should reflect this. Large administrative datasets on HRQoL can be used to generate the required individualised predictions to inform patients
Integrated Care to Address the Physical Health Needs of People with Severe Mental Illness
People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests this is due to a combination of clinical risk factors, socioeconomic factors, and health system factors, notably a lack of integration when care is required across service settings. Several recent reports have looked at ways to better integrate physical and mental health care for people with severe m…
Evidence to support delivery of effective health services
Background Two UK academic centres were commissioned to provide a responsive rapid evidence synthesis service. The service covered topics identified by the National Institute for Health Research Health Services & Delivery Research (NIHR HSDR) programme as priorities for the National Health Service or to inform research commissioning. Aims and objectives To describe and evaluate the review teams’ interactions with the evidence users the programme …
Living longer in declining health
Our results suggest that age and proximity to death are poor predictors of higher costs. Rather, healthcare costs are explained mainly by morbidity status, particularly whether someone has neoplasms or multiple LTCs. Morbidity measures should be included in future studies of healthcare costs
Combining the Hospital Frailty Risk Score With the Charlson and Elixhauser Multimorbidity Indices to Identify Older Patients at Risk of Poor Outcomes in Acute Care
OBJECTIVE: The Hospital Frailty Risk Score (HFRS) can be applied to medico-administrative datasets to determine the risks of 30-day mortality and long length of stay (LOS) in hospitalized older patients. The objective of this study was to compare the HFRS with Charlson and Elixhauser comorbidity indices, used separately or combined. DESIGN: A retrospective analysis of the French medical information database. The HFRS, Charlson index, and Elixhaus…
Medicine (11 works) · Economics (8 works) · Business (6 works) · Environmental health (6 works) · Global Health Care Issues (6 works) · Health care (6 works) · Nursing (6 works) · Economic growth (5 works) · Health Systems, Economic Evaluations, Quality of Life (5 works) · Population (5 works)