Andrew Hutchings
Datos Biográficos
| ID | 247444 |
|---|---|
| NOMBRE | Andrew Hutchings |
| NOMBRES | Andrew |
| APELLIDO | Hutchings |
| FIRMA | HUTCHINGS A |
| AFILIACIONES | London School of Hygiene & Tropical Medicine |
| ORCID | 0000-0003-0215-9923 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 13 |
| TOTAL DE CITAS | 37 |
| TOTAL COMO AUTOR | 13 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2004 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2024 |
| ÍNDICE H | 4 |
Cross-sector collaboration to reduce health inequalities
The major influences on cross-sector collaboration in England mirror key areas identified in international research, offering opportunities for learning between countries. But our data highlight the pervasive-frequently perverse-influence of national policy on local collaboration in England. National policymakers risked undermining their own reforms. Closer alignment between policy, process, and resources to reduce health inequalities is likely n…
Adapting Patient and Public Involvement processes in response to the Covid‐19 pandemic
BACKGROUND: The COVID-19 pandemic brought rapid and major changes to research, and those wishing to carry out Patient and Public Involvement (PPI) activities faced challenges, such as restrictions on movement and contact, illness, bereavement and risks to potential participants. Some researchers moved PPI to online settings during this time but remote consultations raise, as well as address, a number of challenges. It is important to learn from P…
A Protocol for a Mixed-Methods Process Evaluation of a Local Population Health Management System to Reduce Inequities in Covid-19 Vaccination Uptake
Population health management is an emerging technique to link and analyse patient data across several organisations in order to identify population needs and plan care. It is increasingly used in England and has become more important as health policy has sought to drive greater integration across health and care organisations. This protocol describes a mixed-methods process evaluation of an innovative population health management system in North …
The impacts of collaboration between local health care and non-health care organizations and factors shaping how they work
Relationship Between Patient-reported Outcomes of Elective Surgery and Hospital and Consultant Volume
OBJECTIVE: Our aim was to analyze the relationship for 3 elective operations between outcome [patient-reported outcome measures (PROMs) for functional status, health-related quality of life, and postoperative complications] and both hospital and consultant volume. METHODS: Hospitals (NHS and independent) and consultants undertaking at least 10 NHS-funded procedures during 2011/2012 were included (230 hospitals for hip and knee replacement, 257 fo…
How should we evaluate the impacts of policy? The case of Payment by Results and the 18 Week Patient Pathway in English hospitals
Today, qualitative researchers are framing the relationship between qualitative case studies and quantitative evaluation research in positivist terms, seeking dialogue with quantitative researchers on the basis that qualitative case studies hold the potential to develop theory for evaluation programmes and to improve the quality of quantitative research. In the UK health policy literature, however, recent evaluations of major government programme…
Using Patient-reported Outcomes (PROs) to Compare the Providers of Surgery
BACKGROUND: Patient-reported outcomes (PROs) are being used to compare health care providers with little knowledge of how the choice of measure affects such comparisons. OBJECTIVES: To assess how much difference the choice of PRO makes to a provider's adjusted outcome and whether the choice affects a provider's rating. RESEARCH DESIGN: PROs collected in England from patients undergoing: hip replacement (243 providers; 52,692 patients); knee repla…
Organizational Form as a Mechanism to Involve Staff, Public and Users in Public Services
In addition to introducing markets and market‐like structures into public services, New Labour wished to promote the involvement of users and the public in decision‐making in other ways than as individual consumers. One way was to involve the public in the governance of organizations. This could be done by removing public services from state control, and transferring them to mutual ownership; or by increasing public involvement in the governance …
The New Governance Arrangements for NHS Foundation Trust Hospitals
New governance arrangements for NHS Foundation Trusts (FTs) aimed to replace centralized state ownership of acute English hospitals with a new form of social ownership. Under this, trusts would exist as independent public interest organizations on the model of mutuals and co‐operative societies. Assessing the impact of the new arrangements on the management structure of four acute hospitals, we demonstrate that FTs have failed to deliver social o…
Modernisation as a professionalising strategy
There has been broad agreement about how to characterise the processes of 'modernisation' of the public sector in welfare societies, but rather less consensus on the impact of this modernisation on professionals. This paper takes critical care in England as a case study to explore how professionals in one setting account for the changes associated with modernisation. In contrast to reports from other arenas, critical care professionals were posit…
The association between quality of primary care, deprivation and cardiovascular outcomes
BACKGROUND: The Quality and Outcomes Framework, a financial incentive scheme for general practitioners in the UK, seems to have improved the quality of primary care and reduced inequalities in primary care delivery. It remains unclear, however, whether higher-quality primary care improves health outcomes or reduces health inequalities. METHODS: We conducted a cross-sectional study examining the association between quality of cardiovascular care a…
Changing organisations
Socioeconomic Status and Outcome From Intensive Care in England and Wales
OBJECTIVE: The objective of this study was to estimate the association between socioeconomic status (SES) and outcome for admissions to intensive care. RESEARCH DESIGN: Retrospective cohort study. SUBJECTS: We studied 51,572 admissions to 99 intensive-care units in England and Wales between 1995 and 2000. MEASURES: The SES of admissions was measured using Carstairs deprivation scores. Outcome was hospital mortality after adjustment for case mix u…
Changing organisations
The New Governance Arrangements for NHS Foundation Trust Hospitals
New governance arrangements for NHS Foundation Trusts (FTs) aimed to replace centralized state ownership of acute English hospitals with a new form of social ownership. Under this, trusts would exist as independent public interest organizations on the model of mutuals and co‐operative societies. Assessing the impact of the new arrangements on the management structure of four acute hospitals, we demonstrate that FTs have failed to deliver social o…
Modernisation as a professionalising strategy
There has been broad agreement about how to characterise the processes of 'modernisation' of the public sector in welfare societies, but rather less consensus on the impact of this modernisation on professionals. This paper takes critical care in England as a case study to explore how professionals in one setting account for the changes associated with modernisation. In contrast to reports from other arenas, critical care professionals were posit…
The association between quality of primary care, deprivation and cardiovascular outcomes
BACKGROUND: The Quality and Outcomes Framework, a financial incentive scheme for general practitioners in the UK, seems to have improved the quality of primary care and reduced inequalities in primary care delivery. It remains unclear, however, whether higher-quality primary care improves health outcomes or reduces health inequalities. METHODS: We conducted a cross-sectional study examining the association between quality of cardiovascular care a…
Organizational Form as a Mechanism to Involve Staff, Public and Users in Public Services
In addition to introducing markets and market‐like structures into public services, New Labour wished to promote the involvement of users and the public in decision‐making in other ways than as individual consumers. One way was to involve the public in the governance of organizations. This could be done by removing public services from state control, and transferring them to mutual ownership; or by increasing public involvement in the governance …
How should we evaluate the impacts of policy? The case of Payment by Results and the 18 Week Patient Pathway in English hospitals
Today, qualitative researchers are framing the relationship between qualitative case studies and quantitative evaluation research in positivist terms, seeking dialogue with quantitative researchers on the basis that qualitative case studies hold the potential to develop theory for evaluation programmes and to improve the quality of quantitative research. In the UK health policy literature, however, recent evaluations of major government programme…
Socioeconomic Status and Outcome From Intensive Care in England and Wales
OBJECTIVE: The objective of this study was to estimate the association between socioeconomic status (SES) and outcome for admissions to intensive care. RESEARCH DESIGN: Retrospective cohort study. SUBJECTS: We studied 51,572 admissions to 99 intensive-care units in England and Wales between 1995 and 2000. MEASURES: The SES of admissions was measured using Carstairs deprivation scores. Outcome was hospital mortality after adjustment for case mix u…
Changing organisations
The association between quality of primary care, deprivation and cardiovascular outcomes
BACKGROUND: The Quality and Outcomes Framework, a financial incentive scheme for general practitioners in the UK, seems to have improved the quality of primary care and reduced inequalities in primary care delivery. It remains unclear, however, whether higher-quality primary care improves health outcomes or reduces health inequalities. METHODS: We conducted a cross-sectional study examining the association between quality of cardiovascular care a…
The New Governance Arrangements for NHS Foundation Trust Hospitals
New governance arrangements for NHS Foundation Trusts (FTs) aimed to replace centralized state ownership of acute English hospitals with a new form of social ownership. Under this, trusts would exist as independent public interest organizations on the model of mutuals and co‐operative societies. Assessing the impact of the new arrangements on the management structure of four acute hospitals, we demonstrate that FTs have failed to deliver social o…
Modernisation as a professionalising strategy
There has been broad agreement about how to characterise the processes of 'modernisation' of the public sector in welfare societies, but rather less consensus on the impact of this modernisation on professionals. This paper takes critical care in England as a case study to explore how professionals in one setting account for the changes associated with modernisation. In contrast to reports from other arenas, critical care professionals were posit…
Organizational Form as a Mechanism to Involve Staff, Public and Users in Public Services
In addition to introducing markets and market‐like structures into public services, New Labour wished to promote the involvement of users and the public in decision‐making in other ways than as individual consumers. One way was to involve the public in the governance of organizations. This could be done by removing public services from state control, and transferring them to mutual ownership; or by increasing public involvement in the governance …
Using Patient-reported Outcomes (PROs) to Compare the Providers of Surgery
BACKGROUND: Patient-reported outcomes (PROs) are being used to compare health care providers with little knowledge of how the choice of measure affects such comparisons. OBJECTIVES: To assess how much difference the choice of PRO makes to a provider's adjusted outcome and whether the choice affects a provider's rating. RESEARCH DESIGN: PROs collected in England from patients undergoing: hip replacement (243 providers; 52,692 patients); knee repla…
How should we evaluate the impacts of policy? The case of Payment by Results and the 18 Week Patient Pathway in English hospitals
Today, qualitative researchers are framing the relationship between qualitative case studies and quantitative evaluation research in positivist terms, seeking dialogue with quantitative researchers on the basis that qualitative case studies hold the potential to develop theory for evaluation programmes and to improve the quality of quantitative research. In the UK health policy literature, however, recent evaluations of major government programme…
Relationship Between Patient-reported Outcomes of Elective Surgery and Hospital and Consultant Volume
OBJECTIVE: Our aim was to analyze the relationship for 3 elective operations between outcome [patient-reported outcome measures (PROMs) for functional status, health-related quality of life, and postoperative complications] and both hospital and consultant volume. METHODS: Hospitals (NHS and independent) and consultants undertaking at least 10 NHS-funded procedures during 2011/2012 were included (230 hospitals for hip and knee replacement, 257 fo…
The impacts of collaboration between local health care and non-health care organizations and factors shaping how they work
A Protocol for a Mixed-Methods Process Evaluation of a Local Population Health Management System to Reduce Inequities in Covid-19 Vaccination Uptake
Population health management is an emerging technique to link and analyse patient data across several organisations in order to identify population needs and plan care. It is increasingly used in England and has become more important as health policy has sought to drive greater integration across health and care organisations. This protocol describes a mixed-methods process evaluation of an innovative population health management system in North …
Adapting Patient and Public Involvement processes in response to the Covid‐19 pandemic
BACKGROUND: The COVID-19 pandemic brought rapid and major changes to research, and those wishing to carry out Patient and Public Involvement (PPI) activities faced challenges, such as restrictions on movement and contact, illness, bereavement and risks to potential participants. Some researchers moved PPI to online settings during this time but remote consultations raise, as well as address, a number of challenges. It is important to learn from P…
Cross-sector collaboration to reduce health inequalities
The major influences on cross-sector collaboration in England mirror key areas identified in international research, offering opportunities for learning between countries. But our data highlight the pervasive-frequently perverse-influence of national policy on local collaboration in England. National policymakers risked undermining their own reforms. Closer alignment between policy, process, and resources to reduce health inequalities is likely n…
Political science (8 obras) · Medicine (7 obras) · Primary Care and Health Outcomes (5 obras) · Sociology (5 obras) · Business (4 obras) · Health care (4 obras) · Healthcare innovation and challenges (4 obras) · Public relations (4 obras) · Economics (3 obras) · Environmental health (3 obras)