Tim Doran
Datos Biográficos
| ID | 5533906 |
|---|---|
| NOMBRE | Tim Doran |
| NOMBRES | Tim |
| APELLIDO | Doran |
| FIRMA | DORAN T |
| AFILIACIONES | University of York |
| VERIFICADO | No |
| TOTAL DE OBRAS | 13 |
| TOTAL DE CITAS | 53 |
| TOTAL COMO AUTOR | 13 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2004 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 4 |
Socioeconomic inequalities in disease prevalence by age and sex for 17 common long-term conditions in England
BACKGROUND: Evidence on socioeconomic inequalities in the prevalence of common long-term conditions and their variation across the life course is necessary for equitable service design and resource allocation. We used routinely collected electronic primary care records and a unified data extraction and analysis framework to estimate socioeconomic variations in the prevalence of 17 common long-term conditions by age and sex. METHODS: Electronic re…
Excess mortality in England and Wales during the first wave of the Covid-19 pandemic
Background Deaths during the COVID-19 pandemic result directly from infection and exacerbation of other diseases and indirectly from deferment of care for other conditions, and are socially and geographically patterned. We quantified excess mortality in regions of England and Wales during the pandemic, for all causes and for non-COVID-19-associated deaths. Methods Weekly mortality data for 1 January 2010 to 1 May 2020 for England and Wales were o…
Do variations in hospital admission rates bias comparisons of standardized hospital mortality rates? A population-based cohort study
Increasing socioeconomic gap between the young and old
BACKGROUND: At a low geographical level, little is known about the associations between population characteristics and deprivation, and their trends, which would be directly affected by the house market, labour pressures and government policies. We describe temporal trends in health and overall deprivation in England by age, sex, urbanity and ethnicity. METHODS: Repeated cross-sectional whole population study for England, 2004-2015, at a low geog…
Geographical epidemiology of health and overall deprivation in England, its changes and persistence from 2004 to 2015
BACKGROUND: Socioeconomic deprivation is a key determinant for health. In England, the Index of Multiple Deprivation (IMD) is a widely used composite measure of deprivation. However, little is known about its spatial clustering or persistence across time. METHODS: Data for overall IMD and its health domain were analysed for 2004-2015 at a low geographical area (average of 1500 people). Levels and temporal changes were spatially visualised for the…
Regional variation and predictors of over-registration in English primary care in 2014
BACKGROUND: There are more people registered with a general practice in England than are estimated to be resident in the country. The reasons behind this are not fully understood. We investigated the levels of over-registration (or under-registration) in English primary care, their regional variability and their association with population and geographical characteristics. METHODS: This was a cross-sectional study using mid-year population estima…
North-South disparities in English mortality1965–2015
BACKGROUND: Social, economic and health disparities between northern and southern England have persisted despite Government policies to reduce them. We examine long-term trends in premature mortality in northern and southern England across age groups, and whether mortality patterns changed after the 2008-2009 Great Recession. METHODS: Population-wide longitudinal (1965-2015) study of mortality in England's five northernmost versus four southernmo…
Alcohol consumption and all-cause mortality
BACKGROUND: Alcohol is a risk factor for ill health and reduced life expectancy, but little is known about the impact of alcohol on mortality for people with existing long-term conditions. We used primary care data from the Clinical Practice Research Datalink (CPRD) to study relationships between alcohol consumption and all-cause mortality among general practice patients with long-term conditions. METHODS: Data were accessed from a sample of 125 …
The costs of inequality
BACKGROUND: There are substantial socioeconomic inequalities in both life expectancy and healthcare use in England. In this study, we describe how these two sets of inequalities interact by estimating the social gradient in hospital costs across the life course. METHODS: Hospital episode statistics, population and index of multiple deprivation data were combined at lower-layer super output area level to estimate inpatient hospital costs for 2011/…
How a universal health system reduces inequalities
BACKGROUND: Provision of universal coverage is essential for achieving equity in healthcare, but inequalities still exist in universal healthcare systems. Between 2004/2005 and 2011/2012, the National Health Service (NHS) in England, which has provided universal coverage since 1948, made sustained efforts to reduce health inequalities by strengthening primary care. We provide the first comprehensive assessment of trends in socioeconomic inequalit…
The Effect of Improving Processes of Care on Patient Outcomes
BACKGROUND: Despite the extensive use of process of care measures in pay-for-performance programs, little is known about the effect of improving process performance on patient outcomes. METHODS: Retrospective longitudinal analysis of data extracted from 7228 family practices in the United Kingdom's Quality and Outcomes Framework pay-for-performance program. We estimated the proportion of the change in outcome performance over time which was attri…
Health underachievement and overachievement in English local authorities
Objective: To identify English local authorities that “overachieve” and “underachieve” in health terms, given their level of deprivation, sociodemographic context, and region. Design: Cross sectional study using data from the 1991 UK census and mortality data from 2000–2. Setting: England. Participants: 354 local authorities (total population 49 558 000). Main outcome measures: Life expectancy. Residual life expectancy after regression analysis. …
Exploring the relation between class, gender, and self rated general health using the new socioeconomic classification. A study using data from the 2001 census
Objective: To examine the relation between class, gender, and self rated health in adults in Great Britain. Design: Cross sectional study using data from the 2001 national census. Setting: Great Britain. Participants: Adults aged between 25 and 64 in Great Britain, enumerated in the 2001 census (n = 30.3 million). Main outcome measures: Age standardised rates of self rated general health for men and women in different socioeconomic groupings as d…
How a universal health system reduces inequalities
BACKGROUND: Provision of universal coverage is essential for achieving equity in healthcare, but inequalities still exist in universal healthcare systems. Between 2004/2005 and 2011/2012, the National Health Service (NHS) in England, which has provided universal coverage since 1948, made sustained efforts to reduce health inequalities by strengthening primary care. We provide the first comprehensive assessment of trends in socioeconomic inequalit…
Health underachievement and overachievement in English local authorities
Objective: To identify English local authorities that “overachieve” and “underachieve” in health terms, given their level of deprivation, sociodemographic context, and region. Design: Cross sectional study using data from the 1991 UK census and mortality data from 2000–2. Setting: England. Participants: 354 local authorities (total population 49 558 000). Main outcome measures: Life expectancy. Residual life expectancy after regression analysis. …
North-South disparities in English mortality1965–2015
BACKGROUND: Social, economic and health disparities between northern and southern England have persisted despite Government policies to reduce them. We examine long-term trends in premature mortality in northern and southern England across age groups, and whether mortality patterns changed after the 2008-2009 Great Recession. METHODS: Population-wide longitudinal (1965-2015) study of mortality in England's five northernmost versus four southernmo…
Geographical epidemiology of health and overall deprivation in England, its changes and persistence from 2004 to 2015
BACKGROUND: Socioeconomic deprivation is a key determinant for health. In England, the Index of Multiple Deprivation (IMD) is a widely used composite measure of deprivation. However, little is known about its spatial clustering or persistence across time. METHODS: Data for overall IMD and its health domain were analysed for 2004-2015 at a low geographical area (average of 1500 people). Levels and temporal changes were spatially visualised for the…
Excess mortality in England and Wales during the first wave of the Covid-19 pandemic
Background Deaths during the COVID-19 pandemic result directly from infection and exacerbation of other diseases and indirectly from deferment of care for other conditions, and are socially and geographically patterned. We quantified excess mortality in regions of England and Wales during the pandemic, for all causes and for non-COVID-19-associated deaths. Methods Weekly mortality data for 1 January 2010 to 1 May 2020 for England and Wales were o…
The costs of inequality
BACKGROUND: There are substantial socioeconomic inequalities in both life expectancy and healthcare use in England. In this study, we describe how these two sets of inequalities interact by estimating the social gradient in hospital costs across the life course. METHODS: Hospital episode statistics, population and index of multiple deprivation data were combined at lower-layer super output area level to estimate inpatient hospital costs for 2011/…
Exploring the relation between class, gender, and self rated general health using the new socioeconomic classification. A study using data from the 2001 census
Objective: To examine the relation between class, gender, and self rated health in adults in Great Britain. Design: Cross sectional study using data from the 2001 national census. Setting: Great Britain. Participants: Adults aged between 25 and 64 in Great Britain, enumerated in the 2001 census (n = 30.3 million). Main outcome measures: Age standardised rates of self rated general health for men and women in different socioeconomic groupings as d…
Regional variation and predictors of over-registration in English primary care in 2014
BACKGROUND: There are more people registered with a general practice in England than are estimated to be resident in the country. The reasons behind this are not fully understood. We investigated the levels of over-registration (or under-registration) in English primary care, their regional variability and their association with population and geographical characteristics. METHODS: This was a cross-sectional study using mid-year population estima…
Do variations in hospital admission rates bias comparisons of standardized hospital mortality rates? A population-based cohort study
Exploring the relation between class, gender, and self rated general health using the new socioeconomic classification. A study using data from the 2001 census
Objective: To examine the relation between class, gender, and self rated health in adults in Great Britain. Design: Cross sectional study using data from the 2001 national census. Setting: Great Britain. Participants: Adults aged between 25 and 64 in Great Britain, enumerated in the 2001 census (n = 30.3 million). Main outcome measures: Age standardised rates of self rated general health for men and women in different socioeconomic groupings as d…
Health underachievement and overachievement in English local authorities
Objective: To identify English local authorities that “overachieve” and “underachieve” in health terms, given their level of deprivation, sociodemographic context, and region. Design: Cross sectional study using data from the 1991 UK census and mortality data from 2000–2. Setting: England. Participants: 354 local authorities (total population 49 558 000). Main outcome measures: Life expectancy. Residual life expectancy after regression analysis. …
The Effect of Improving Processes of Care on Patient Outcomes
BACKGROUND: Despite the extensive use of process of care measures in pay-for-performance programs, little is known about the effect of improving process performance on patient outcomes. METHODS: Retrospective longitudinal analysis of data extracted from 7228 family practices in the United Kingdom's Quality and Outcomes Framework pay-for-performance program. We estimated the proportion of the change in outcome performance over time which was attri…
The costs of inequality
BACKGROUND: There are substantial socioeconomic inequalities in both life expectancy and healthcare use in England. In this study, we describe how these two sets of inequalities interact by estimating the social gradient in hospital costs across the life course. METHODS: Hospital episode statistics, population and index of multiple deprivation data were combined at lower-layer super output area level to estimate inpatient hospital costs for 2011/…
How a universal health system reduces inequalities
BACKGROUND: Provision of universal coverage is essential for achieving equity in healthcare, but inequalities still exist in universal healthcare systems. Between 2004/2005 and 2011/2012, the National Health Service (NHS) in England, which has provided universal coverage since 1948, made sustained efforts to reduce health inequalities by strengthening primary care. We provide the first comprehensive assessment of trends in socioeconomic inequalit…
North-South disparities in English mortality1965–2015
BACKGROUND: Social, economic and health disparities between northern and southern England have persisted despite Government policies to reduce them. We examine long-term trends in premature mortality in northern and southern England across age groups, and whether mortality patterns changed after the 2008-2009 Great Recession. METHODS: Population-wide longitudinal (1965-2015) study of mortality in England's five northernmost versus four southernmo…
Alcohol consumption and all-cause mortality
BACKGROUND: Alcohol is a risk factor for ill health and reduced life expectancy, but little is known about the impact of alcohol on mortality for people with existing long-term conditions. We used primary care data from the Clinical Practice Research Datalink (CPRD) to study relationships between alcohol consumption and all-cause mortality among general practice patients with long-term conditions. METHODS: Data were accessed from a sample of 125 …
Increasing socioeconomic gap between the young and old
BACKGROUND: At a low geographical level, little is known about the associations between population characteristics and deprivation, and their trends, which would be directly affected by the house market, labour pressures and government policies. We describe temporal trends in health and overall deprivation in England by age, sex, urbanity and ethnicity. METHODS: Repeated cross-sectional whole population study for England, 2004-2015, at a low geog…
Geographical epidemiology of health and overall deprivation in England, its changes and persistence from 2004 to 2015
BACKGROUND: Socioeconomic deprivation is a key determinant for health. In England, the Index of Multiple Deprivation (IMD) is a widely used composite measure of deprivation. However, little is known about its spatial clustering or persistence across time. METHODS: Data for overall IMD and its health domain were analysed for 2004-2015 at a low geographical area (average of 1500 people). Levels and temporal changes were spatially visualised for the…
Regional variation and predictors of over-registration in English primary care in 2014
BACKGROUND: There are more people registered with a general practice in England than are estimated to be resident in the country. The reasons behind this are not fully understood. We investigated the levels of over-registration (or under-registration) in English primary care, their regional variability and their association with population and geographical characteristics. METHODS: This was a cross-sectional study using mid-year population estima…
Do variations in hospital admission rates bias comparisons of standardized hospital mortality rates? A population-based cohort study
Excess mortality in England and Wales during the first wave of the Covid-19 pandemic
Background Deaths during the COVID-19 pandemic result directly from infection and exacerbation of other diseases and indirectly from deferment of care for other conditions, and are socially and geographically patterned. We quantified excess mortality in regions of England and Wales during the pandemic, for all causes and for non-COVID-19-associated deaths. Methods Weekly mortality data for 1 January 2010 to 1 May 2020 for England and Wales were o…
Socioeconomic inequalities in disease prevalence by age and sex for 17 common long-term conditions in England
BACKGROUND: Evidence on socioeconomic inequalities in the prevalence of common long-term conditions and their variation across the life course is necessary for equitable service design and resource allocation. We used routinely collected electronic primary care records and a unified data extraction and analysis framework to estimate socioeconomic variations in the prevalence of 17 common long-term conditions by age and sex. METHODS: Electronic re…
Medicine (12 obras) · Demography (10 obras) · Population (10 obras) · Health disparities and outcomes (8 obras) · Environmental health (7 obras) · Gerontology (7 obras) · Gerontology (7 obras) · Inequality (6 obras) · Chronic Disease Management Strategies (4 obras) · Employment and Welfare Studies (4 obras)