Madeline Sutton
Datos Biográficos
| ID | 117963 |
|---|---|
| NOMBRE | Madeline Sutton |
| NOMBRES | Madeline |
| APELLIDO | Sutton |
| FIRMA | SUTTON M |
| AFILIACIONES | University of Manchester |
| ORCID | 0000-0002-6635-2127 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 72 |
| TOTAL DE CITAS | 310 |
| TOTAL COMO AUTOR | 72 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1997 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 8 |
Decentralising health management
Many countries have implemented decentralisation reforms to address efficiency and equity concerns in health management. Most evidence on their impact focuses on average health outcomes and provides mixed results. We examine effects of administrative decentralisation of population health management on health behaviours in Greater Manchester, England, in 2016. Using data on 26,773 adult respondents to the UK Household Longitudinal Study between 20…
Towards a new model of population mental health research and policy translation in the UK
Does pay for performance affect socioeconomic inequalities in access? Evidence from hospital specialised care in England
Provision of community health services and use of hospital care in England
BACKGROUND: Expanding healthcare provision in the community is a common policy solution for reducing hospital pressures. While there is some evidence that strengthening primary care can influence hospital use, little is known about the impact of community health services such as nurse-led care delivered in patients' homes. OBJECTIVE: To examine whether the size of the community health services workforce influences use of hospital care. METHODS: M…
Does the timing of parental divorce or separation impact adolescent and young adult mental health differently by gender
Mental health issues are increasing in prevalence, particularly in adolescents. Many studies have linked parental divorce and separation to poor mental health outcomes among children and adolescents, but findings are mixed about whether the timing of divorce or separation matters and whether this impact varies by gender. We used panel data methods (pooled OLS with correlated random effects) to analyse the relationship between parental divorce occ…
Employment models for general practitioners in england
BACKGROUND: Recruitment and retention of General Practitioners (GPs) is a global challenge in primary care. Traditionally, GPs in the UK have worked as self-employed partners. However, policy changes in England have allowed for salaried GP positions within primary care partnerships. The effects of these different employment models on recruitment and retention remain unclear. OBJECTIVE: This study investigates the impact of partnership vs. salarie…
Individual and area-level factors associated with depression in Indonesia
Individual-level factors are associated with depression among adults in Indonesia. Among the district level factors, only happiness index is related to depression. These results strengthen previous studies which stated determinants at the individual level are an important factor in depression. Therefore, effective prevention programs in mental health need to target both individuals and families
Differences in rating of health related quality of life on the EQ-5D-5 L between ethnic groups
Our results suggest important heterogeneity in self-rating of health and highlights the importance of adjusting for reporting heterogeneity in applications of this measure. Where such adjustments are not feasible, alternative approaches such as sensitivity analyses to test the impact of differential reporting should be considered
Understanding the relationship between health and place
Are geographic variations in secondary hospital expenditure caused by supply and demand factors? Evidence from migration in England
Regional variations in hospital expenditure are a global concern because they may reflect unmet healthcare needs or inefficient resource use. Several recent studies have used internal migration to differentiate demand and supply causes of these regional variations. Most of these studies have focused on specific populations in competitive insurance settings and have not fully considered the timing of individual migrations. Using individual level d…
Using interactions of area dose and individual exposure to estimate effects of population health interventions
Evaluations of natural experiments in population health studies typically construct and compare exposed and unnexposed populations classified by area or individual exposure. Populations are often dichotomised on one of these dimensions, even if the underlying dose of exposure is graded. We propose that effects of population health interventions can be estimated more accurately by using both dimensions, using an interaction of a continuous measure…
Predicting healthcare costs with diagnoses recorded in primary and secondary care
Most risk-adjustment models rely on diagnoses recorded during previous contacts in the same care setting to predict service use and cost. When diagnostic information from multiple settings has been used, studies have not examined how diagnoses recorded in different care settings influence model performance. Using a single set of diagnostic indicators recorded in primary or secondary care can incentivise case-finding and treatment outside hospital…
Horizontal equity in primary care financing
Payments to NHS primary care providers do not fully reflect healthcare need. Clear objectives for resource distribution should be defined and harmonized across different schemes to reduce horizontal inequities
Association between individual level characteristics and take-up of a Minimum Income Guarantee for Pensioners
A Minimum Income Guarantee (MIG) ensures people have a minimum amount of income for essentials such as healthy food, housing, health care, social and digital networks to support health and well-being. MIGs could be a useful tool to reduce inequalities. A MIG will only be effective if those who are eligible take it up. The aim of this paper is to explore how individual characteristics were associated with take-up of a MIG for pensioners (aged 60+ …
Associations between corporate ownership of primary care providers and doctor wellbeing, workload, access, organizational efficiency, and service quality
Traditionally, in many countries general practices have been privately-owned independent small businesses. However, the last three decades has seen the rise of large corporate medical groups defined as private companies which are able to have non-GP shareholders and with branches across many locations. The greater prominence of profit motives may have implications for costs, access to care and quality of care. We estimate that 45% of GPs in Austr…
Application of the unified theory of behavior to strengthen sexual health discussions between providers and young patients in the United States
Age- and deprivation-related inequalities in identification of people at high risk of type 2 diabetes in England
There is under identification of NDH relative to diagnosis of T2DM amongst people living in more deprived areas and particularly amongst younger people, resulting in missed opportunities for targeted T2DM prevention efforts and potentially contributing to inequalities in T2DM prevalence and severity. More active NDH case-finding amongst these groups may be an important first step in helping to reduce inequalities in T2DM
Health‐Poverty Inequality in Australia from 2001 to 2018
While established measures gauge poverty across diverse aspects of life, a definitive metric for health poverty in Australia remains absent. This study examines health poverty trends, identifying priorities for interventions to improve overall population health. We define health poverty as the state of falling below a specified minimum threshold in any critical health aspect, encompassing physical function, role function, social function, pain, m…
Adjusting the risk-adjustment
There is concern that basing healthcare budgets on risk adjustment estimates derived from historical utilisation data may reinforce patterns of unmet need. We propose a method to avoid this, based on a measure of how closely local health organisations align resources to the needs of their populations. We refer to this measure as the 'responsiveness of expenditure to need' and estimate it using national person-level data on use of acute hospital a…
The impact of devolution on local health systems
Devolution and decentralisation policies involving health and other government sectors have been promoted with a view to improve efficiency and equity in local service provision. Evaluations of these reforms have focused on specific health or care measures, but little is known about their full impact on local health systems. We evaluated the impact of devolution in Greater Manchester (England) on multiple outcomes using a whole system approach. W…
Evaluating whole system reforms
Whole-system reforms, including devolution and integration of health and social care services, have the potential to impact multiple dimensions of health system performance. Most evaluations focus on a single or narrow subsets of outcomes amenable to change. This approach may not: (i) capture the overall effect of the reform, (ii) identify the mechanisms through which system-wide changes may have occurred, (iii) prevent post-hoc selection of outc…
Analysing changes to the flow of public funding within local health and care systems
Financial flows relating to health care are routinely analysed at national and international level. They have rarely been systematically analysed at local level, despite sub-national variation due to population needs and decisions enacted by local organisations. We illustrate an adaptation of the System of Health Accounts framework to map the flow of public health and care funding within local systems, with an application for Greater Manchester (…
The Relationship between the Prevalence of the Urgent and Emergency Care Vanguard Participance and Delayed Transfers of Care in English Local Authorities
This paper examines the relationship between the prevalence of the urgent and emergency care vanguard (UEC) at the local authority level and their delayed transfers of care (DTOC) rates in England. We created a novel measure of exposure to UEC vanguards based on the residence of patients who used UEC partner hospitals, and we group it by the level of exposure (high, medium, low, none). We use this measure to estimate the effect of UEC vanguards o…
Could diabetes prevention programmes result in the widening of sociodemographic inequalities in type 2 diabetes? Comparison of survey and administrative data for England
BACKGROUND: The NHS Diabetes Prevention Programme (DPP) in England is a behavioural intervention for preventing type 2 diabetes mellitus (T2DM) among people with non-diabetic hyperglycaemia (NDH). How this programme affects inequalities by age, sex, limiting illnesses or disability, ethnicity or deprivation is not known. METHODS: We used multinomial and binary logistic regression models to compare whether the population with NDH at different stag…
Age-gender differences in the relationships between physical and mental health
Previous studies have identified that smoking, exercise and breadth of social interaction mediate the strong associations between physical and mental health. However, these studies have been restricted to older populations, have not explored differences by gender, and have not considered online social interaction. We explore how the effects of four mediators (exercise, smoking, in-person and online social interaction) of the two-way relationships…
The relationship between physical and mental health
There is a strong link between mental health and physical health, but little is known about the pathways from one to the other. We analyse the direct and indirect effects of past mental health on present physical health and past physical health on present mental health using lifestyle choices and social capital in a mediation framework. We use data on 10,693 individuals aged 50 years and over from six waves (2002-2012) of the English Longitudinal…
Using natural experiments to evaluate population health interventions
Natural experimental studies are often recommended as a way of understanding the health impact of policies and other large scale interventions. Although they have certain advantages over planned experiments, and may be the only option when it is impossible to manipulate exposure to the intervention, natural experimental studies are more susceptible to bias. This paper introduces new guidance from the Medical Research Council to help researchers a…
Income, income inequality and health
Inequity and inequality in the use of health care in England
The influence of households on drinking behaviour
Doctor Behaviour under a Pay for Performance Contract
The UK National Health Service introduced a pay for performance scheme for primary care providers in 2004/5. The scheme rewarded providers for the proportion of eligible patients who received appropriate treatment. Eligible patients were those who had been reported by the provider as having the relevant disease minus those they exception reported as not suitable for treatment. Using rich provider level data, we find that differences in reported d…
Valuing Informal Care Experience
Do measures of self-reported morbidity bias the estimation of the determinants of health care utilisation
Mapping visual analogue scale health state valuations onto standard gamble and time trade-off values
The extent and predictors of discrepancy between provider and recipient reports of informal caregiving
Measuring inequalities in health
Objective: To evaluate healthy life expectancy (HLE) as a measure of health inequalities by comparing geographical and area-based deprivation-related inequalities in healthy and total life expectancy (TLE). Design: Life table analysis based on ecological cross-sectional data. Setting and population: Council area quarters and postcode sector-based deprivation fifths in Scotland. Main outcome measures: Expectation of life in good self-assessed gene…
Informal caregiving and the allocation of time
Informal care requires a considerable time investment from providers that inherently involves trade-offs against various uses of time. We examine what other uses of time are forgone when individuals provide informal care. We further consider how caregiving is linked to a range of rarely explored time use characteristics relating to multitasking, the fragmentation and the timing of activities. We use data from 5670 adults across 11003 diary days f…
Testing the Expert Based Weights Used in the UK’s Index of Multiple Deprivation (IMD) Against Three Preference-Based Methods
The effect of cash transfers on mental health
There is a gap in the literature in understanding how cash transfer programmes affect mental health. We aim to fill this gap by conceptualising and estimating the mediation effects of an unconditional cash transfer programme on mental health. We use a sample of 4,535 adults living below the South African poverty line in four waves (2008-2014) of the South African National Income Dynamics Study. We use information on individual exposure to South A…
Road to Nowhere? A Critical Consideration of the Use of the Metaphor 'Care Pathway' in Health Services Planning, Organisation and Delivery
Metaphors are inescapable in human discourse. Policy researchers have suggested that the use of particular metaphors by those implementing policy changes both influences perceptions of underlying reality and determines what solutions seem possible, and that exploring 'practice languages' is important in understanding how policy is enacted. This paper contributes to the literature exploring the generative nature of metaphors in policy implementati…
Does the proportion of pay linked to performance affect the job satisfaction of general practitioners
Reframing the Context of Preventive Health Care Services and Prevention of HIV and Other Sexually Transmitted Infections for Young Men
Young Black males, aged 13 to 29 years, have the highest annual rates of HIV infections in the United States. Young Black men who have sex with men (MSM) are the only subgroup with significant increases in HIV incident infections in recent years. Black men, particularly MSM, are also disproportionately affected by other sexually transmitted infections (STIs). Therefore, we must strengthen HIV and STI prevention opportunities during routine, preve…
Deprivation and quality of primary care services
Objective: To examine whether the quality of primary care measured by the 2004 contract varies with socioeconomic deprivation. Design: Retrospective analysis of publicly available data, comparing quality indicators used for payment that allow exclusion of patients (payment quality) and indicators based on the care delivered to all patients (delivered quality). Setting and participants: 1024 general practices in Scotland. Main outcome measures: Re…
The worse the better? Quantile treatment effects of a conditional cash transfer programme on mental health
Poor mental health is a pressing global health problem, with high prevalence among poor populations from low-income countries. Existing studies of conditional cash transfer (CCT) effects on mental health have found positive effects. However, there is a gap in the literature on population-wide effects of cash transfers on mental health and if and how these vary by the severity of mental illness. We use the Malawian Longitudinal Study of Family and…
Does pooling health & social care budgets reduce hospital use and lower costs
Exploring the limitations of age-based models for health care planning
Can regional resource shares be based only on prevalence data? An empirical investigation of the proportionality assumption
Adjusting the risk-adjustment
There is concern that basing healthcare budgets on risk adjustment estimates derived from historical utilisation data may reinforce patterns of unmet need. We propose a method to avoid this, based on a measure of how closely local health organisations align resources to the needs of their populations. We refer to this measure as the 'responsiveness of expenditure to need' and estimate it using national person-level data on use of acute hospital a…
The impact of devolution on local health systems
Devolution and decentralisation policies involving health and other government sectors have been promoted with a view to improve efficiency and equity in local service provision. Evaluations of these reforms have focused on specific health or care measures, but little is known about their full impact on local health systems. We evaluated the impact of devolution in Greater Manchester (England) on multiple outcomes using a whole system approach. W…
Age-gender differences in the relationships between physical and mental health
Previous studies have identified that smoking, exercise and breadth of social interaction mediate the strong associations between physical and mental health. However, these studies have been restricted to older populations, have not explored differences by gender, and have not considered online social interaction. We explore how the effects of four mediators (exercise, smoking, in-person and online social interaction) of the two-way relationships…
Mapping visual analogue scale health state valuations onto standard gamble and time trade-off values
The influence of households on drinking behaviour
Do measures of self-reported morbidity bias the estimation of the determinants of health care utilisation
Income, income inequality and health
Inequity and inequality in the use of health care in England
Measuring inequalities in health
Objective: To evaluate healthy life expectancy (HLE) as a measure of health inequalities by comparing geographical and area-based deprivation-related inequalities in healthy and total life expectancy (TLE). Design: Life table analysis based on ecological cross-sectional data. Setting and population: Council area quarters and postcode sector-based deprivation fifths in Scotland. Main outcome measures: Expectation of life in good self-assessed gene…
Deprivation and quality of primary care services
Objective: To examine whether the quality of primary care measured by the 2004 contract varies with socioeconomic deprivation. Design: Retrospective analysis of publicly available data, comparing quality indicators used for payment that allow exclusion of patients (payment quality) and indicators based on the care delivered to all patients (delivered quality). Setting and participants: 1024 general practices in Scotland. Main outcome measures: Re…
Can regional resource shares be based only on prevalence data? An empirical investigation of the proportionality assumption
HIV Testing and HIV/Aids Treatment Services in Rural Counties in 10 Southern States
CONTEXT: Forty percent of AIDS cases are reported in the southern United States, the region with the largest proportion of HIV/AIDS cases from rural areas. Data are limited regarding provider perspectives of the accessibility and availability of HIV testing and treatment services in southern rural counties. PURPOSE: We surveyed providers in the rural south to better understand: (1) the accessibility and availability, and (2) the facilitators and …
Doctor Behaviour under a Pay for Performance Contract
The UK National Health Service introduced a pay for performance scheme for primary care providers in 2004/5. The scheme rewarded providers for the proportion of eligible patients who received appropriate treatment. Eligible patients were those who had been reported by the provider as having the relevant disease minus those they exception reported as not suitable for treatment. Using rich provider level data, we find that differences in reported d…
Using natural experiments to evaluate population health interventions
Natural experimental studies are often recommended as a way of understanding the health impact of policies and other large scale interventions. Although they have certain advantages over planned experiments, and may be the only option when it is impossible to manipulate exposure to the intervention, natural experimental studies are more susceptible to bias. This paper introduces new guidance from the Medical Research Council to help researchers a…
Valuing Informal Care Experience
Reframing the Context of Preventive Health Care Services and Prevention of HIV and Other Sexually Transmitted Infections for Young Men
Young Black males, aged 13 to 29 years, have the highest annual rates of HIV infections in the United States. Young Black men who have sex with men (MSM) are the only subgroup with significant increases in HIV incident infections in recent years. Black men, particularly MSM, are also disproportionately affected by other sexually transmitted infections (STIs). Therefore, we must strengthen HIV and STI prevention opportunities during routine, preve…
The impact of different prioritisation policies on waiting times
Community-based electronic data collections for HIV prevention research with black/African-American men in the rural, Southern USA
In Florida, the HIV case rate among black men is five times that of white men; tailored HIV prevention interventions are lacking. Historical concerns regarding trust with public health venues and sharing sensitive information make face-to-face data collection with some rural, southern black men challenging. We evaluated the feasibility and acceptability of using audio computer-assisted self-interviews (ACASIs) by local community-based organizatio…
Measuring the Impacts of Health Conditions on Work Incapacity – Evidence from the British Household Panel Survey
The UK has experienced substantial increases in both the number of claimants of work incapacity benefit and the proportion of claims for mental health reasons. However, identifying causality between experiencing mental health problems and claiming benefits is complex as claiming disability benefits may be the instigator or result of having a mental health problem. We use longitudinal data from the British Household Panel Survey (1991–2008) to dis…
Exploring the limitations of age-based models for health care planning
Estimating causal effects
Difference-in-differences (DiD) estimators provide unbiased treatment effect estimates when, in the absence of treatment, the average outcomes for the treated and control groups would have followed parallel trends over time. This assumption is implausible in many settings. An alternative assumption is that the potential outcomes are independent of treatment status, conditional on past outcomes. This paper considers three methods that share this a…
Is treatment “intensity” associated with healthier lifestyle choices? An application of the dose response function
Healthy lifestyle choices and doctor consultations can be substitutes or complements in the health production function. In this paper we consider the relation between the number of doctor consultations and the frequency of patient physical activity. We use a novel application of the Dose-Response Function model proposed by Hirano and Imbens (2004) to deal with treatment endogeneity under the no unmeasured confounding assumption. Our application t…
Is the distribution of care quality provided under pay-for-performance equitable? Evidence from the Advancing Quality programme in England
Unlike in primary care, in secondary care quality is not systemically distributed by income deprivation under P4P. Whilst improvements in health inequalities are important system objectives; they may not necessarily be achieved by the adoption of P4P schemes in hospitals
Selfie, a novel Horizon2020 project on integrated care for multi-morbidity
Introduction: SELFIE is a new EU-Horizon2020 funded project, which started on September 1st 2015 and is entitled “Sustainable intEgrated care modeLs for multi-morbidity: delivery, FInancing and performance”. SELFIE stands out from other EU-funded projects on integrated care by adopting a broad health economic approach. SELFIE will perform empirical research of promising integrated care models which specifically target individuals with multi-morbi…
Does distrust in providers affect health-care utilization in China
How trust affects health-care utilization is not well-understood, especially in low- and middle-income countries. This article focuses on China, a middle-income country where low trust in health-care settings has become a prominent issue, but actual levels of distrust and their implications for utilization are unknown. We conducted a nationally representative survey of the Chinese population (November 2012 to January 2013), which resulted in a sa…
The effect of living alone on the costs and benefits of surgery amongst older people
How do individuals' health behaviours respond to an increase in the supply of health care? Evidence from a natural experiment
The efficacy of the management of long-term conditions depends in part on whether healthcare and health behaviours are complements or substitutes in the health production function. On the one hand, individuals might believe that improved health care can raise the marginal productivity of their own health behaviour and decide to complement health care with additional effort in healthier behaviours. On the other hand, health care can lower the cost…
EHealth Familias Unidas
This paper describes the Internet adaptation of an evidenced-based intervention for Hispanic families, eHealth Familias Unidas, and explores whether an Internet-based format is feasible and acceptable to Hispanic families. Core intervention components from the evidence-based intervention, Familias Unidas, were transposed into a video format and edited for content. Additionally, interactive exercises and a soap opera series were incorporated to re…
Medicine (54 obras) · Economics (43 obras) · Environmental health (34 obras) · Psychology (34 obras) · Healthcare Policy and Management (28 obras) · Health care (27 obras) · Nursing (25 obras) · Population (25 obras) · Global Health Care Issues (24 obras) · Public health (24 obras)