Hutan Ashrafian
Biographic Data
| ID | 5224099 |
|---|---|
| NAME | Hutan Ashrafian |
| GIVEN NAMES | Hutan |
| FAMILY NAME | Ashrafian |
| SIGNATURE | ASHRAFIAN H |
| AFFILIATIONS | Imperial College London |
| ORCID | 0000-0003-1668-0672 |
| VERIFIED | Yes |
| TOTAL WORKS | 16 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 16 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2009 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Strengthening medical education through health policy and management training
Background and objectives: Modern health systems require physicians to not only provide high-quality clinical care but also understand, navigate, and lead complex healthcare organizations. However, undergraduate medical education in Portugal remains predominantly focused on clinical skills, with minimal exposure to health policy and management (HPM). This study aimed to assess Portuguese medical students' exposure to, attitudes toward, and prefer…
From public healthcare centers to community pharmacies
The COVID-19 pandemic significantly altered how countries organize their vaccination strategies. The ongoing discussion now focuses on how these strategies can be integrated into routine vaccination programs. In this context, we illustrate how Portugal has incorporated influenza and COVID-19 vaccinations into community pharmacies in the aftermath of the pandemic. The Portuguese strategy for the 2023–2024 vaccination campaign was led by the Execut…
The impact of primary care networks on emergency hospitalisations in the English NHS
Recent years have seen an emergence of collaborative primary care models in the English National Health Service and other international health systems. Primary Care Networks (PCNs) were introduced in England in July 2019, marking the first time collaboration between general practices was incentivised through a nationwide policy. While participation was not mandatory, nearly all general practices joined a PCN, largely due to strong financial incen…
Addressing the overuse of hospital emergency departments in the Portuguese NHS
The escalating trend of inappropriate visits to Emergency Departments (ED) has led to significant concerns, including resource misallocation, compromised patient care, and an increased burden on healthcare workers. Portugal faces a notable challenge, reporting one of the highest per capita ED visit rates, with an annual average of approximately 6 million ED visits from 2013 to 2023. In response, the “Call First, Save Lives” pilot project was laun…
The growing pains of the 2024/2025 Portugal’s NHS telephone triage system national rollout
In 2024, the Portuguese NHS introduced “Ligue Antes, Salve Vidas” (“Call Before You Go, Save Lives”), making phone triage through the national SNS 24 line compulsory prior to an Emergency Department (ED) visit in most NHS Local Health Units. While the policy was rightfully concerned with improving timely access to urgent care, it was quickly rolled out without a corresponding investment in infrastructure. The phone triage system’s ability to meet…
When the lights went out
The April 2025 blackout in the Iberian Peninsula severely disrupted The Portuguese National Health Service (NHS). It led to failures for over eight hours in power supply, digital systems, telecommunications, and inter-institutional coordination. Hospitals operated on limited generator capacity, essential medical equipment was triaged, and digital health records became inaccessible. Cold storage failures endangered temperature-sensitive medicines,…
The Portuguese NHS 2024 reform
Vertical integration models aim for the integration of services from different levels of care (e.g., primary, and secondary care) with the objective of increasing coordination and continuity of care as well as improving efficiency, quality, and access outcomes. This paper provides a view of the Portuguese National Health Service (NHS) healthcare providers’ vertical integration, operationalized by the Portuguese NHS Executive Board during 2023 and…
Assessing effects of a novel weight-management product on appetite
The impact of collaborative organisational models and general practice size on patient safety and quality of care in the English National Health Service
Healthy city
The collective body of evidence identified in this review, built up over the last 130 years, has hitherto been poorly documented and characterised. Cities are a meta-system with population health dictated by multiple interactions and multidirectional feedback loops. Improving health in cities requires multiple actions, by multiple actors, at every level. The authors use the term 'The Vital 5'. They are the five most important health risk factors;…
Evaluating the impact of a novel behavioural science informed animation upon breast cancer screening uptake
This study was registered on ClinicalTrials.gov ( NCT05395871 ) on the 27 th May 2022
Evaluating the effect of infographics on public recall, sentiment and willingness to use face masks during the Covid-19 pandemic
To ensure the appropriate use of masks, as mandated by UK law, guidance must provide sufficient information, yet remain understandable. Infographics can aid the recall of correct mask techniques by highlighting salient steps and reducing cognitive burden. They have also demonstrated greater trustworthiness than text-only guidance. The effect of infographics upon COVID-19-related anxiety was poor, and they should be further developed to address th…
The pilot, proof of concept Remote-Covid trial
Clinical trials registration information: ClinicalTrials.gov Identifier: NCT04337489 (07/04/2020)
International evaluation of an AI system for breast cancer screening
The Ethics of Taxing Sugar-Sweetened Beverages to Improve Public Health
The World Health Organization highlights fiscal policies as priority interventions for the promotion of healthy eating in its Action Plan for the Prevention and Control of Non-communicable Diseases. The taxation of sugar sweetened beverages (SSBs) in particular is noted to be an effective measure, and SSBs taxes have already been implemented in several countries worldwide. However, although the evidence base suggests that this will be effective i…
An Ancient Indian Method of Penis Lengthening
No prominent works on this page.
An Ancient Indian Method of Penis Lengthening
International evaluation of an AI system for breast cancer screening
The Ethics of Taxing Sugar-Sweetened Beverages to Improve Public Health
The World Health Organization highlights fiscal policies as priority interventions for the promotion of healthy eating in its Action Plan for the Prevention and Control of Non-communicable Diseases. The taxation of sugar sweetened beverages (SSBs) in particular is noted to be an effective measure, and SSBs taxes have already been implemented in several countries worldwide. However, although the evidence base suggests that this will be effective i…
Evaluating the effect of infographics on public recall, sentiment and willingness to use face masks during the Covid-19 pandemic
To ensure the appropriate use of masks, as mandated by UK law, guidance must provide sufficient information, yet remain understandable. Infographics can aid the recall of correct mask techniques by highlighting salient steps and reducing cognitive burden. They have also demonstrated greater trustworthiness than text-only guidance. The effect of infographics upon COVID-19-related anxiety was poor, and they should be further developed to address th…
The pilot, proof of concept Remote-Covid trial
Clinical trials registration information: ClinicalTrials.gov Identifier: NCT04337489 (07/04/2020)
Evaluating the impact of a novel behavioural science informed animation upon breast cancer screening uptake
This study was registered on ClinicalTrials.gov ( NCT05395871 ) on the 27 th May 2022
The impact of collaborative organisational models and general practice size on patient safety and quality of care in the English National Health Service
Healthy city
The collective body of evidence identified in this review, built up over the last 130 years, has hitherto been poorly documented and characterised. Cities are a meta-system with population health dictated by multiple interactions and multidirectional feedback loops. Improving health in cities requires multiple actions, by multiple actors, at every level. The authors use the term 'The Vital 5'. They are the five most important health risk factors;…
The Portuguese NHS 2024 reform
Vertical integration models aim for the integration of services from different levels of care (e.g., primary, and secondary care) with the objective of increasing coordination and continuity of care as well as improving efficiency, quality, and access outcomes. This paper provides a view of the Portuguese National Health Service (NHS) healthcare providers’ vertical integration, operationalized by the Portuguese NHS Executive Board during 2023 and…
Assessing effects of a novel weight-management product on appetite
Addressing the overuse of hospital emergency departments in the Portuguese NHS
The escalating trend of inappropriate visits to Emergency Departments (ED) has led to significant concerns, including resource misallocation, compromised patient care, and an increased burden on healthcare workers. Portugal faces a notable challenge, reporting one of the highest per capita ED visit rates, with an annual average of approximately 6 million ED visits from 2013 to 2023. In response, the “Call First, Save Lives” pilot project was laun…
The growing pains of the 2024/2025 Portugal’s NHS telephone triage system national rollout
In 2024, the Portuguese NHS introduced “Ligue Antes, Salve Vidas” (“Call Before You Go, Save Lives”), making phone triage through the national SNS 24 line compulsory prior to an Emergency Department (ED) visit in most NHS Local Health Units. While the policy was rightfully concerned with improving timely access to urgent care, it was quickly rolled out without a corresponding investment in infrastructure. The phone triage system’s ability to meet…
When the lights went out
The April 2025 blackout in the Iberian Peninsula severely disrupted The Portuguese National Health Service (NHS). It led to failures for over eight hours in power supply, digital systems, telecommunications, and inter-institutional coordination. Hospitals operated on limited generator capacity, essential medical equipment was triaged, and digital health records became inaccessible. Cold storage failures endangered temperature-sensitive medicines,…
Strengthening medical education through health policy and management training
Background and objectives: Modern health systems require physicians to not only provide high-quality clinical care but also understand, navigate, and lead complex healthcare organizations. However, undergraduate medical education in Portugal remains predominantly focused on clinical skills, with minimal exposure to health policy and management (HPM). This study aimed to assess Portuguese medical students' exposure to, attitudes toward, and prefer…
From public healthcare centers to community pharmacies
The COVID-19 pandemic significantly altered how countries organize their vaccination strategies. The ongoing discussion now focuses on how these strategies can be integrated into routine vaccination programs. In this context, we illustrate how Portugal has incorporated influenza and COVID-19 vaccinations into community pharmacies in the aftermath of the pandemic. The Portuguese strategy for the 2023–2024 vaccination campaign was led by the Execut…
The impact of primary care networks on emergency hospitalisations in the English NHS
Recent years have seen an emergence of collaborative primary care models in the English National Health Service and other international health systems. Primary Care Networks (PCNs) were introduced in England in July 2019, marking the first time collaboration between general practices was incentivised through a nationwide policy. While participation was not mandatory, nearly all general practices joined a PCN, largely due to strong financial incen…
Medicine (10 works) · Nursing (7 works) · Public health (7 works) · Health care (5 works) · Biostatistics (4 works) · Environmental health (4 works) · Portuguese (4 works) · Business (3 works) · Health Policy (3 works) · Pandemic (3 works)