Angela Coulter
Dados Biográficos
| ID | 1727329 |
|---|---|
| NOME | Angela Coulter |
| PRENOMES | Angela |
| SOBRENOME | Coulter |
| ASSINATURA | COULTER A |
| AFILIAÇÕES | King's Fund |
| ORCID | 0000-0002-6308-8375 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 26 |
| TOTAL DE CITAÇÕES | 27 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 1 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1987 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2014 |
| ÍNDICE H | 3 |
Collecting data on patient experience is not enough
The NHS has been collecting data on patients’ experience of care for over 10 years but few providers are systematically using the information to improve services. Angela Coulter and colleagues argue that a national institute of “user” experience should be set up to draw the data together, determine how to interpret the results, and put them into practice
Understanding and Using Health Experiences
Narrative interviewing is an approach to eliciting people’s accounts, or stories, of their experiences. Widely used in social science research, it has gained prominence in health research since the late 1990s. Narrative interviewing contrasts with semi-structured and structured techniques which tend to focus on specific topics introduced by the researcher. The growing popularity of the approach has coincided with the rise in the promotion of pati…
Implementing shared decision making in the NHS
BACKGROUND AND PURPOSE: During thyroidectomy incomplete resection of the thyroid gland may occur. This complicates the imaging surveillance of these patients as residual thyroid needs to be distinguished from local recurrence. Therefore, the purpose of this study was to determine if multiphasic multi-detector computed tomography (4D-MDCT) can differentiate residual nonmalignant thyroid tissue and recurrent thyroid carcinoma after thyroidectomy. M…
Effectiveness of strategies for informing, educating, and involving patients
Evidence that strategies to strengthen patient engagement are effective is substantial, argue Angela Coulter and Jo Ellins , but any strategy to reduce health inequalities must promote health literacy
Time for a change
Ten years have passed since I agreed to help Blackwell Science launch a new journal covering all aspects of patient and public participation in health care and health policy. You could find research papers on this topic at that time, but they were widely dispersed across a large number of journals and there was no central focus for creative development and critical debate. We felt a specialist journal was needed to fill the gap. The first issue o…
Examining health expectations
In the health-care context, patient and public expectations are often seen as problematic. For example, patients are sometimes accused of having ‘unrealistic expectations’ about services or treatment efficacy and policymakers’ difficulties in reconciling demand with resource availability are frequently attributed to ‘rising expectations’, with the implication that these are in some way unreasonable. But the positive effects of high expectations t…
Patient safety
Tolok ukur keberhasilan pembangunan dapat dilihat dari pertumbuhan ekonomi, struktur ekonomi dan semakin kecilnya ketimpangan pendapatan antar penduduk, antar daerah, antar sektor, dan barang yang di ekspor. Menurunnya nilai ekspor Jawa Tengah terhadap ekspor Indonesia merupakan kendala saat ini yang di hadapi, selain itu adanya kesenjangan antara ekspor Jawa Tengah dan impor Jawa Tengah adanya ketimpangan yang sangat tinggi. Ketidakstabilan pert…
Shared decision‐making
There is considerable debate about when, in which circumstances, and to what extent, patients should be encouraged to participate in decisions about their care. Many advocates of shared decision-making suggest it should be restricted to preference-sensitive decisions, i.e. those where the patient's values ought to guide the choice. It is seen as being most relevant in situations of uncertainty, in which two or more clinically reasonable alternati…
What price choice
Patient choice is being enthusiastically promoted by politicians as a means of gaining public support for healthcare reform, but the idea has created antibodies in some quarters. While some claim that choice and equity are fully compatible,1 others disagree.2 They argue that the new emphasis on patient choice panders to a middle class consumerist agenda that has little to offer people whose opportunities are severely constrained by low incomes, p…
When I'm 64
‘When I get older, losing my hair, Many years from now, Will you still be sending me a Valentine, Birthday greetings, bottle of wine?’ The Beatles I am pretty healthy now, but in 2014 I will be 64. When that time comes I guess I will feel that old age is just over the horizon and I may become a more frequent user of health services. The Department of Health in England is planning radical changes to the way patients interact with the NHS, timetabl…
Whatever happened to shared decision‐making
Whatever happened to shared decision-making
The coronary heart disease in-patient experience questionnaire (I-PEQ (CHD))
Patient-centered decision making
The Patient's Perspective regarding Appropriate Health Care
Paternalism or partnership?
Homo-oligomeric ligand-activated proteins are ubiquitous in biology. The functions of such molecules are commonly regulated by allosteric coupling between ligand binding sites. Understanding the basis for this regulation requires both quantifying the free energy ΔG transduced between sites, and the structural basis by which it is transduced. We consider allostery in three variants of the model ring-shaped homo-oligomeric trp RNA binding attenuati…
Lack of willpower or lack of wherewithal? "Internal" and "external" barriers to changing diet and exercise in a three year follow-up of participants in a health check
Partnerships with Patients
The traditional style of medical decision-making in which doctors take sole responsibility for treatment decisions is being challenged. Attempts are being made to promote shared decision-making in which patients are given the opportunity to express their values and preferences and to participate in decisions about their care. Critics of shared decision-making argue that most patients do not want to participate in decisions; that revealing the unc…
Evidence for the sensitivity of the SF-36 health status measure to inequalities in health
OBJECTIVES: The short form 36 (SF-36) health questionnaire may not be appropriate for population surveys assessing health gain because of the low responsiveness (sensitivity to change) of domains on the measure. An hypothesised health gain of respondents in social class V to that of those in social class I indicated only marginal improvement in self reported health. Subgroup analysis, however, showed that the SF-36 would indicate dramatic changes…
Measuring change over time
Criterion validity and reliability of the SF-36 in a population sample
Factors affecting response to an invitation to attend for a health check
OBJECTIVE--To describe the characteristics of general practice patients who fail to respond to an invitation to attend for a health check, in relation to demographic variables, risk factor status, health status, and attitudes to behaviour modification. DESIGN--Postal questionnaire before invitation to attend a health check and subsequent record of attendance. SETTING--Five urban general practices in Bedfordshire, UK. SUBJECTS--A total of 2678 pat…
A Short Cut to Better Services
There is now considerable agreement that the issues addressed above are key factors that must be understood, if some degree of success in the fight against this epidemic is to be expected.This collection of notes clarifies current thinking and provides guidance in directions for future research and the urgent need for data collection.Since many papers, however, contain considerable mathematical sophistication, it is unlikely to generate wide appe…
Society for Social Medicine
Computer held chronic disease registers in general practice
Lists of patients receiving repeat prescriptions for epilepsy, diabetes, thyroid disease and asthma were compared with chronic disease registers stored on seven practice computers. Diabetes was the most accurately recorded disease: the names of 72% of patients receiving medication for this condition appeared on the relevant disease registers. Agreement between the two data sources was 68% for thyroid disease, 58% for asthma and 49% for epilepsy. …
Do British women undergo too many or too few hysterectomies
Do British women undergo too many or too few hysterectomies
Evidence for the sensitivity of the SF-36 health status measure to inequalities in health
OBJECTIVES: The short form 36 (SF-36) health questionnaire may not be appropriate for population surveys assessing health gain because of the low responsiveness (sensitivity to change) of domains on the measure. An hypothesised health gain of respondents in social class V to that of those in social class I indicated only marginal improvement in self reported health. Subgroup analysis, however, showed that the SF-36 would indicate dramatic changes…
Lack of willpower or lack of wherewithal? "Internal" and "external" barriers to changing diet and exercise in a three year follow-up of participants in a health check
Factors affecting response to an invitation to attend for a health check
OBJECTIVE--To describe the characteristics of general practice patients who fail to respond to an invitation to attend for a health check, in relation to demographic variables, risk factor status, health status, and attitudes to behaviour modification. DESIGN--Postal questionnaire before invitation to attend a health check and subsequent record of attendance. SETTING--Five urban general practices in Bedfordshire, UK. SUBJECTS--A total of 2678 pat…
The bamboo smoke screen
This paper presents results from a survey of smoking habits and health beliefs in the Guangzhou district of China. Analysis of the results obtained from a self-completion questionnaire revealed a high rate of smoking among men and a low rate among women, despite a reported awareness of the health hazards involved. Using data from the survey, the supplementary interviews and an analysis of the composition of several popular cigarette brands, the p…
Do British women undergo too many or too few hysterectomies
Computer held chronic disease registers in general practice
Lists of patients receiving repeat prescriptions for epilepsy, diabetes, thyroid disease and asthma were compared with chronic disease registers stored on seven practice computers. Diabetes was the most accurately recorded disease: the names of 72% of patients receiving medication for this condition appeared on the relevant disease registers. Agreement between the two data sources was 68% for thyroid disease, 58% for asthma and 49% for epilepsy. …
Society for Social Medicine
A Short Cut to Better Services
There is now considerable agreement that the issues addressed above are key factors that must be understood, if some degree of success in the fight against this epidemic is to be expected.This collection of notes clarifies current thinking and provides guidance in directions for future research and the urgent need for data collection.Since many papers, however, contain considerable mathematical sophistication, it is unlikely to generate wide appe…
Factors affecting response to an invitation to attend for a health check
OBJECTIVE--To describe the characteristics of general practice patients who fail to respond to an invitation to attend for a health check, in relation to demographic variables, risk factor status, health status, and attitudes to behaviour modification. DESIGN--Postal questionnaire before invitation to attend a health check and subsequent record of attendance. SETTING--Five urban general practices in Bedfordshire, UK. SUBJECTS--A total of 2678 pat…
Measuring change over time
Criterion validity and reliability of the SF-36 in a population sample
Evidence for the sensitivity of the SF-36 health status measure to inequalities in health
OBJECTIVES: The short form 36 (SF-36) health questionnaire may not be appropriate for population surveys assessing health gain because of the low responsiveness (sensitivity to change) of domains on the measure. An hypothesised health gain of respondents in social class V to that of those in social class I indicated only marginal improvement in self reported health. Subgroup analysis, however, showed that the SF-36 would indicate dramatic changes…
Partnerships with Patients
The traditional style of medical decision-making in which doctors take sole responsibility for treatment decisions is being challenged. Attempts are being made to promote shared decision-making in which patients are given the opportunity to express their values and preferences and to participate in decisions about their care. Critics of shared decision-making argue that most patients do not want to participate in decisions; that revealing the unc…
Lack of willpower or lack of wherewithal? "Internal" and "external" barriers to changing diet and exercise in a three year follow-up of participants in a health check
Paternalism or partnership?
Homo-oligomeric ligand-activated proteins are ubiquitous in biology. The functions of such molecules are commonly regulated by allosteric coupling between ligand binding sites. Understanding the basis for this regulation requires both quantifying the free energy ΔG transduced between sites, and the structural basis by which it is transduced. We consider allostery in three variants of the model ring-shaped homo-oligomeric trp RNA binding attenuati…
The Patient's Perspective regarding Appropriate Health Care
Patient-centered decision making
Whatever happened to shared decision‐making
Whatever happened to shared decision-making
The coronary heart disease in-patient experience questionnaire (I-PEQ (CHD))
What price choice
Patient choice is being enthusiastically promoted by politicians as a means of gaining public support for healthcare reform, but the idea has created antibodies in some quarters. While some claim that choice and equity are fully compatible,1 others disagree.2 They argue that the new emphasis on patient choice panders to a middle class consumerist agenda that has little to offer people whose opportunities are severely constrained by low incomes, p…
When I'm 64
‘When I get older, losing my hair, Many years from now, Will you still be sending me a Valentine, Birthday greetings, bottle of wine?’ The Beatles I am pretty healthy now, but in 2014 I will be 64. When that time comes I guess I will feel that old age is just over the horizon and I may become a more frequent user of health services. The Department of Health in England is planning radical changes to the way patients interact with the NHS, timetabl…
Shared decision‐making
There is considerable debate about when, in which circumstances, and to what extent, patients should be encouraged to participate in decisions about their care. Many advocates of shared decision-making suggest it should be restricted to preference-sensitive decisions, i.e. those where the patient's values ought to guide the choice. It is seen as being most relevant in situations of uncertainty, in which two or more clinically reasonable alternati…
Examining health expectations
In the health-care context, patient and public expectations are often seen as problematic. For example, patients are sometimes accused of having ‘unrealistic expectations’ about services or treatment efficacy and policymakers’ difficulties in reconciling demand with resource availability are frequently attributed to ‘rising expectations’, with the implication that these are in some way unreasonable. But the positive effects of high expectations t…
Patient safety
Tolok ukur keberhasilan pembangunan dapat dilihat dari pertumbuhan ekonomi, struktur ekonomi dan semakin kecilnya ketimpangan pendapatan antar penduduk, antar daerah, antar sektor, dan barang yang di ekspor. Menurunnya nilai ekspor Jawa Tengah terhadap ekspor Indonesia merupakan kendala saat ini yang di hadapi, selain itu adanya kesenjangan antara ekspor Jawa Tengah dan impor Jawa Tengah adanya ketimpangan yang sangat tinggi. Ketidakstabilan pert…
Effectiveness of strategies for informing, educating, and involving patients
Evidence that strategies to strengthen patient engagement are effective is substantial, argue Angela Coulter and Jo Ellins , but any strategy to reduce health inequalities must promote health literacy
Time for a change
Ten years have passed since I agreed to help Blackwell Science launch a new journal covering all aspects of patient and public participation in health care and health policy. You could find research papers on this topic at that time, but they were widely dispersed across a large number of journals and there was no central focus for creative development and critical debate. We felt a specialist journal was needed to fill the gap. The first issue o…
Implementing shared decision making in the NHS
BACKGROUND AND PURPOSE: During thyroidectomy incomplete resection of the thyroid gland may occur. This complicates the imaging surveillance of these patients as residual thyroid needs to be distinguished from local recurrence. Therefore, the purpose of this study was to determine if multiphasic multi-detector computed tomography (4D-MDCT) can differentiate residual nonmalignant thyroid tissue and recurrent thyroid carcinoma after thyroidectomy. M…
Understanding and Using Health Experiences
Narrative interviewing is an approach to eliciting people’s accounts, or stories, of their experiences. Widely used in social science research, it has gained prominence in health research since the late 1990s. Narrative interviewing contrasts with semi-structured and structured techniques which tend to focus on specific topics introduced by the researcher. The growing popularity of the approach has coincided with the rise in the promotion of pati…
Medicine (23 obras) · Psychology (15 obras) · Political science (11 obras) · Nursing (10 obras) · Health care (9 obras) · Patient-Provider Communication in Healthcare (8 obras) · Environmental health (7 obras) · Computer Science (6 obras) · Family medicine (6 obras) · Gerontology (5 obras)