Ellen Nolte
Dados Biográficos
| ID | 273248 |
|---|---|
| NOME | Ellen Nolte |
| PRENOMES | Ellen |
| SOBRENOME | Nolte |
| ASSINATURA | NOLTE E |
| AFILIAÇÕES | London School of Hygiene & Tropical Medicine |
| ORCID | 0000-0002-2289-117X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 40 |
| TOTAL DE CITAÇÕES | 99 |
| TOTAL COMO AUTOR | 40 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2000 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 6 |
Understanding the role of ‘software’ in health system capacity for non-communicable disease response
Research on health system capacity to manage non-communicable diseases (NCDs) has largely focused on ‘system hardware’ such as infrastructure, workforce, and commodities. However, this overlooks the critical role of ‘system software’ elements, such as relationships, norms, and power, and the complex adaptive nature of health systems. This study aimed to explore how health system hardware and software elements interact to shape the capacity of the…
Understanding what factors influence community health worker involvement in hypertension service delivery in Kenya
The systematic involvement of community health workers (CHWs) in hypertension management can improve outcomes and achieve blood pressure control. However, much of this evidence is from effectiveness trials conducted under ideal conditions, with little evidence from programmes operating in routine conditions. In Kenya, recent policy changes have expanded CHW roles to routinely incorporate non-communicable disease (including hypertension) service d…
Implementing community-based interventions for the management of chronic conditions in low- and middle-income countries
The rising prevalence of chronic diseases in low- and middle-income countries (LMICs) poses significant challenges to already overburdened health systems. Community-based interventions are recognised as effective strategies for managing these conditions. However, implementing such interventions faces barriers that can hinder their effectiveness. This scoping review aims to assess qualitative studies examining barriers and facilitators to implemen…
Access to hypertension services and health-seeking experiences in rural Coastal Kenya
Globally, hypertension causes 10.8 million deaths annually. However, in Kenya, like in other low-and middle-income countries, access to hypertension care remains limited and inequitable. Understanding patients’ journeys in accessing care along the care cascade is critical to inform patient-centred care and policy improvements. This study aimed to explore patient experiences in accessing primary care services for hypertension along the care cascad…
‘They Just Said It Was My Mood. I Was Trying to Get Attention’
OBJECTIVES: Between the 1970s and the early 1990s, over 30,000 individuals in the United Kingdom were infected with human immunodeficiency virus (HIV) and/or hepatitis C virus following treatment with NHS-supplied blood and blood products, with devastating consequences. This study aims to better understand the psychological support needs of these individuals and their families, and to identify barriers to accessing support in England. METHODS: Fo…
Capturing the impact of integrated care
The evidence underpinning integrated care remains uncertain, with numerous examples of evaluations finding little robust evidence of intended impacts on health or reporting conflicting results. Reasons for this include problems with the design and implementation of integrated care initiatives and issues with integrated care evaluations themselves, such as lack of suitable comparator or poorly defined outcome measures. In this interactive workshop…
Investigating the relationship between unmet need and utilisation of health care in European countries
Access to health care is a multidimensional concept, influenced by individual and health system factors and the relationship between different access dimensions is not well understood. We used individual-level data from the 2019 wave of the European Health Interview Survey, covering 27 European Union member states, Iceland, and Norway (n = 269,799 individuals) and country-level data from the Eurostat, OECD and World Bank databases to explore this…
Managing diabetes and hypertension in western Kenya
The Primary Health Integrated Care for Chronic Conditions (PIC4C) pilot project was launched in 2018 to strengthen prevention and control of four non-communicable conditions at primary health care level in western Kenya. We conducted a qualitative study to explore the extent to which PIC4C integrated services supported people with hypertension and/or diabetes towards timely diagnosis and referral, treatment, follow-up and adherence, from the pers…
Governing Integrated Health and Social Care
This study highlights that governance is relatively neglected as a focus of attention in this context but addressing governance challenges is key for successful collaboration
Understanding the treatment burden of people with chronic conditions in Kenya
In Kenya, non-communicable diseases (NCDs) are an increasingly important cause of morbidity and mortality, requiring both better access to health care services and self-care support. Evidence suggests that treatment burdens can negatively affect adherence to treatment and quality of life. In this study, we explored the treatment and self-management burden among people with NCDs in in two counties in Western Kenya. We conducted a cross-sectional s…
The Lancet Global Health Commission on financing primary health care
The COVID-19 pandemic has brought the need for well-functioning primary health care (PHC) into sharp focus. PHC is the best platform for providing basic health interventions (including effective management of non-communicable diseases) and essential public health functions. PHC is widely recognised as a key component of all high-performing health systems and is an essential foundation of universal health coverage. PHC was famously set as a global…
The impact of the Covid-19 pandemic on cancer deaths due to delays in diagnosis in England, UK
BACKGROUND: Since a national lockdown was introduced across the UK in March, 2020, in response to the COVID-19 pandemic, cancer screening has been suspended, routine diagnostic work deferred, and only urgent symptomatic cases prioritised for diagnostic intervention. In this study, we estimated the impact of delays in diagnosis on cancer survival outcomes in four major tumour types. METHODS: In this national population-based modelling study, we us…
Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations
BACKGROUND: A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthc…
The Public Health Responsibility Deal
The extent to which government should partner with business interests such as the alcohol, food, and other industries in order to improve public health is a subject of ongoing debate. A common approach involves developing voluntary agreements with industry or allowing them to self-regulate. In England, the most recent example of this was the Public Health Responsibility Deal (RD), a public−private partnership launched in 2011 under the then Conse…
Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015
BACKGROUND: National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor …
Placer la personne au centre de la démarche de soins
Il s’agit d’aborder ici le traitement des dossiers relatifs aux droits du patient dans les hôpitaux belges francophones par le médiateur, c’est-à-dire celui qui, par obligation légale, est chargé de traiter les plaintes consécutives à l’application de ce droit. Que devient la plainte du patient ? Telle est la question à laquelle tente de répondre cet article tout en rendant compte des processus d’organisation locale des services de médiation au s…
Community Hospitals in Selected High Income Countries
BACKGROUND: There is no single definition of a community hospital in the UK, despite its long history. We sought to understand the nature and scope of service provision in community hospitals, within the UK and other high-income countries. METHODS: We undertook a scoping review of literature on community hospitals published from 2005 to 2014. Data were extracted on features of the hospital model and the services provided, with results presented a…
What is the evidence base for public involvement in health‐care policy
BACKGROUND: Public involvement in health-care policy has been advocated as a means to enhance health system responsiveness, yet evidence for its impact has been difficult to ascertain. OBJECTIVES: To review the peer-reviewed empirical evidence on outcomes of public involvement in health-care policy. METHODS: We systematically searched PsychINFO and PubMed from November 2000 to April 2010 for empirical studies that reported on original research on…
Policy–research linkage
In this paper we reflect on our experience of providing a rapid response facility for international healthcare policy comparisons to the English Department of Health. We examine the challenges of developing sustained relationships with policy officials while providing an ‘on-demand’ service in an environment with high turnover of policies and staff. It may be easier for policy makers to draw on researchers in such a setting than for researchers t…
Is Europe putting theory into practice? A study of the level of Self-Management Support in coordinated care approaches for chronically ill
Objectives: This study explores whether and how self-management support (SMS), a key element of well-coordinated chronic care, is integrated into existing chronic care approaches in 13 European countries
PS29 Youth Exposure to Online Alcohol Advertising in The UK
Background There is increasing evidence that youth exposure to alcohol marketing is a risk factor for underage drinking. In 2011, online marketing became the largest channel for marketing for the first time, overtaking television. However, there is little understanding of the level of exposure of young people to online alcohol marketing. Methods We obtained data on the top 3 social media sites in the UK for each month from December 2010 to May 20…
OP79 Youth Exposure to Television Alcohol Advertising in the UK
Background Increasing evidence suggests that exposure to alcohol marketing increases the likelihood that adolescents will start to drink alcohol and that among those who already consume alcohol exposure to alcohol advertising is likely to increase its use. Existing research in Europe has tended to focus on the content of alcohol marketing and advertising but our understanding of the actual levels of exposure remains inadequate. This study aims to…
Policy learning from abroad
This article explores the process of policy learning from abroad from a knowledge utilisation perspective, using examples of health policy making in the Department of Health in England. It argues that information about policy abroad is often heterogeneous and difficult to obtain systematically and therefore does not fit easily with notions of evidence-based policy making. While some officials interviewed for this study did regard policy examples …
State political cultures and the mortality of African Americans and American Indians
Involvement of Ministries of Health in Health Service Coverage Decisions
This article examines the involvement of ministries of health in making health service coverage decisions in Denmark, England, France and Germany. The study aims to inform debate in England about the feasibility of reducing perceived ministerial and bureaucratic ‘interference’ in decisions affecting the National Health Service, based on interviews with senior government officials and other health system stakeholders. Ministries of health differ i…
The contribution of medical care to changing life expectancy in Germany and Poland
Changing mortality patterns in East and West Germany and Poland. II
METHODS Decomposition of life expectancy by age and cause of death. Changes in life expectancy during transition by cause of death were examined using data for 1988/89 and 1990/91 for the former GDR and Poland; examination of life expectancy changes after transition were based on 1992–97 data for Germany and 1991–96 data for Poland
Changing health inequalities in east and west Germany since unification
Changing mortality patterns in East and West Germany and Poland. I
METHODS Decomposition of life expectancy by age and cause of death. Differences in life expectancy at birth between the former GDR and the old FRG were decomposed by age using data on all cause mortality for the period 1960 to 1997. Changes in life expectancy over time by cause of death were examined using data for 1974 and 1989 for both parts of Germany and for 1974 and 1988 for Poland
Policy learning from abroad
This article explores the process of policy learning from abroad from a knowledge utilisation perspective, using examples of health policy making in the Department of Health in England. It argues that information about policy abroad is often heterogeneous and difficult to obtain systematically and therefore does not fit easily with notions of evidence-based policy making. While some officials interviewed for this study did regard policy examples …
Neonatal and postneonatal mortality in Germany since unification
BACKGROUND: After unification, the gap in infant mortality rates between the two parts of Germany widened until 1996 before converging. The reasons for these changes have not, so far, been apparent. OBJECTIVES: To investigate trends in neonatal and postneonatal mortality in the eastern (the new Länder) and western (the old Länder) part of Germany after unification in 1990 and to identify the scope for further improvement. DESIGN: Examination of t…
State political cultures and the mortality of African Americans and American Indians
Progress in health care, progress in health
This paper examines the potential impact of changes in medical care on changing population health in Lithuania, Hungary and Romania, with west Germany included for comparison. We used the concept of deaths from certain causes that should not occur in t
Policy–research linkage
In this paper we reflect on our experience of providing a rapid response facility for international healthcare policy comparisons to the English Department of Health. We examine the challenges of developing sustained relationships with policy officials while providing an ‘on-demand’ service in an environment with high turnover of policies and staff. It may be easier for policy makers to draw on researchers in such a setting than for researchers t…
Governing Integrated Health and Social Care
This study highlights that governance is relatively neglected as a focus of attention in this context but addressing governance challenges is key for successful collaboration
Involvement of Ministries of Health in Health Service Coverage Decisions
This article examines the involvement of ministries of health in making health service coverage decisions in Denmark, England, France and Germany. The study aims to inform debate in England about the feasibility of reducing perceived ministerial and bureaucratic ‘interference’ in decisions affecting the National Health Service, based on interviews with senior government officials and other health system stakeholders. Ministries of health differ i…
Managing chronic illness in Europe
Many countries are experimenting with new models of care delivery involving enhanced integration and coordination of services to better meet the needs of those living with chronic illness. However, the available evidence on the relative value of different forms of integration remains uncertain. This paper will present the findings of a study undertaken in close collaboration with and co-funded by the European Observatory on Health Systems and Pol…
Health sector reforms in Central and Eastern Europe
The political and economic transition of the 1990s in the countries of central and eastern Europe has been accompanied by wide ranging health care reform. The initial Soviet model has given way to a variety of forms of health insurance. Yet, as this pa
Trends in mortality attributable to current alcohol consumption in east and west Germany
The health impact of German unification
The division of Germany after the second world war has often been recognised as providing a unique opportunity to evaluate “a natural experiment in history”,1 one in which a homogenous population had been artificially separated for 45 years. The possible consequences for health of exposure to two very different social models have, however, received relatively little attention. When the Berlin Wall came down in November 1989, followed by the annou…
Ten years of German unification
Ten years ago last month the postwar division of Germany came to an end. Less than a year after the fall of the Berlin Wall, the two halves of Germany became a single state. In a decade during which Europe was characterised by immense social and political transition, the experience of the people of the former German Democratic Republic was unique. Institutions and policies developed over 45 years of communist rule were swept away almost at once. …
The health impact of German unification
The division of Germany after the second world war has often been recognised as providing a unique opportunity to evaluate “a natural experiment in history”,1 one in which a homogenous population had been artificially separated for 45 years. The possible consequences for health of exposure to two very different social models have, however, received relatively little attention. When the Berlin Wall came down in November 1989, followed by the annou…
Changing mortality patterns in East and West Germany and Poland. I
METHODS Decomposition of life expectancy by age and cause of death. Differences in life expectancy at birth between the former GDR and the old FRG were decomposed by age using data on all cause mortality for the period 1960 to 1997. Changes in life expectancy over time by cause of death were examined using data for 1974 and 1989 for both parts of Germany and for 1974 and 1988 for Poland
Changing mortality patterns in East and West Germany and Poland. II
METHODS Decomposition of life expectancy by age and cause of death. Changes in life expectancy during transition by cause of death were examined using data for 1988/89 and 1990/91 for the former GDR and Poland; examination of life expectancy changes after transition were based on 1992–97 data for Germany and 1991–96 data for Poland
Neonatal and postneonatal mortality in Germany since unification
BACKGROUND: After unification, the gap in infant mortality rates between the two parts of Germany widened until 1996 before converging. The reasons for these changes have not, so far, been apparent. OBJECTIVES: To investigate trends in neonatal and postneonatal mortality in the eastern (the new Länder) and western (the old Länder) part of Germany after unification in 1990 and to identify the scope for further improvement. DESIGN: Examination of t…
Germany
During aging, changes in gene expression are associated with decline in physical and cognitive abilities. Here, we investigated the connection between changes of mRNA and protein expression in the brain by comparing the transcriptome and proteome of the mouse cortex during aging. Our transcriptomic analysis revealed that aging mainly triggers gene activation in the cortex. We showed that increase of mRNA expression correlates with protein express…
The contribution of medical care to changing life expectancy in Germany and Poland
Trends in mortality attributable to current alcohol consumption in east and west Germany
Health sector reforms in Central and Eastern Europe
The political and economic transition of the 1990s in the countries of central and eastern Europe has been accompanied by wide ranging health care reform. The initial Soviet model has given way to a variety of forms of health insurance. Yet, as this pa
Changing health inequalities in east and west Germany since unification
Progress in health care, progress in health
This paper examines the potential impact of changes in medical care on changing population health in Lithuania, Hungary and Romania, with west Germany included for comparison. We used the concept of deaths from certain causes that should not occur in t
Measuring The Health Of Nations
We compared trends in deaths considered amenable to health care before age seventy-five between 1997-98 and 2002-03 in the United States and in eighteen other industrialized countries. Such deaths account, on average, for 23 percent of total mortality under age seventy-five among males and 32 percent among females. The decline in amenable mortality in all countries averaged 16 percent [corrected] over this period. The United States was an outlier…
Managing chronic illness in Europe
Many countries are experimenting with new models of care delivery involving enhanced integration and coordination of services to better meet the needs of those living with chronic illness. However, the available evidence on the relative value of different forms of integration remains uncertain. This paper will present the findings of a study undertaken in close collaboration with and co-funded by the European Observatory on Health Systems and Pol…
The changing regional pattern of ischaemic heart disease mortality in southern Europe
AIMS: To describe the evolving regional pattern of mortality from ischaemic heart disease (IHD) in five countries in southern Europe. METHODS: We analyse the changing pattern of IHD mortality among men and women aged 30-74 years in the standard regions of France, Greece, Italy, Portugal and Spain between 1994 and 2001 using routine data. RESULTS: Greece and, to some degree, Spain saw little improvement in IHD mortality in the second half of the 1…
Why Consider Patients’ Preferences
BACKGROUND: Several organizations are advocating for patients' preferences to be considered in clinical practice guideline development and implementation. However, lack of agreement on the goal and meaning of this policy curtails evaluation and development of patient involvement programs. GOAL: To describe guideline developers' discourses on the goal of considering patients' preferences. DESIGN: Qualitative study using discourse analysis. SUBJECT…
State political cultures and the mortality of African Americans and American Indians
Involvement of Ministries of Health in Health Service Coverage Decisions
This article examines the involvement of ministries of health in making health service coverage decisions in Denmark, England, France and Germany. The study aims to inform debate in England about the feasibility of reducing perceived ministerial and bureaucratic ‘interference’ in decisions affecting the National Health Service, based on interviews with senior government officials and other health system stakeholders. Ministries of health differ i…
PS29 Youth Exposure to Online Alcohol Advertising in The UK
Background There is increasing evidence that youth exposure to alcohol marketing is a risk factor for underage drinking. In 2011, online marketing became the largest channel for marketing for the first time, overtaking television. However, there is little understanding of the level of exposure of young people to online alcohol marketing. Methods We obtained data on the top 3 social media sites in the UK for each month from December 2010 to May 20…
OP79 Youth Exposure to Television Alcohol Advertising in the UK
Background Increasing evidence suggests that exposure to alcohol marketing increases the likelihood that adolescents will start to drink alcohol and that among those who already consume alcohol exposure to alcohol advertising is likely to increase its use. Existing research in Europe has tended to focus on the content of alcohol marketing and advertising but our understanding of the actual levels of exposure remains inadequate. This study aims to…
Policy learning from abroad
This article explores the process of policy learning from abroad from a knowledge utilisation perspective, using examples of health policy making in the Department of Health in England. It argues that information about policy abroad is often heterogeneous and difficult to obtain systematically and therefore does not fit easily with notions of evidence-based policy making. While some officials interviewed for this study did regard policy examples …
Policy–research linkage
In this paper we reflect on our experience of providing a rapid response facility for international healthcare policy comparisons to the English Department of Health. We examine the challenges of developing sustained relationships with policy officials while providing an ‘on-demand’ service in an environment with high turnover of policies and staff. It may be easier for policy makers to draw on researchers in such a setting than for researchers t…
Is Europe putting theory into practice? A study of the level of Self-Management Support in coordinated care approaches for chronically ill
Objectives: This study explores whether and how self-management support (SMS), a key element of well-coordinated chronic care, is integrated into existing chronic care approaches in 13 European countries
What is the evidence base for public involvement in health‐care policy
BACKGROUND: Public involvement in health-care policy has been advocated as a means to enhance health system responsiveness, yet evidence for its impact has been difficult to ascertain. OBJECTIVES: To review the peer-reviewed empirical evidence on outcomes of public involvement in health-care policy. METHODS: We systematically searched PsychINFO and PubMed from November 2000 to April 2010 for empirical studies that reported on original research on…
Community Hospitals in Selected High Income Countries
BACKGROUND: There is no single definition of a community hospital in the UK, despite its long history. We sought to understand the nature and scope of service provision in community hospitals, within the UK and other high-income countries. METHODS: We undertook a scoping review of literature on community hospitals published from 2005 to 2014. Data were extracted on features of the hospital model and the services provided, with results presented a…
Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015
BACKGROUND: National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor …
Medicine (28 obras) · Health care (21 obras) · Economics (13 obras) · Environmental health (13 obras) · Political science (13 obras) · Economic growth (12 obras) · Nursing (12 obras) · Population (12 obras) · Demography (11 obras) · Global Health Care Issues (10 obras)