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OBJECTIVE To systematically review the literature on the implementation of e-health to identify: (i) barriers and facilitators to e-health implementation, and (ii) outstanding gaps in research on the subject. METHODS MEDLINE, EMBASE, CINAHL, PSYCINFO and the Cochrane Library were searched for reviews published between 1 January 1995 and 17 March 2009.(More)
Although lay people know that various diseases can be inherited, the idea that unhealthy life styles are the crucial cause of ill health has been promoted by health education policy in the United Kingdom. However, a new paradigm seems to be developing. The medical profession is increasingly using “genetics” to explain ill health, and people are being(More)
BACKGROUND Depression is a common problem, often being recurrent or becoming chronic. The National Service Framework for Mental Health (published by the Department of Health, 1999) states that people with depression should continue to be predominantly managed in primary care. There is much evidence that the detection and management of depression by GPs(More)
The paper focuses on the redistribution of medical work within primary health care teams. It reports the results of the analysis of interviews with general practitioners, practice nurses and managers, undertaken as part of an ethnographic study of primary care organisation and practice during a period of rapid organisational change. By examining the ways in(More)
BACKGROUND Young people with complex healthcare needs (CHNs) face the challenge of transferring from child to adult health services. This study sought to identify successful models of transitional care for young people with CHNs. Three conditions were used as exemplars: cerebral palsy, autism spectrum disorders and diabetes. METHODS Scoping review: using(More)
BACKGROUND For a variety of sociological reasons, different types of centredness have become important in health and social care. In trying to characterize one type of centredness, we were led to consider, at a conceptual level, the importance of the notion of centredness in general and the reasons for there being different types of centeredness. METHOD(More)
OBJECTIVE To determine the efficacy of a computerised decision aid in patients with atrial fibrillation making decisions on whether to take warfarin or aspirin therapy. DESIGN Two-armed open exploratory randomised controlled trial. SETTING Two research clinics deriving participants from general practices in Northeast England. PARTICIPANTS 109 patients(More)
OBJECTIVES To identify doctors' perceptions of the need for palliative care for heart failure and barriers to change. DESIGN Qualitative study with focus groups. SETTING North west England. PARTICIPANTS General practitioners and consultants in cardiology, geriatrics, palliative care, and general medicine. RESULTS Doctors supported the development of(More)
OBJECTIVE Qualitative studies can help us understand the "successes" and "failures" of telemedicine to normalize within clinical service provision. This report presents the development of a robust conceptual model of normalization processes in the implementation and development of telemedicine services. DESIGN Retrospective and cumulative analysis of(More)
BACKGROUND The issue of diagnostic disclosure in dementia has been debated extensively in professional journals, but empirical data concerning disclosure in dementia has not previously been systematically reviewed. OBJECTIVE To review empirical data regarding diagnostic disclosure in dementia. METHODS Five electronic databases were searched up to(More)