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BACKGROUND The present study aimed to assess, in an epidemiologically representative sample of patients with psychosis, the relationship between patient and staff perception of need and to investigate the association between unmet need and study variables when assessed by patients and staff, respectively. METHOD Of 474 cases of functional psychosis(More)
BACKGROUND Service planning based on aggregated needs assessment is rarely practised. There is a lack of research into how population-based needs assessment approaches can be translated into routine clinical settings. AIMS This study aimed to ascertain the 2-month period prevalence of psychosis in Gloucester City, to investigate the level of need among(More)
OBJECTIVE To evaluate the effect of age, duration of diabetes, cataract, and pupil size on the image quality in digital photographic screening. RESEARCH DESIGN AND METHODS Randomized groups of 3,650 patients had one-field, non-mydriatic, 45 degrees digital retinal imaging photography before mydriatic two-field photography. A total of 1,549 patients were(More)
O f 586 employed patients with a whiplash injury 40 (7%) did not return to work. The risk was increased by three times in heavy manual workers, two and a half times in patients with prior psychological symptoms and doubled for each increase of grade of disability. The length of time off work doubled in patients with a psychological history and trebled for(More)
BACKGROUND Urine is the most common microbiology laboratory specimen. Submissions increase annually by 5-10%, and many specimens may be unnecessary. OBJECTIVES To assess the impact of guidance, implemented by interactive workshops and reinforced with modified request forms, on specimen submission. METHODS This was a prospective randomized controlled(More)
BACKGROUND AND METHOD This study surveyed need in a group of psychiatric patients in Gloucester, using a new instrument, the CUES. Keyworkers gave out questionnaires to all patients with psychosis in contact with specialist services. A total of 148 forms were anonymously completed, with a response rate of 37% of the mental health services caseload. (More)
OBJECTIVE Frustration continues to be directed at delays in gaining approvals for undertaking health research in the UK. We aimed to evaluate the impact of an ethics officer intervention on rates of favourable opinions (approval) and provisional opinions (requiring revision and resubmission) and on the time taken to reach a final opinion by research ethics(More)
BACKGROUND, AIMS Although clinical use of needs assessment tools is widespread, there is little evidence about their value in longitudinal use. This study aimed to identify the factors associated with changing needs in an assertive outreach (AO) team's caseload, over a 6-month rating period. METHODS The Camberwell Assessment of Needs Short Appraisal(More)
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