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OBJECTIVES To describe the context for implementing the national programme for information technology (NPfIT) in England, actual and perceived barriers, and opportunities to facilitate implementation. DESIGN Case studies and in depth interviews, with themes identified using a framework developed from grounded theory. SETTING Four acute NHS trusts in(More)
BACKGROUND Telehealth (TH) and telecare (TC) interventions are increasingly valued for supporting self-care in ageing populations; however, evaluation studies often report high rates of non-participation that are not well understood. This paper reports from a qualitative study nested within a large randomised controlled trial in the UK: the Whole System(More)
This paper introduces the School-Years Screening Test for Evaluation of Mental Status (SYSTEMS). It was designed to be used by neurologists, pediatricians, and other health professionals assessing children with suspected cognitive problems or changes. SYSTEMS was initially based on the adult Mini-Mental State Examination developed by Folstein, Folstein, and(More)
OBJECTIVE To assess the effect of home based telehealth interventions on the use of secondary healthcare and mortality. DESIGN Pragmatic, multisite, cluster randomised trial comparing telehealth with usual care, using data from routine administrative datasets. General practice was the unit of randomisation. We allocated practices using a minimisation(More)
BACKGROUND It is expected that increased demands on services will result from expanding numbers of older people with long-term conditions and social care needs. There is significant interest in the potential for technology to reduce utilisation of health services in these patient populations, including telecare (the remote, automatic and passive monitoring(More)
OBJECTIVES To describe progress and perceived challenges in implementing the NHS information and technology (IT) programme in England. DESIGN Case studies and in-depth interviews, with themes identified using a framework developed from grounded theory. We interviewed personnel who had been interviewed 18 months earlier, or new personnel in the same posts.(More)
BACKGROUND To investigate organisational factors influencing the implementation challenges of redesigning services for people with long term conditions in three locations in England, using remote care (telehealth and telecare). METHODS Case-studies of three sites forming the UK Department of Health's Whole Systems Demonstrator (WSD) Programme. Qualitative(More)
OBJECTIVE to assess the impact of telecare on the use of social and health care. Part of the evaluation of the Whole Systems Demonstrator trial. PARTICIPANTS AND SETTING a total of 2,600 people with social care needs were recruited from 217 general practices in three areas in England. DESIGN a cluster randomised trial comparing telecare with usual care,(More)
OBJECTIVE To assess the impact of components of the national programme for information technology (NPfIT) on measures of clinical and operational efficiency. DESIGN Quasi-experimental controlled before and after study using routinely collected patient level data. SETTING Four NHS acute hospital trusts in England. DATA SOURCES Inpatient admissions and(More)
A dichotic listening paradigm was used to examine the hypothesis that whilst concrete nouns can be processed equally well by both right and left hemispheres, the left hemisphere is superior in processing abstract nouns. Although simple main effects of word frequency, ear of presentation, sex of subject and concreteness / abstractness were significant and in(More)