Margaret Maxwell

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OBJECTIVES We aimed to compare a new primary care outcome measure-the Patient Enablement Instrument (PEI)-against two established satisfaction measures [the Medical Interview Satisfaction Scale (MISS) and the Consultation Satisfaction Questionnaire (CSQ)]. Specifically, we sought (i) to test whether enablement and satisfaction are related or separate(More)
BACKGROUND Empathy is a key aspect of the clinical encounter but there is a lack of patient-assessed measures suitable for general clinical settings. OBJECTIVES Our aim was to develop a consultation process measure based on a broad definition of empathy, which is meaningful to patients irrespective of their socio-economic background. METHODS Qualitative(More)
BACKGROUND The Consultation and Relational Empathy (CARE) Measure has been developed as a tool for assessing the patients' perceptions of relational empathy in the consultation. OBJECTIVES The present paper provides performance data on the CARE measure in a large sample of general practice consultations in areas of high and low deprivation. METHODS The(More)
OBJECTIVES To measure quality of care at general practice consultations in diverse geographical areas, and to determine the principal correlates associated with enablement as an outcome measure. DESIGN Cross sectional multipractice questionnaire based study. SETTING Random sample of practices in four participating regions: Lothian, Coventry,(More)
BACKGROUND Evidence-based best practices for incorporation into an optimal multilevel intervention for suicide prevention should be identifiable in the literature. AIMS To identify effective interventions for the prevention of suicidal behavior. METHODS Review of systematic reviews found in the Pubmed, Cochrane, and DARE databases. Steps include(More)
OBJECTIVE To examine whether the observed excess of childhood leukaemia and non-Hodgkin's lymphoma in the area around the Dounreay nuclear installation is associated with established risk factors, or with factors related to the plant, or with parental occupation in the nuclear industry. DESIGN Case-control study. SETTING Caithness local government(More)
BACKGROUND No recent cross-country examinations for youth suicide trends and methods for Europe were found. AIM The aim of the study is to specify differences in suicide rates, trends and methods used among 15-24 years olds by gender across 15 European countries. METHOD Data for 14,738 suicide cases in the age group 15-24 in 2000-2004/5 were obtained(More)
BACKGROUND Syntheses of qualitative studies can inform health policy, services and our understanding of patient experience. Meta-ethnography is a systematic seven-phase interpretive qualitative synthesis approach well-suited to producing new theories and conceptual models. However, there are concerns about the quality of meta-ethnography reporting,(More)
BACKGROUND The prescribing of antidepressants has been rising dramatically in developed countries. AIM As part of an investigation into the reasons for the rise and variation in the prescribing of antidepressants, this study aimed to describe, and account for, the variation in an age-sex standardised rate of antidepressant prescribing between general(More)