Mark Ashworth

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BACKGROUND The existence of health inequalities between least and most socially deprived areas is now well established. AIM To use Quality and Outcomes Framework (QOF) indicators to explore the characteristics of primary care in deprived communities. DESIGN OF STUDY Two-year study. SETTING Primary care in England. METHOD QOF data were obtained for(More)
BACKGROUND The descriptive information now available for primary care in the UK is unique in international terms. Under the 'Quality and Outcomes Framework' (QOF), data for 147 performance indicators are available for each general practice. We aimed to determine the relationship between the quality of primary care, as judged by the total QOF score, social(More)
BACKGROUND Antidepressant prescribing should reflect need. The Quality and Outcomes Framework has provided an opportunity to explore factors affecting antidepressant prescribing in UK general practice. AIMS To explore the relationship between physical illness, social deprivation, ethnicity, practice characteristics and the volume of antidepressants(More)
OBJECTIVE To determine levels of blood pressure monitoring and control in primary care and to determine the effect of social deprivation on these levels. DESIGN Retrospective longitudinal survey, 2005 to 2007. SETTING General practices in England. PARTICIPANTS Data obtained from 8515 practices (99.3% of all practices) in year 1, 8264 (98.3%) in year(More)
We aimed to study the relationship between the prescribing of lipid-lowering medication, social deprivation and other general practice characteristics. We conducted a cross-sectional survey of all general practices in England, 2004-05. For each practice, the following variables were obtained: standardized cost and volume data for lipid-lowering medication,(More)
This paper investigates whether general practitioners (GPs) who do not participate in questionnaire surveys (non-responders) hold different views on participation in primary care reorganisation than their more compliant colleagues. A survey of 72 GPs' involvement in a pilot primary care prescribing group elicited an initial response of 74%. Non-responders(More)
BACKGROUND Child and adolescent mental health problems are common in primary care. However, few parents of children with mental health problems express concerns about these problems during consultations. AIMS To explore the factors influencing parental help-seeking for children with emotional or behavioural difficulties. METHOD Focus group discussions(More)
OBJECTIVE To evaluate diabetes outcomes under a national "pay-for-performance" program. RESEARCH DESIGN AND METHODS Data were analyzed for 98% of all English family practices. For each practice, the proportion of diabetic subjects with A1C <or=7.5%, blood pressure <or=145/85 mmHg, and cholesterol <or=5 mmol/l was determined. Practices achieving less than(More)
Fifteen patients with various developmental and acquired abnormalities of the vagina were treated by the application of human amnion over a mold after surgical dissection of a space for the new vagina or enlargement of an existing but strictured one. Excellent results were achieved in cases of complete and partial vaginal agenesis, and there was improvement(More)