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OBJECTIVES To understand how the policy of user involvement is interpreted in health service organisations and to identify factors that influence how user involvement is put into practice. DESIGN Ethnographic study using participant observation, interviews, and collection of documentary evidence. SETTING A multiagency modernisation programme to improve(More)
BACKGROUND AND PURPOSE Development of interventions to manage patients with stroke after discharge from the hospital requires estimates of need. This study estimates the prevalence of self-reported need in community-dwelling stroke survivors across the United Kingdom. METHODS We conducted a survey of stroke survivors 1 to 5 years poststroke recruited(More)
OBJECTIVES Gender inequity has persisted in academic medicine. Yet equity is vital for countries to achieve their full potential in terms of translational research and patient benefit. This study sought to understand how the gender equity programme, Athena SWAN, can be enabled and constrained by interactions between the programme and the context it is(More)
BACKGROUND It is a UK policy requirement to involve patients and the public in health research as active partners. OBJECTIVE We reviewed published reports of studies which involved older people in commissioning, prioritizng, designing, conducting or disseminating research. Search strategy and selection criteria: systematic searches of databases (PubMed,(More)
BACKGROUND Health researchers are encouraged to involve service users as partners in their research. There is a need to increase the evidence base of involvement, including an accumulation of empirical accounts of involvement practices, demonstrating how involvement influences research and refinement of the concept itself. AIMS To report the development(More)
INTRODUCTION Translational research is central to international health policy, research and funding initiatives. Despite increasing use of the term, the translation of basic science discoveries into clinical practice is not straightforward. This systematic search and narrative synthesis aimed to examine factors enabling or hindering translational research(More)
This paper examines citizen participation in health research, where funders increasingly seek to promote and define ‘patient and public involvement’ (PPI). In England, the focus of our study, government policy articulates a specific set of meanings attached to PPI that fuse patients’ rights and responsibilities as citizens, as ‘consumers’ and as ‘lay(More)
BACKGROUND Lay involvement in implementation of research evidence into practice may include using research findings to guide individual care, as well as involvement in research processes and policy development. Little is known about the conditions required for such involvement. AIM To assess stroke survivors' research awareness, use of research evidence(More)
Polypharmacy, usually defined as the ongoing use of ≥4 medicines by one person, presents one of the most pressing primary care challenges of our time. This simple definition conceals much of the complexity that the concept evokes in the mind of the GP. Polypharmacy is not a new challenge for general practice, but the scale and complexity of the challenge is(More)
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