Phillip McNamee

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BACKGROUND Radiological tests are often used by general practitioners (GPs). These tests can be overused and contribute little to clinical management. We aimed to assess two methods of reducing GP requests for radiological tests in accordance with the UK Royal College of Radiologists' guidelines on lumbar spine and knee radiographs. METHODS We assessed(More)
OBJECTIVE Investigate presence of psychiatric morbidity in informal carers using 30-item General Health Questionnaire (GHQ) and examine which factors best predict psychiatric morbidity. DESIGN Two-year longitudinal, panel survey of informal supporters of frail elderly subjects, using semi-structured interview schedules. Subjects were those defined as(More)
OBJECTIVE To evaluate the cost-effectiveness of interferon beta-1b (IFbeta-1b) for relapsing-remitting multiple sclerosis (RRMS). METHODS Construction of a cost-effectiveness model using published data on IFbeta-1b effectiveness and the natural history of RRMS, and new data on costs and quality of life (QoL) from a sample of 102 patients with RRMS and(More)
BACKGROUND An important factor determining future health care expenditure is the relationship between ageing, health status and development of age-related disorders such as dementia. AIMS To estimate the formal care costs associated with dementia in England and Wales between 1994 and 2031. METHOD Epidemiological cost model, applied to individuals aged(More)
OBJECTIVES To test the extent to which two existing ambulatory case mix measures (Ambulatory Visit Groups and Ambulatory Patient Groups) and other variables can explain resource use variations in ophthalmic outpatient visits. DESIGN Three week prospective study of three consultant outpatient clinics. SETTING One ophthalmic hospital (Sunderland Eye(More)
BACKGROUND Conflict in healthcare is a well-recognised but under-examined phenomenon. Little is known about the prevalence and causes of conflict across paediatric specialties. OBJECTIVE To report the frequency and characteristics of conflict in a paediatric hospital. DESIGN AND SETTING An explanatory sequential mixed-method approach was adopted. A(More)
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