Richard Cookson

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BACKGROUND Quality of life is the subject of growing interest and investigation. AIMS To develop and validate a short, self-report quality of life questionnaire (the Schizophrenia Quality of Life Scale, SQLS). METHOD People with schizophrenia in Liverpool were recruited via the NHS. Items, generated from in-depth interviews, were developed into an(More)
BACKGROUND The General Medical Services primary care contract for the United Kingdom financially rewards performance in 19 clinical areas, through the Quality and Outcomes Framework. Little is known about how best to determine the size of financial incentives in pay for performance schemes. Our aim was to test the hypothesis that performance indicators with(More)
This study used multiple elicitation question modes and group discussions to value psycho-social considerations associated with public perceptions of health risks. Values for saving 100 statistical lives in six different policy contexts varied by +/- 50%, largely due to psycho-social considerations of choice and control. A "currency effect" was found: value(More)
This Guidance for Priority Setting in Health Care (GPS-Health), initiated by the World Health Organization, offers a comprehensive map of equity criteria that are relevant to health care priority setting and should be considered in addition to cost-effectiveness analysis. The guidance, in the form of a checklist, is especially targeted at decision makers(More)
Waiting times for elective surgery, like hip replacement, are often referred to as an equitable rationing mechanism in publicly-funded healthcare systems because access to care is not based on socioeconomic status. Previous work has established that that this may not be the case and there is evidence of inequality in NHS waiting times favouring patients(More)
BACKGROUND The 2003 revision of the UK GMS contract rewards general practices for performance against clinical quality indicators. Practices can exempt patients from treatment, and can receive maximum payment for less than full coverage of eligible patients. This paper aims to estimate the gap between the percentage of maximum incentive gained and the(More)
In this article, we reassess the court's role in the withdrawal of clinically assisted nutrition and hydration from patients in the permanent vegetative state (PVS), focussing on cases where health-care teams and families agree that such is in the patient's best interest. As well as including a doctrinal analysis, the reassessment draws on empirical data(More)
OBJECTIVE To measure changes in socioeconomic inequality in the distribution of family physicians (general practitioners (GPs)) relative to need in England from 2004/2005 to 2013/2014. DESIGN Whole-population small area longitudinal data linkage study. SETTING England from 2004/2005 to 2013/2014. PARTICIPANTS 32,482 lower layer super output areas(More)
BACKGROUND Provision of universal coverage is essential for achieving equity in healthcare, but inequalities still exist in universal healthcare systems. Between 2004/2005 and 2011/2012, the National Health Service (NHS) in England, which has provided universal coverage since 1948, made sustained efforts to reduce health inequalities by strengthening(More)
BACKGROUND There are substantial socioeconomic inequalities in both life expectancy and healthcare use in England. In this study, we describe how these two sets of inequalities interact by estimating the social gradient in hospital costs across the life course. METHODS Hospital episode statistics, population and index of multiple deprivation data were(More)