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BACKGROUND several different models of out-of-hours primary care now exist in the UK. Important outcomes of care include users' satisfaction and enablement to manage their illness or condition, but the determinants of these outcomes in the unscheduled care domain are poorly understood. Aim. To identify predictors of user satisfaction and enablement across(More)
BACKGROUND Several models of GP out-of-hours provision exist in the UK but there is little detail about their effectiveness to meet users' needs and expectations. AIM To explore users' needs, expectations, and experiences of out-of-hours care, and to identify proposals for service redesign. SETTING Service providers in urban (GP cooperative), mixed(More)
BACKGROUND considerable changes have occurred over the last 5 years in the organization of out-of-hours care in the UK. Users' experiences of their care are an important part of 'quality of care' and are valuable for identifying areas for improvement. AIM to identify strengths and weaknesses of out-of hours service provision in Wales. The design of the(More)
Trade unions have often been criticized for their failure to address occupational health issues. This article explores their response to byssinosis-a chronic respiratory disease caused by exposure to cotton dust that was rife in the Lancashire cotton industry in the early nineteenth and twentieth centuries. Using the archives of the cardroom and spinning(More)
Two major debates in the literature, productivity performance and the decline of the cotton industry, are joined in the analysis presented in this article on the attempts to raise productivity through the introduction of the more looms per weaver system in cotton weaving in the inter-war years. We find that the limited resultant changes were the outcome of(More)
This paper examines morbidity and mortality patterns in interwar England and Wales, using previously under-explored primary archival source materials. These materials help us understand not only what local authorities could and did do, but also the reasons for the marked variations in the ability of different authorities to manage the problem. We identify(More)
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