Luke Allen
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View article: Enhanced patient counselling and SMS reminder messages to improve access to community-based eye care services in Meru, Kenya: an embedded, pragmatic, individual-level, randomised, controlled, adaptive platform trial
Enhanced patient counselling and SMS reminder messages to improve access to community-based eye care services in Meru, Kenya: an embedded, pragmatic, individual-level, randomised, controlled, adaptive platform trial Open
For the Swahili translation of the abstract see Supplementary Materials section.
View article: Rapid sequential mixed-method study to identify barriers and explore solutions for improving equitable access to community-based eye care services in Uttar Pradesh, India
Rapid sequential mixed-method study to identify barriers and explore solutions for improving equitable access to community-based eye care services in Uttar Pradesh, India Open
Objective In low-income and middle-income countries, significant geographical and socioeconomic inequalities affect access to eye care. This study explores an equity-focused approach to improve access to eye care services provided by a com…
View article: Private sector engagement strategies with implications for NCD prevention and control: focus on ten international organisations
Private sector engagement strategies with implications for NCD prevention and control: focus on ten international organisations Open
Background International organisations and development agencies have important roles to play in addressing noncommunicable diseases (NCDs) and their risk factors at the nexus of health, socioeconomic, and environmental development challeng…
View article: Trends in the shortfall of English NHS general practice doctors: repeat cross sectional study
Trends in the shortfall of English NHS general practice doctors: repeat cross sectional study Open
Objectives To compare the numbers and characteristics of English general practitioner doctors (GPs) across publicly available data sources, and to examine trends in GP numbers relative to population growth and the specialist medical workfo…
View article: Can multidisciplinary teams improve the quality of primary care? A scoping review
Can multidisciplinary teams improve the quality of primary care? A scoping review Open
The International Centre for Future Health Systems is supported by funding from The Ian Potter Foundation.
View article: Models of global primary care post-2030
Models of global primary care post-2030 Open
Primary care is currently a central focus in global health policy; however, renewed attention has not translated into the investment needed to build systems that are fit for the future. As 2030 approaches, many health systems are convergin…
View article: Characteristics of patient enrolment policies in primary care: a qualitative analysis of 15 schemes from 12 high-income countries
Characteristics of patient enrolment policies in primary care: a qualitative analysis of 15 schemes from 12 high-income countries Open
A previously published review on primary care enrolment schemes found substantial variations in their characteristics, each with the potential to affect their ability to ensure people have access to primary care and continuity in their car…
View article: COVID-19 pandemic and access to mental healthcare: A qualitative study of the experiences of mental healthcare providers and caregivers in Ghana
COVID-19 pandemic and access to mental healthcare: A qualitative study of the experiences of mental healthcare providers and caregivers in Ghana Open
The COVID-19 pandemic created enormous additional demand for already weak mental health systems in many countries that were severely impacted, as evidence showed that new mental health disorders were triggered while those with pre-existing…
View article: Evidence‐Based Approaches to Quality Improvement: A Narrative Review of Integrating Bayesian Adaptive Trials Into Health Services
Evidence‐Based Approaches to Quality Improvement: A Narrative Review of Integrating Bayesian Adaptive Trials Into Health Services Open
Rationale Quality improvement (QI) in health service programmes aims to make small, incremental changes to increase reach and efficiency. Simple, low‐risk programmatic changes can improve services, particularly when supported by robust evi…
View article: How major international development organisations operationalise primary health care: a thematic content analysis of strategy documents
How major international development organisations operationalise primary health care: a thematic content analysis of strategy documents Open
Despite consensus around the need to prioritise primary health care (PHC), misaligned interpretations of this concept have real-world consequences for implementation. Here, we analysed how 30 major international development organisations o…
View article: Integrating Mobile Health App Data Into Electronic Medical or Health Record Systems and Its Impact on Health Care Delivery and Patient Health Outcomes: Scoping Review
Integrating Mobile Health App Data Into Electronic Medical or Health Record Systems and Its Impact on Health Care Delivery and Patient Health Outcomes: Scoping Review Open
Background Mobile health (mHealth) apps are increasingly being used to capture patient health data, provide information, and guide self-management, with reported improvements in health care service delivery and outcomes. However, the impac…
View article: Counting general practitioners: a comparative repeat cross-sectional analysis of GPs in NHS general practice in England
Counting general practitioners: a comparative repeat cross-sectional analysis of GPs in NHS general practice in England Open
Background There have been successive government promises to increase general practitioner (GP) numbers in England. Aim To compare how NHS general practice GP numbers and trends differ depending on how GPs are defined and data are analysed…
View article: The impact of patient enrolment in primary care on continuity and quality of care around the world, 2014–2024, and lessons for Australia: a scoping review
The impact of patient enrolment in primary care on continuity and quality of care around the world, 2014–2024, and lessons for Australia: a scoping review Open
Objectives To identify publications examining the enablers of and barriers to patient enrolment in primary care and its impact on continuity and quality of care; to assess the likely effectiveness of voluntary patient enrolment (MyMedicare…
View article: Enhanced patient counselling and SMS reminder messages to improve equitable access to community-based eye care services in Meru, Kenya: An embedded, pragmatic, individual-level, two arm, equity-focused, Bayesian RCT within an adaptive platform trial
Enhanced patient counselling and SMS reminder messages to improve equitable access to community-based eye care services in Meru, Kenya: An embedded, pragmatic, individual-level, two arm, equity-focused, Bayesian RCT within an adaptive platform trial Open
Background In Kenya’s Meru county, only 46% of people identified with an eye problem during screening go on to access and receive eye care services at local clinics, with younger adults (those aged 18-44) being the least likely to receive …
View article: Public health and general practice working together
Public health and general practice working together Open
No abstract available.
View article: Uptake of patient enrolment in primary care and associated factors: a systematic review and meta-analysis
Uptake of patient enrolment in primary care and associated factors: a systematic review and meta-analysis Open
The findings reveal that more than two-thirds of patients were enrolled with a primary care provider or practice; enrolment was influenced by demographic, geographic, socioeconomic, and clinical factors. Lower enrolment among men, recent i…
View article: Comparison of Telephone and In-Person Interview Modalities: Duration, Richness, and Costs in the Context of Exploring Determinants of Equitable Access to Community Health Services in Meru, Kenya
Comparison of Telephone and In-Person Interview Modalities: Duration, Richness, and Costs in the Context of Exploring Determinants of Equitable Access to Community Health Services in Meru, Kenya Open
Background Our research team conducted phenomenological interviews in Kenya with people who were not able to access community eye health services, aiming to explore the barriers and ideas for potential service modifications. We conducted a…
View article: Enhanced patient counselling and SMS reminder messages to improve access to community-based eye care services in Meru, Kenya: statistical analysis plan for a Bayesian adaptive trial
Enhanced patient counselling and SMS reminder messages to improve access to community-based eye care services in Meru, Kenya: statistical analysis plan for a Bayesian adaptive trial Open
Background Health service programmes frequently encounter challenges with patient adherence to care. A promising, low-risk approach to address this issue is providing patients with targeted information about the importance of adherence. In…
View article: Identifying barriers and potential solutions to improve equitable access to community eye services: an exploratory sequential mixed methods study protocol
Identifying barriers and potential solutions to improve equitable access to community eye services: an exploratory sequential mixed methods study protocol Open
Introduction Access to care varies by sociodemographic group, with some groups facing higher barriers to care than others. This study will use novel methods to explore barriers and potential solutions as perceived by members of the populat…
View article: Protocol for an adaptive platform trial of intended service user-derived interventions to equitably reduce non-attendance in eye screening programmes in Botswana, India, Kenya and Nepal
Protocol for an adaptive platform trial of intended service user-derived interventions to equitably reduce non-attendance in eye screening programmes in Botswana, India, Kenya and Nepal Open
Introduction Only 30%–50% of people referred to clinics during community-based eye screening are able to access care in Botswana, India, Kenya and Nepal. The access rate is even lower for certain population groups. This platform trial aims…
View article: Primary Care and Public Health – Both Essential for National Health Security and Population Health
Primary Care and Public Health – Both Essential for National Health Security and Population Health Open
The COVID-19 pandemic was a stress test that revealed critical weaknesses in the foundation of the US health care delivery system, which left unresolved will ultimately lead to catastrophic population health consequences. Primary care and …
View article: To vaccinate or not to vaccinate? Experiences of COVID-19 vaccine uptake among people living with non-communicable diseases in Ghana: A qualitative study
To vaccinate or not to vaccinate? Experiences of COVID-19 vaccine uptake among people living with non-communicable diseases in Ghana: A qualitative study Open
Following the development of a vaccine for COVID-19, the expectation was instantaneous widespread distribution and uptake to halt further spread, severe illness and deaths from the virus. However, studies show very low uptake, especially i…
View article: Health system readiness to deliver integrated noncommunicable disease and antenatal care in Kyrgyzstan, Tajikistan, and Vietnam
Health system readiness to deliver integrated noncommunicable disease and antenatal care in Kyrgyzstan, Tajikistan, and Vietnam Open
Introduction: Globally, noncommunicable diseases (NCDs) are a leading cause of death among women of reproductive age. Reproductive, maternal, newborn, and child health (RMNCH) services provide an important opportunity to prevent, detect, a…
View article: Access to community-based eye services in Meru, Kenya: a cross-sectional equity analysis
Access to community-based eye services in Meru, Kenya: a cross-sectional equity analysis Open
Background Over 80% of blindness in Kenya is due to curable or preventable causes and 7.5 m Kenyans currently need eye services. Embedding sociodemographic data collection into screening programmes could help identify the groups facing sys…
View article: Protocol for an adaptive platform trial of intended service user-derived interventions to equitably reduce non-attendance in eye screening programmes in Botswana, India, Kenya & Nepal
Protocol for an adaptive platform trial of intended service user-derived interventions to equitably reduce non-attendance in eye screening programmes in Botswana, India, Kenya & Nepal Open
Background Only 30-50% of people referred to clinics during community-based eye screening are able to access care in Botswana, India, Kenya, and Nepal. The access rate is even lower for certain population groups. This platform trial aims t…