Ruth Boaden
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View article: Centralisation of specialist cancer surgery services in two areas of England: the RESPECT-21 mixed-methods evaluation
Centralisation of specialist cancer surgery services in two areas of England: the RESPECT-21 mixed-methods evaluation Open
Background Centralising specialist cancer surgical services is an example of major system change. High-volume centres are recommended to improve specialist cancer surgery care and outcomes. Objective Our aim was to use a mixed-methods appr…
View article: Does the process of developing products for knowledge mobilisation from healthcare research influence their uptake? A comparative case study
Does the process of developing products for knowledge mobilisation from healthcare research influence their uptake? A comparative case study Open
View article: Contributors are representative, as long as they agree: How confirmation logic overrides effort to achieve synthesis in applied health research
Contributors are representative, as long as they agree: How confirmation logic overrides effort to achieve synthesis in applied health research Open
Introduction The paradox of representation in public involvement in research is well recognized, whereby public contributors are seen as either too naïve to meaningfully contribute or too knowledgeable to represent ‘the average patient’. G…
View article: Scale-up of ABC care bundle for intracerebral haemorrhage across two hyperacute stroke units in one region in England: a mixed methods evaluation of a quality improvement project
Scale-up of ABC care bundle for intracerebral haemorrhage across two hyperacute stroke units in one region in England: a mixed methods evaluation of a quality improvement project Open
Background Intracerebral haemorrhage (ICH) accounts for 10%–15% of strokes in the UK, but is responsible for half of all annual global stroke deaths. The ABC bundle for ICH was developed and implemented at Salford Royal Hospital, and was a…
View article: "Attending to History" in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration
"Attending to History" in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration Open
Background: The reconfiguration of specialist hospital services, with service provision concentrated in a reduced number of sites, is one example of major system change (MSC) for which there is evidence of improved patient outcomes. This p…
View article: Co-designing new tools for collecting, analysing and presenting patient experience data in NHS services: working in partnership with patients and carers
Co-designing new tools for collecting, analysing and presenting patient experience data in NHS services: working in partnership with patients and carers Open
View article: Recovering from COVID-19: The key issues
Recovering from COVID-19: The key issues Open
View article: Digital methods to enhance the usefulness of patient experience data in services for long-term conditions: the DEPEND mixed-methods study
Digital methods to enhance the usefulness of patient experience data in services for long-term conditions: the DEPEND mixed-methods study Open
Background Collecting NHS patient experience data is critical to ensure the delivery of high-quality services. Data are obtained from multiple sources, including service-specific surveys and widely used generic surveys. There are concerns …
View article: Push, pull or co-produce?
Push, pull or co-produce? Open
View article: A dynamic capabilities view of improvement capability
A dynamic capabilities view of improvement capability Open
Purpose Organisations within healthcare increasingly operate in rapidly changing environments and present wide variation in performance. It can be argued that this variation is influenced by the capability of an organisation to improve: it…
View article: Pre-hospital stroke recognition in a UK centralised stroke system: a qualitative evaluation of current practice
Pre-hospital stroke recognition in a UK centralised stroke system: a qualitative evaluation of current practice Open
Background: A significant number of patients conveyed via ambulance to hyper acute stroke units (HASU) with suspected stroke have other diagnoses. This may delay treatment for non-stroke patients and cause burden to stroke teams. The Great…
View article: Evaluation of reconfigurations of acute stroke services in different regions of England and lessons for implementation: a mixed-methods study
Evaluation of reconfigurations of acute stroke services in different regions of England and lessons for implementation: a mixed-methods study Open
Background Centralising acute stroke services is an example of major system change (MSC). ‘Hub and spoke’ systems, consisting of a reduced number of services providing acute stroke care over the first 72 hours following a stroke (hubs), wi…
View article: Impact and sustainability of centralising acute stroke services in English metropolitan areas: retrospective analysis of hospital episode statistics and stroke national audit data
Impact and sustainability of centralising acute stroke services in English metropolitan areas: retrospective analysis of hospital episode statistics and stroke national audit data Open
Objectives To investigate whether further centralisation of acute stroke services in Greater Manchester in 2015 was associated with changes in outcomes and whether the effects of centralisation of acute stroke services in London in 2010 we…
View article: The signal in the noise: Robust detection of performance “outliers” in health services
The signal in the noise: Robust detection of performance “outliers” in health services Open
To make the increasing amounts of data about the performance of public sector organisations digestible by decision makers, composite indicators are commonly constructed, from which a natural step is rankings and league tables. However, how…
View article: Learning from the emergence of NIHR Collaborations for Leadership in Applied Health Research and Care (CLAHRCs): a systematic review of evaluations
Learning from the emergence of NIHR Collaborations for Leadership in Applied Health Research and Care (CLAHRCs): a systematic review of evaluations Open
View article: Improving care for older people with long-term conditions and social care needs in Salford: the CLASSIC mixed-methods study, including RCT
Improving care for older people with long-term conditions and social care needs in Salford: the CLASSIC mixed-methods study, including RCT Open
Background The Salford Integrated Care Programme (SICP) was a large-scale transformation project to improve care for older people with long-term conditions and social care needs. We report an evaluation of the ability of the SICP to delive…
View article: 5 The art of compromise: co-production of evidence in applied health research
5 The art of compromise: co-production of evidence in applied health research Open
Objectives Co-production approaches, variously referred to as integrated knowledge translation, participatory research and co-design, provide an alternative to the traditional 'push' and 'pull' modes of translating research evidence into b…
View article: Assessing improvement capability in healthcare organisations: a qualitative study of healthcare regulatory agencies in the UK
Assessing improvement capability in healthcare organisations: a qualitative study of healthcare regulatory agencies in the UK Open
The UK regulatory agencies seek to assess improvement capability to predict performance trajectories, but out of eight dimensions of improvement capability, two dominate assessment. Furthermore, the definition and meaning of assessment ins…
View article: Improvement capability and performance: a qualitative study of maternity services providers in the UK
Improvement capability and performance: a qualitative study of maternity services providers in the UK Open
The improvement capability framework is a useful tool for healthcare organisations to assess, manage and develop their own improvement capabilities. We identified an interaction between performance and improvement capability; higher perfor…
View article: Patient experience of centralized acute stroke care pathways
Patient experience of centralized acute stroke care pathways Open
Background In 2010, Greater Manchester ( GM ) and London centralized acute stroke care services into a reduced number of hyperacute stroke units, with local stroke units providing on‐going care nearer patients’ homes. Objective To explore …
View article: The potential role of cost-utility analysis in the decision to implement major system change in acute stroke services in metropolitan areas in England
The potential role of cost-utility analysis in the decision to implement major system change in acute stroke services in metropolitan areas in England Open
View article: Patient, carer and public involvement in major system change in acute stroke services: The construction of value
Patient, carer and public involvement in major system change in acute stroke services: The construction of value Open
Background Patient and public involvement is required where changes to care provided by the UK National Health Service are proposed. Yet involvement is characterized by ambiguity about its rationales, methods and impact. Aims To understand…
View article: Emerging Hybridity: A Comparative Analysis of Regulatory Arrangements in the Four Countries of the UK
Emerging Hybridity: A Comparative Analysis of Regulatory Arrangements in the Four Countries of the UK Open
Healthcare regulation is one means of addressing quality challenges, and is carried out using compliance and deterrence approaches. This study in this chapter aims to understand emerging regulatory models through comparison in the United K…
View article: ISQUA17-1226REGULATORY CONCEPTUALISATION AND ASSESSMENT OF HEALTHCARE IMPROVEMENT CAPABILITY IN THE UK
ISQUA17-1226REGULATORY CONCEPTUALISATION AND ASSESSMENT OF HEALTHCARE IMPROVEMENT CAPABILITY IN THE UK Open
View article: Conceptualizing and assessing improvement capability: a review
Conceptualizing and assessing improvement capability: a review Open
The assessment and development of improvement capability needs clearer and more consistent conceptual and terminological definition, used consistently across disciplines and sectors. There is scope to learn from existing instruments and fr…
View article: Emerging hybridity: comparing UK healthcare regulatory arrangements
Emerging hybridity: comparing UK healthcare regulatory arrangements Open
Purpose Healthcare regulation is one means to address quality challenges in healthcare systems and is carried out using compliance, deterrence and/or improvement approaches. The four countries of the UK provide an opportunity to explore an…
View article: Reorganising specialist cancer surgery for the twenty-first century: a mixed methods evaluation (RESPECT-21)
Reorganising specialist cancer surgery for the twenty-first century: a mixed methods evaluation (RESPECT-21) Open
This multi-site study will address gaps in the evidence on stakeholder preferences for centralisations of specialist cancer surgery and the processes, impact and cost-effectiveness of changes of this kind. With increasing drives to central…
View article: The âdark sideâ of knowledge brokering
The âdark sideâ of knowledge brokering Open
Deploying knowledge brokers to bridge the âgapâ between researchers and practitioners continues to be seen as an unquestionable enabler of evidence-based practice and is often endorsed uncritically. We explore the âdark sideâ of kn…
View article: Challenges, solutions and future directions in the evaluation of service innovations in health care and public health
Challenges, solutions and future directions in the evaluation of service innovations in health care and public health Open
Headline Evaluating service innovations in health care and public health requires flexibility, collaboration and pragmatism; this collection identifies robust, innovative and mixed methods to inform such evaluations.
View article: An open letter to<i>The BMJ</i>editors on qualitative research
An open letter to<i>The BMJ</i>editors on qualitative research Open
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