Tim Benson
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View article: Bridging the Digital Divide: A Multi‐Method Evaluation of Nursing Readiness for Digital Health Technology
Bridging the Digital Divide: A Multi‐Method Evaluation of Nursing Readiness for Digital Health Technology Open
Aim The aim of this study was to explore the digital health technology readiness of nurses, nursing students, nurse‐academics, and nurses in leadership roles. Workforce digital readiness impacts the adoption of digital health technologies …
View article: Pilot study evaluating frailty-focused care for hospitalised patients with chronic obstructive pulmonary disease
Pilot study evaluating frailty-focused care for hospitalised patients with chronic obstructive pulmonary disease Open
Background Frailty is associated with morbidity and mortality among people with chronic obstructive pulmonary disease (COPD), yet there are no established care pathways to manage frail patients with COPD. To address this gap, we developed,…
View article: Measuring health confidence: benefits to patients, clinicians and healthcare providers
Measuring health confidence: benefits to patients, clinicians and healthcare providers Open
Background Patients need a high level of health confidence to manage their own care with success. However, health confidence is complex and changes throughout life. Methods The Health Confidence Score (HCS) is a measure of a patient’s conf…
View article: Why EQ-5D and the Oxford Hip and Knee scores do not measure the same things
Why EQ-5D and the Oxford Hip and Knee scores do not measure the same things Open
Introduction The outcome of treatment is always paramount for patients and healthcare professionals. Patient-reported outcome measures have been developed to measure outcomes. Since 2009, all patients in England having hip and knee replace…
View article: Evaluation of a data-driven recall system in general practice
Evaluation of a data-driven recall system in general practice Open
Introduction This paper presents a mixed-methods evaluation of the spread of the Target Health Solutions data-driven recall system to seven general practices (GPs). The aim was to assess implementation success, changes in staff perceptions…
View article: Impact of illness and death: comparison of Load and QALY models
Impact of illness and death: comparison of Load and QALY models Open
Background When allocating resources health decision-makers make trade-offs between different outcomes, such as morbidity and mortality. The Load and QALY (quality-adjusted life year) models are two approaches that have been developed to h…
View article: Why it is hard to use PROMs and PREMs in routine health and care
Why it is hard to use PROMs and PREMs in routine health and care Open
Patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) show the results of healthcare activities as rated by patients and others. Patients or their proxies record feedback using questionnaires. These can…
View article: Routine measurement of patient experience
Routine measurement of patient experience Open
Patient experience is a key pillar of healthcare quality. We describe a framework of three short generic measures covering Patient Experience, Result Satisfaction and Service Integration. The Result Satisfaction measure is described for th…
View article: Readiness for five digital technologies in general practice: perceptions of staff in one part of southern England
Readiness for five digital technologies in general practice: perceptions of staff in one part of southern England Open
Background Our aim was to understand how digital readiness within general practice varies between different technologies and to identify how demographic, workplace and external factors affect this. The technologies considered include elect…
View article: Development of social contact and loneliness measures with validation in social prescribing
Development of social contact and loneliness measures with validation in social prescribing Open
Aims This paper describes two patient-reported measures of social contact and loneliness, which are closely related concepts. The first measure (R-Outcomes Social Contact measure) was developed from scratch, based on customer needs and lit…
View article: Person-specific outcome measure (PSO) for use in primary and community care
Person-specific outcome measure (PSO) for use in primary and community care Open
Patient-reported outcome and experience measures (PROMs and PREMs) fall into three broad categories: condition-specific measures, which are applicable to patients with specific conditions only; generic measures, which apply to all types of…
View article: Patient-reported outcomes (R-Outcomes) and user experience following six months’ enrolment in a diabetes digital health service: My Diabetes My Way (Preprint)
Patient-reported outcomes (R-Outcomes) and user experience following six months’ enrolment in a diabetes digital health service: My Diabetes My Way (Preprint) Open
BACKGROUND Diabetes eHealth platforms facilitate self-management and improve patient outcomes. Engagement relies on user experience/satisfaction. OBJECTIVE This study investigates how enrolment in a newly implemented eHealth platform (M…
View article: A standard set of person‐centred outcomes for diabetes mellitus: results of an international and unified approach
A standard set of person‐centred outcomes for diabetes mellitus: results of an international and unified approach Open
Aims To select a core list of standard outcomes for diabetes to be routinely applied internationally, including patient‐reported outcomes. Methods We conducted a structured systematic review of outcome measures, focusing on adults with eit…
View article: Measure what we want: a taxonomy of short generic person-reported outcome and experience measures (PROMs and PREMs)
Measure what we want: a taxonomy of short generic person-reported outcome and experience measures (PROMs and PREMs) Open
Introduction Health and care systems are complex and multifaceted, but most person-reported outcome and experience measures (PROMs and PREMs) address just one aspect. Multiple aspects need measuring to understand how what we do impacts pat…
View article: Comparison of staff and resident health status ratings in care homes
Comparison of staff and resident health status ratings in care homes Open
Background Many care home residents cannot self-report their own health status. Previous studies have shown differences between staff and resident ratings. In 2012, we collected 10 168 pairs of health status ratings using the howRu health …
View article: Health status of care home residents: practicality and construct validity of data collection by staff at scale
Health status of care home residents: practicality and construct validity of data collection by staff at scale Open
Background Medical diagnoses and assessed need for care are the prerequisites for planning and delivery of care to residents of care homes. Assessing the effectiveness of care is difficult. The aim of this study was to test the practicalit…
View article: Monitoring work well-being, job confidence and care provided by care home staff using a self-report survey
Monitoring work well-being, job confidence and care provided by care home staff using a self-report survey Open
Background and method In care homes, staff well-being, job confidence and opinion of the care provided to residents are central to morale and care quality. In this study, care home staff in the East Midlands region of England completed sel…
View article: Development and initial testing of a Health Confidence Score (HCS)
Development and initial testing of a Health Confidence Score (HCS) Open
Introduction Patients need to feel confident about looking after their own health. This is needed to improve patient outcomes and clinical support. With few suitable tools available to measure self-care health confidence, we developed and …
View article: Digital innovation evaluation: user perceptions of innovation readiness, digital confidence, innovation adoption, user experience and behaviour change
Digital innovation evaluation: user perceptions of innovation readiness, digital confidence, innovation adoption, user experience and behaviour change Open
Background Innovation spread is a key policy objective for health systems world-wide, but adoption success varies enormously. We have developed a set of short generic user-reported measures to help understand how and why healthcare innovat…
View article: Personal Wellbeing Score (PWS)—a short version of ONS4: development and validation in social prescribing
Personal Wellbeing Score (PWS)—a short version of ONS4: development and validation in social prescribing Open
Aims Our aim was to develop a short generic measure of subjective well-being for routine use in patient-centred care and healthcare quality improvement alongside other patient-reported outcome and experience measures. Methods The Personal …
View article: An Investigation into Different Correlation Methods between NMR T2 Distributions and Primary Drainage Capillary Pressure Curves Using an Extensive Sandstone Database
An Investigation into Different Correlation Methods between NMR T2 Distributions and Primary Drainage Capillary Pressure Curves Using an Extensive Sandstone Database Open
Many workers have recognised the link between Nuclear Magnetic Resonance (NMR) derived T2 distributions and pore size distributions in reservoir rocks. This property has been used to develop models to obtain primary drainage capillary pres…
View article: A Taxonomy for Survey Measures Used to Evaluate Complex Digital Health Innovations
A Taxonomy for Survey Measures Used to Evaluate Complex Digital Health Innovations Open
Evaluators need to measure whether innovations help patients and staff, but have lacked the tools needed to do this as part of routine care. We provide a taxonomy for the classification of survey measures, which can be used together on a p…
View article: Performance of EQ-5D, howRu and Oxford hip & knee scores in assessing the outcome of hip and knee replacements
Performance of EQ-5D, howRu and Oxford hip & knee scores in assessing the outcome of hip and knee replacements Open
For hip and knee replacement, the outcome measured by howRu was more highly correlated with that measured by the condition-specific Oxford Hip and Knee Scores than were EQ-5D Index or EQ-VAS. The magnitude of change before and after surger…
View article: The Load Model: an alternative to QALY
The Load Model: an alternative to QALY Open
In the Load model the weight of morbidity, relative to mortality, is very different from that in the QALY model. Given the role of the QALYs in economic evaluation, the implications of an alternative, which generates very different results…
View article: Open Source Paradigm: A Synopsis of The Cathedral and the Bazaar for Health and Social Care
Open Source Paradigm: A Synopsis of The Cathedral and the Bazaar for Health and Social Care Open
Background: Open source software (OSS) is becoming more fashionable in health and social care, although the ideas are not new. However progress has been slower than many had expected.Objective: The purpose is to summarise the Free/Libre Op…