Affiliation: University of Dundee
- Practice postcode versus patient population: a comparison of data sources in England and ScotlandGary McLean
General Practice and Primary Care, Division of Community Based Sciences, University of Glasgow, Glasgow, 1 Horselethill Road Glasgow, G12 9LX, UK
Int J Health Geogr 7:37. 2008..Here, we report on the impact of using data assigned to the practice population by comparing analyses using English and Scottish data...
- Differences in the quality of primary medical care for CVD and diabetes across the NHS: evidence from the quality and outcomes frameworkGary McLean
General Practice and Primary Care, University of Glasgow, Glasgow, UK
BMC Health Serv Res 7:74. 2007....
- Routine mortality monitoring for detecting mass murder in UK general practice: test of effectiveness using modellingBruce Guthrie
Tayside Centre for General Practice, Community Health Sciences, University of Dundee, Dundee, Scotland
Br J Gen Pract 58:311-7. 2008..The Shipman Inquiry recommended mortality rate monitoring if it could be 'shown to be workable' in detecting a future mass murderer in general practice...
- Tackling therapeutic inertia: role of treatment data in quality indicatorsBruce Guthrie
Community Health Sciences, University of Dundee, Dundee DD2 4BF
BMJ 335:542-4. 2007
- Workload and reward in the Quality and Outcomes Framework of the 2004 general practice contractBruce Guthrie
Tayside Centre for General Practice, University of Dundee
Br J Gen Pract 56:836-41. 2006..The Quality and Outcomes Framework (QOF) of the 2004 UK General Medical Services (GMS) contract links up to 20% of practice income to performance measured against 146 quality indicators...
- Personal continuity and access in UK general practice: a qualitative study of general practitioners' and patients' perceptions of when and how they matterBruce Guthrie
Tayside Centre for General Practice, University of Dundee, Dundee DD2 4BF, UK
BMC Fam Pract 7:11. 2006..This study examined patient and general practitioner (GP) perceptions of the value of personal continuity and rapid access, and the relationship between them...
- Control, compare and communicate: designing control charts to summarise efficiently data from multiple quality indicatorsB Guthrie
Department of Community Health Sciences, University of Dundee, Dundee DD2 4BF, UK
Qual Saf Health Care 14:450-4. 2005....
- The burden of psychotropic drug prescribingin people with dementia: a populationdatabase studyBruce Guthrie
Quality, Safety and Informatics Research Group, University of Dundee, Mackenzie Building, Kirsty Semple Way, Dundee DD2 4BF, UK
Age Ageing 39:637-42. 2010..to compare psychotropic prescribing in older people with dementia and the general elderly population...
- Study protocol of a mixed-methods evaluation of a cluster randomized trial to improve the safety of NSAID and antiplatelet prescribing: data-driven quality improvement in primary careAileen Grant
Quality, Safety and Informatics Research Group, Population Health Sciences, University of Dundee, Mackenzie Building, Dundee DD2 4BF, UK
Trials 13:154. 2012..This paper presents the mixed-method process evaluation protocol of a cluster randomized trial, drawing on a framework designed by the authors...
- Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional studyKaren Barnett
Quality, Safety and Informatics Research Group, Population Health Sciences Division, University of Dundee, Dundee, UK
Lancet 380:37-43. 2012..We examined the distribution of multimorbidity, and of comorbidity of physical and mental health disorders, in relation to age and socioeconomic deprivation...
- Continuity of care mattersBruce Guthrie
Primary Care Medicine, University of Dundee, Tayside Centre for General Practice, Dundee DD2 4BF
BMJ 337:a867. 2008
- Process evaluations for cluster-randomised trials of complex interventions: a proposed framework for design and reportingAileen Grant
Quality, Safety and Informatics Research Group, Population Health Sciences, Medical Research Institute, University of Dundee, Mackenzie Building, Dundee DD2 4BF, UK
Trials 14:15. 2013..This discrepancy led us to develop our own framework for designing process evaluations of cluster-randomised controlled trials...
- A cluster randomised stepped wedge trial to evaluate the effectiveness of a multifaceted information technology-based intervention in reducing high-risk prescribing of non-steroidal anti-inflammatory drugs and antiplatelets in primary medical care: the DQTobias Dreischulte
Tayside Medicines Unit, NHS Tayside, Mackenzie Building, Kirsty Semple Way, Dundee DD2 4BF, UK
Implement Sci 7:24. 2012....
- Continuity in UK general practice: a multilevel model of patient, doctor and practice factors associated with patients seeing their usual doctorBruce Guthrie
Department of Community Health Sciences General Practice, MacKenzie Medical Centre, 20 West Richmond Street, Edinburgh EH8 9DX, Scotland, UK
Fam Pract 19:496-9. 2002..Personal continuity is a 'core value' for UK general practice, but often appears ignored by organizational change...
- Do general practice characteristics influence uptake of an information technology (IT) innovation in primary care?Josie M M Evans
Lecturer in Epidemiology, Division of Community Health Sciences, University of Dundee, Scotland
Inform Prim Care 16:3-8. 2008..We evaluated whether structural characteristics of a general practice were associated with variations in use of a web-based clinical information system underpinning a Managed Clinical Network in diabetes, between the years 2001 and 2003...
- Health plan competition for Medicaid enrollees based on performance does not improve quality of careBruce Guthrie
School of Medicine, University of Dundee, Scotland
Health Aff (Millwood) 29:1507-16. 2010..Combined with some evidence of negative impact on other areas of care, the findings raise questions about the usefulness of this program in California Medicaid, and about similar programs in other states...
- Differential impact of two risk communications on antipsychotic prescribing to people with dementia in Scotland: segmented regression time series analysis 2001-2011Bruce Guthrie
Primary Care Medicine, Population Health Sciences Division, Medical Research Institute, Dundee, Scotland, United Kingdom
PLoS ONE 8:e68976. 2013..Two significant UK risk communications about antipsychotic use in older people with dementia were issued in 2004 and 2009. These varied considerably in their content and dissemination, allowing examination of their differential impact...
- An observational study of psychotropic drug use and initiation in older patients resident in their own home or in careColin McCowan
Division of Population Health Sciences, University of Dundee, Mackenzie Building, Kirsty Semple Way, Dundee DD2 4BF, UK
Age Ageing 42:51-6. 2013..to compare the prescription of psychotropic medications for patients living in care homes with that for patients living at home. Design and setting: retrospective population database study in the Tayside region of Scotland...
- Guidelines for people not for diseases: the challenges of applying UK clinical guidelines to people with multimorbidityLloyd D Hughes
Medical School, University of Dundee, MSO Level 10, Ninewells Hospital, Dundee, UK
Age Ageing 42:62-9. 2013..This is despite the fact that multimorbidity is a common phenomenon...
- Quality and safety of medication use in primary care: consensus validation of a new set of explicit medication assessment criteria and prioritisation of topics for improvementTobias Dreischulte
Tayside Medicines Unit, NHS Tayside, Mackenzie Building, Kirsty Semple Way, Dundee, Scotland, DD2 4BF, UK
BMC Clin Pharmacol 12:5. 2012....
- High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practiceBruce Guthrie
Quality, Safety and Informatics Research Group, Centre for Primary Care and Population Research, University of Dundee, Kirsty Semple Way, Dundee DD2 4BF, UK
BMJ 342:d3514. 2011..To examine the prevalence and patterns of high risk prescribing, defined as potentially inappropriate prescribing of drugs to primary care patients particularly vulnerable to adverse drug events...
- Physical and mental health comorbidity is common in people with multiple sclerosis: nationally representative cross-sectional population database analysisRobert J Simpson
General Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow G12 9LX, Scotland, UK
BMC Neurol 14:128. 2014..Comorbidity in Multiple Sclerosis (MS) is associated with worse health and higher mortality. This study aims to describe clinician recorded comorbidities in people with MS...
- Long-acting β-agonist prescribing in people with asthma in primary careDaniel R Morales
Population Health Sciences Division, Medical Research Institute, University of Dundee, Dundee, UK
Thorax 68:192-4. 2013..44; 95% CI 0.32 to 0.61) but not episodic monotherapy (OR 1.16; 95% CI 0.85 to 1.57). These findings support recent changes in UK asthma guidelines recommending LABAs in fixed-dose combination inhalers...
- Insightful practice: a reliable measure for medical revalidationDouglas J Murphy
Quality, Safety and Informatics Research Group, University of Dundee, Dundee, UK
BMJ Qual Saf 21:649-56. 2012..This study tested an innovative method in which general practitioners (GPs) were assessed on their reflection and response to a set of externally specified feedback...
- Impact of the GP contract on inequalities associated with influenza immunisation: a retrospective population-database analysisMichael Norbury
Ninewells Hospital and Medical School, University of Dundee, Dundee, UK
Br J Gen Pract 61:e379-85. 2011..Influenza immunisation is recommended for all people aged ≥65 years and younger people with particular chronic diseases. The Quality and Outcomes Framework (QOF) has provided new financial incentives for influenza immunisation since 2004...
- Trends in primary care antidepressant prescribing 1995-2007: a longitudinal population database analysisPauline Lockhart
Quality, Safety and Informatics Research Group, University of Dundee, Scotland
Br J Gen Pract 61:e565-72. 2011..Antidepressant prescribing is increasing worldwide, prompting policy interventions and targets to halt the rise...
- Temporal trends in anticholinergic medication prescription in older people: repeated cross-sectional analysis of population prescribing dataDeepa Sumukadas
Ageing and Health, Division of Cardiovascular and Diabetes Medicine, University of Dundee, Ninewells Hospital, Dundee DD1 9SY, UK
Age Ageing 43:515-21. 2014..Many anticholinergics are recognised as potentially inappropriate and efforts to reduce prescription have been ongoing. We examined temporal trends of anticholinergic prescription and exposure in older people...
- Which people with Type 2 diabetes achieve good control of intermediate outcomes? Population database study in a UK regionB Guthrie
University of Dundee, Dundee, UK
Diabet Med 26:1269-76. 2009..To measure quality of vascular risk factor measurement and control in people with Type 2 diabetes after comprehensive pay-for-performance implementation and to examine variation by patient and practice characteristics...
- Biomedicine, holism and general medical practice: responses to the 2004 General Practitioner contractKath Checkland
National Primary Care Research and Development Centre, University of Manchester, Manchester
Sociol Health Illn 30:788-803. 2008..We discuss how this disconnection between rhetoric and reality can be maintained, and consider its implications for the future development of GPs' claims to a professional identity...
- Can mortality monitoring in general practice be made to work?Bruce Guthrie
Br J Gen Pract 55:660-3. 2005
- Is success in postgraduate examinations associated with family practitioners' attitudes or patient perceptions of the quality of their consultations? A cross-sectional study of the MRCGP examination in Great BritainBrian McKinstry
University of Edinburgh, UK
Fam Pract 22:653-7. 2005..It is not clear, however, if this process identifies quality markers that patients can perceive...
- Quality measurement of care for people with type 2 diabetes in Tayside, Scotland: implications for the new UK general practice contractBruce Guthrie
Department of Community Health Sciences, General Practice, University of Edinburgh, 20 West Richmond Street, Edinburgh EH8 9DX
Br J Gen Pract 53:709-13. 2003..The new United Kingdom general practice contract proposes that up to a third of general practitioners' income will come from achieving quality targets...
- Differences in the quality of primary medical care services by remoteness from urban settlementsGary McLean
Department of General Practice and Primary Care, Community Based Sciences, University of Glasgow, 1 Horselethill Road, Glasgow G12 9LX, UK
Qual Saf Health Care 16:446-9. 2007..To examine if the quality of primary medical care varies with remoteness from urban settlements...
- Designing and evaluating complex interventions to improve health careNeil C Campbell
Department of General Practice and Primary Care, University of Aberdeen, Foresterhill Health Centre, Aberdeen AB25 2AY
BMJ 334:455-9. 2007
- Whither British general practice after the 2004 GMS contract? Stories and realities of change in four UK general practicesGuro Huby
School of Health in Social Science, University of Edinburgh, Edinburgh, UK
J Health Organ Manag 22:63-78. 2008..The purpose of this article is to provide answers to two questions: what has been the impact of nGMS on practice organisation and teamwork; and how do general practice staff perceive the impact?..
- Measuring the quality of healthcare systems using compositesBruce Guthrie
BMJ 337:a639. 2008