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301 results on '"Pearson, M G"'

21. Asthma care

Author

PEARSON, M G and BUCKNALL, C E

Published
2000

28. COPD Guidelines

Author

PEARSON, M G and CALVERLEY, P M A

Published
1998

42. Commissioning for COPD care: a new, recordable metric that supports the patient interest.

Author

Walker, Paul Phillip, Thompson, E., Hill, S. L., Holton, K., Bodger, K., and Pearson, M. G.

Abstract

Background Healthcare metrics have been used to drive improvement in outcome and delivery in UK hospital stroke and cardiac care. This model is attractive for chronic obstructive pulmonary disease (COPD) care because of disease frequency and the burden it places on primary, secondary and integrated care services. Methods Using 'hospital episode statistics' (UK 'coding'), we examined hospital 'bed days/1000 population' in 1 50 UK Primary Care Trusts (PCTs) during 2006-07 and 2007-08. Data were adjusted for COPD prevalence. We looked at year-on-year consistency and factors which influenced variation. Results There were 248 996 COPD admissions during 2006-08. 'Bed days/1000 PCT population' was consistent between years (r= 0.87; P < 0.001). There was a >2-fold difference in bed days between the best and worst performing PCTs which was primarily a consequence of variation in emergency admission rate (P < 0.001) and proportion of emergency admissions due to COPD (P < 0.001) and to only a lesser extent length of hospital stay (P < 0.001). Conclusions Bed days/1000 population appears a useful annual metric of COPD care quality. Good COPD care keeps patients active and out of hospital and requires co-ordinated action from both hospital and community services, with an important role for integrated care. This metric demonstrates that current care is highly variable and offers a measurable target to commission against. [ABSTRACT FROM AUTHOR]

Published
2016
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45. An Analysis of Medical Workload—Evidence of a Patient to Specialist Mis-Match

Author

Pearson, M G, Littler, J, and Davies, P D O

Subjects
Hospitalization, England, Internal Medicine, Humans, Workload, Health Services Misuse, Original Papers, Referral and Consultation, Diagnosis-Related Groups, Respiratory Therapy Department, Hospital, State Medicine
Abstract

The National Health Service has employed physicians since its inception, yet 46 years later there are few data on the day-to-day work done by physicians. This paper describes the case mix of general medicine in one region using data for general medical admissions to one specialty (respiratory medicine) as a working example. The pattern of general medical inpatient admissions is consistent across the 10 districts in the Mersey region: 26% have a respiratory diagnosis, 22% cardiac, and 15% gastrointestinal. For medical day cases, 60% are gastrointestinal. The average length of stay for particular conditions varies little between hospitals, and the average consultant 'cares' for 949 consultant inpatient episodes per year. In only half the Mersey districts is the respiratory consultant provision appropriate for the case mix admitted to the hospital. A simple algorithm applied to data collected routinely by regional health authorities can yield much information upon which to plan medical manpower. Applied to a specialty, it has identified mismatches between workload and consultant type. For respiratory medicine, at least six more respiratory physicians (a 30% increase) are needed to correct the underprovision in Mersey region.

Published
1994

47. AUTHORS' REPLY

Author

Pearson, M G, Partridge, M R, and Harrison, B D W

Subjects
Letters to the Editor
Published
1993

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