Martin Roland
University of Cambridge
Publications 437
#1Silvia C Mendonca (University of Cambridge)H-Index: 7
#2Gary A. Abel (University of Exeter)H-Index: 30
Last.Georgios Lyratzopoulos (University of Cambridge)H-Index: 35
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Cancer Research UK / National Awareness and Early Diagnosis Initiative Project Grant No. C18081/A17854; Cancer Research UK Advanced Clinician Scientist Fellowship No. C18081/A18180
#1Robert BaillieuH-Index: 1
#2Michael KiddH-Index: 22
Last.Andrew BazemoreH-Index: 23
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Increased investment in primary care is associated with lower healthcare costs and improved population health. The allocation of scarce resources should be driven by robust models that adequately describe primary care activities and spending within a health system, and allow comparisons within and across health systems. However, disparate definitions result in wide variations in estimates of spending on primary care. We propose a new model that allows for a dynamic assessment of primary care spe...
#1Jennifer Newbould (AN: RAND Corporation)H-Index: 6
#2Josephine Exley (AN: RAND Corporation)H-Index: 5
Last.Martin Roland (University of Cambridge)H-Index: 69
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Background To better manage patient demand, some general practices have implemented a ‘telephone first’ approach in which all patients seeking a face-to-face appointment first have to speak to a GP on the telephone. Previous studies have suggested that there is considerable scope for this new approach, but there remain significant concerns. Aim To understand the views of GPs and practice staff of the telephone first approach, and to identify enablers and barriers to successful adoption of the ap...
#1Jennifer Newbould (AN: RAND Corporation)H-Index: 6
#2Sarah Ball (AN: RAND Corporation)H-Index: 6
Last.Martin Roland (University of Cambridge)H-Index: 69
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Background The increasing difficulty experienced by general practices in meeting patient demand is leading to new approaches being tried, including greater use of telephone consulting. Objectives To evaluate a ‘telephone first’ approach, in which all patients requesting a general practitioner (GP) appointment are asked to speak to a GP on the telephone first. Methods The study used a controlled before-and-after (time-series) approach using national reference data sets; it also incorporated econo...
#1Josephine Exley (AN: RAND Corporation)H-Index: 5
#2Gary A. Abel (University of Exeter)H-Index: 30
Last.Alistair McGuire (LSE: London School of Economics and Political Science)H-Index: 45
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Objectives To estimate the impact on hospital utilisation and costs of a multi-faceted primary care intervention for older people identified as being at risk of avoidable hospitalisation. Design Observational study: controlled time series analysis and estimation of costs and cost consequences of the Programme. General practitioner (GP)’s practice level data were analysed from 2009 to 2016 (intervention operated from 2012 to 2016). Mixed-effect Poisson regression models of hospital utilisation in...
#1Jose M. ValderasH-Index: 37
#2Jaheeda Gangannagaripalli (University of Exeter)H-Index: 2
Last.Mieke Rijken (University of Eastern Finland)H-Index: 24
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Multimorbidity, the simultaneous presence of multiple health conditions in an individual, is an increasingly common phenomenon globally. The systematic assessment of the quality of care delivered to people with multimorbidity will be key to informing the organisation of services for meeting their complex needs. Yet, current assessments tend to focus on single conditions and do not capture the complex processes that are required for providing care for people with multimorbidity. We conducted a sc...
#1Josephine ExleyH-Index: 5
#2Emma PitchforthH-Index: 20
Last.Martin RolandH-Index: 69
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