Tag: Research

Improving consultations for patients and GPs: The Consultation Open and Close Study

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Dr Mairead Murphy

 

 

 

by Dr Mairead Murphy, Honorary Research Fellow, Centre for Academic Primary Care, University of Bristol and Evaluation Lead, South West Academic Health Science Network

“I think everyone’s been in the situation where they go to a doctor to talk about something that they find hard to talk about or they might find it difficult to voice their concerns.”

“I just couldn’t get a word in edgewise, sometimes you find you’ve just arrived and the GP is writing the prescription you know?”

These are some of the things patients said to us when we interviewed them for the Consultation Open and Close (COAC) study. Patients felt that, in the 10-minute consultation, particularly when it was by telephone, the GP did not always have time to get to the root of their problems.

This is not new or surprising. The 10-minute GP consultation is the shortest in Europe… Read more

How do we provide high quality palliative care in the community?

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By Dr Tanuka Palit, NIHR Academic Clinical Fellow in Primary Care, Centre for Academic Primary Care, University of Bristol

“You matter because you are you, and you matter to the end of your life. We will do all we can not only to help you die peacefully, but also to live until you die.” Dame Cicely Saunders

Many people express a wish to die at home. The proportion of deaths that occurred in the community (including private homes and care homes) rose significantly during the pandemic and has been sustained. As a consequence, the need to fund and improve our community palliative care services has never been more important. Earlier this year, this was recognised by a change in the Health and Social Care Bill to fund palliative care services in all areas. This will hopefully remove the postcode lottery that currently exists in the UK for … Read more

Championing a ‘People Era’ in heart failure research

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By Dr Alyson Huntley, Senior Research Fellow in Evidence Synthesis, Centre for Academic Primary Care, University of Bristol

World Heart Day on 29 September 2022 aims to inform people that cardiovascular disease, including heart failure and stroke, is the world’s leading cause of death, claiming 18.6 million lives each year. It also aims to highlight the actions that individuals can take to prevent and control heart disease. Alyson Huntley describes how researchers at the Centre for Academic Primary Care are refocusing priorities to ensure that the needs of people living with heart failure are at the centre of their work.

We aim to put people with heart failure at the centre of our research. A recent collaborative project with other universities highlighted the unmet needs of people living with heart failure. The priority setting process brought clinicians, patients and families/carers together on an equal footing to … Read more

Wakey! Evaluating the feasibility of a mental wellbeing app

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Dr Sophie Turnbull

 

 

By Sophie Turnbull, Senior Research Associate, Centre for Academic Primary Care, University of Bristol

I have an ongoing interest in how industry and academia can work together to produce really good evidence-led products that can be accessible for the target users, and have more longevity than those produced in purely academic settings.

From experience, when we produce digital interventions in our academic bubble, they are brilliantly researched, but often not maintained in the long-term, meaning they disappear soon after the research funding stops. Or we do not have enough budget to develop something that people are going to want to use.

While exploring how academia and industry can come together to reduce inequalities in access to good quality healthcare, I discovered ZINC. ZINC runs mission-led programmes with people from across disciplines to build commercial solutions to solve some of the most pressing societal issues. I … Read more

Twists, turns and persistence: my path from nursing to research

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by Dr Cindy Mann, Research Fellow, Centre for Academic Primary Care, University of Bristol

Cindy Mann, a former nurse and now Research Fellow at the Centre for Academic Primary Care, University of Bristol, shares the twists and turns in her career, and encourages nurse colleagues to consider research as a future path and not be put off by setbacks.

A long and varied career

I have had a long career, starting in 1975, when I did my nurse training at Leeds General Infirmary. In 1977 I got married and after completing training followed my husband to Oxford where I took a job as a staff nurse at John Radcliffe Hospital in Oxford. I then decided to do a Philosophy degree in Oxford, and really enjoyed the peace and quiet of working in a library, in contrast to ongoing shifts for the nurse bank. In the following years, up … Read more

Curiosity and imagination: building blocks on my path to research

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by Alastair Hay, Professor of Primary Care, Centre for Academic Primary Care, University of Bristol

I became a GP in 1997 and was appointed professor of primary care at the University of Bristol in 2013.

As a child, I was an avid Lego® player and reader of ‘how things work’ books. I was state-educated and did not enjoy school until my ‘A’ levels. I enjoyed the conceptual challenge of mathematics and, in 1985, was offered a place at Birmingham University to study maths and psychology. My results were better than I expected, so I withdrew and applied for medicine, securing a place at Sheffield.

I was initially disappointed by the course because of the lack of conceptual challenges. I was expected just to absorb lots of knowledge. Later, as I took responsibility for patient care, the application of knowledge became the interest. I did not intercalate … Read more

International Women’s Day 2021 – Q&A with Dr Alison Gregory

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As a research centre, we are proud to host a fantastic team specialising in sexual and domestic violence and abuse and their impacts on health. What better way to mark this year’s International Women’s Day than to focus on the work of an outstanding member of the team, Dr Alison Gregory, whose recent investigations have focused on the role of friends, family, neighbours and colleagues (informal supporters) in the lives of domestic abuse survivors.

In this Q&A, Alison reflects on the challenges of working on a sensitive topic with a vulnerable population group, made all the more critical during this time of pandemic and the ‘shadow’ pandemic, which has seen rates of domestic abuse soar globally.

Your research activities have focused on Covid-19 recently. Could you tell us a little more? 
I’ve been researching the role of friends, family members, neighbours, and colleagues (informal supporters) in the lives of … Read more

Tech-enhanced academic writing

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by Dr Yvette Pyne, GP and Academic Clinical Fellow, Centre for Academic Primary Care, University of Bristol

Coronavirus has completely changed how we work across most professions including in academic research. While those impromptu conversations around the coffee machine at work, or over drinks at academic conferences seem both a distant memory and a far-flung future dream, there have been some wins for collaborative working as well. Lockdown has brought both technological improvements and culture-change around the use of video conferencing and collaboration tools. A colleague – Dr Stuart Stewart based at the University of Manchester and I (based at the University of Bristol) have been “meeting” once a week to discuss the creation of a concept paper covering ideas that have been percolating for years after a fortuitous meeting at a conference in 2018. Both of us are tech-adept and we often discuss ways … Read more