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- Publication: Cost-benefit assessment of using electronic health records data for clinical research versus current practices: Contribution of the electronic health records for clinical research (EHR4CR) European project
- Publication: Who is sceptical about emerging public health threats? Results from 39 national surveys in the United Kingdom.
- Publication: Sex differences in medico-legal action against doctors: a systematic review and meta-analysis
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- 25 June: Taught Graduate Programmes Open Evening and Data Science Programme Launch
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- UCL CHIME Alumus Wins Best Journal Article Prize
- Publication: Supporting thinking on sample sizes for thematic analyses: a quantitative tool
- March 2015 Health Informatics Short Courses Open for Booking
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- Publication: The design of a survey questionnaire to measure perceptions and behaviour during an influenza pandemic: the Flu TElephone Survey Template (FluTEST)
- NHS Health Informatics Trainees Conference and Networking Event
- Health & Medical Sciences January Intake Open for Applications
- Publication: A short generic patient experience measure: howRwe development and validation.
- UCL Announces New Fast-Track Postgraduate Diploma and MSc in Health Informatics
- UCL CHIME Reappointed to Train Future NHS Informatics Managers
- UCL hosts HL7 UK Summer School
- New Qualification: Health & Medical Sciences (Quality, Information & Safety)
- Publication: Primary total knee replacement as an example of predicting length of stay from electronic patient record system data
- January Intake Approved for Graduate Programme in Health & Medical Sciences (HMS)
- BMJ Editorial: Caldicott 2 and Patient Data
- "Patient Safety, Law Policy and Practice" Published in Paperback
- UCL Joins the European Connected Health Alliance
- UCL CHIME is Early Contributor to New Health Informatics Online Resource
- Professor Dipak Kalra takes up Presidency of the EuroRec Institute
- 2012 European Summit on Trustworthy Reuse of Health Data – plenary sessions now available on YouTube
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- howRU, a new short generic measure of health status
- Dr Don E. Detmer honoured by American Medical Informatics Association (AMIA)
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- Group membership and staff turnover affect outcomes in group CBT for persistent pain
- Electronic patient records are not a panacea
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- New Students Begin UCL Postgraduate Programme in Health Informatics
- CHIME researcher contributes to new book
Group membership and staff turnover affect outcomes in group CBT for persistent pain
8 February 2010
In a new paper in the journal Pain (published online, doi:10.1016/j.pain.2009.12.011), Amanda Williams (UCL Research Department for Clinical, Education and Health Psychology) and Henry Potts (CHIME) describe how contextual factors can affect patient outcome in the setting of a specialist treatment centre for persistent pain.
The study used retrospective data over a 12-year period on patients who had group cognitive-behavioural therapy, an established approach in persistent pain. Analysis demonstrated clinically significant group effects: that is, an individual's outcome could be pulled up or down by the group they were in. The study also showed that periods of higher staff turnover led to worse patient outcomes.
Few studies look at these sorts of contextual
effects. Such effects may not be seen in prospective studies or trials,
as these are often brief, with staff generally employed for the
duration of the trial and adhering to a detailed protocol for
treatment. Others have looked at the therapist/patient relationship in a
one-to-one setting, but there is little known about group settings or
how turnover in a multidisciplinary clinical team impacts in patients.
This was an exploratory study producing suggestive rather than definitive results, but there may be broad implications. Turnover and morale issues are widely relevant, for managers as well as for clinicians, since change is a constant in health systems, but the possible costs in decrements to patient outcomes are rarely considered.
Contact: Henry Potts
Page last modified on 14 mar 11 16:27