My PhD Title: Using a public health preventative approach to benefit homeless patients: A mixed-methods investigation of hospital care in England
Supervisor: Professor Andrew Hayward (Primary), Professor Fiona Stevenson (Secondary), Dr Rob Aldridge (Tertiary), Dr Shema Tariq (Tertiary)
Lay summary: People experiencing homelessness often have high hospital care usage, reflecting their high health needs and the barriers they experience accessing preventative and primary care in the community. My PhD is using national electronic health records and a hospital-based qualitative study and service evaluation to investigate what the needs, opportunities, barriers, and facilitators are for delivering preventative care to homeless hospital patients. By preventative healthcare, I mean things like screening, vaccinations, and referrals to prevent future ill health and unplanned hospital attendances. I will use the knowledge that I produce along with the expert views of people with lived experience of homelessness and clinicians to inform the development of best practice guidance for a public health preventative approach to homeless hospital care.
I studied for a BSc in Biology and an MSc in Epidemiology in Canada before moving to London. After working as an epidemiologist for a couple of years I became interested in the application of evidence in the real world and joined the UK Public Health Training Scheme. During my time on the training scheme I undertook a number of projects and research studies with ‘Inclusion Health’ groups, such as people who use drugs, people who are homeless, sex workers and prisoners. This work inspired me to apply for an NIHR Clinical Doctoral Fellowship to develop a project that I felt could make a real difference to the health of people facing social exclusion and an extremely high burden of health need. I qualified as a Public Health Consultant in 2017 and started my PhD fellowship at the same time.
BSc Biology – University of Victoria, 2004
MSc Epidemiology – McGill University, 2007
Fellow of the Faculty of Public Health (FFPH) – UK Faculty of Public Health, 2017
Dec 2016 ICA Clinical Doctoral Research Fellowship, £448,461 for 3-year research training fellowship, Health Education England and National Institute of Health Research
Feb 2015 Academic Public Health Fellowship, 1 year salary and study budget, UK CMO/HEE
Nov 2011 Scholarship for short-course on Leadership in Public Health Decision-Making €414, Johns Hopkins Bloomberg School of Public Health Fall Institute
Oct 2007 Population Health Prize for MSc Thesis $1,000, Réseau de recherche en santé des populations du Québec
Feb 2007 MSc Matching Grant $4,000, Quebec Inter-University Centre for Social Statistics
2006 – 08 MSc Research Award $15,000/yr stipend for 2 yrs, Fonds de la recherche en santé Québec
May 2005 CIHR/NHPD CAM ICE Network Graduate Studentship Grant $5,000, Canadian Interdisciplinary Network for Complementary and Alternative Medicine
May 2005 Graduate Student Research Award $5,000, Cancer Complementary and Alternative Medicine
2003 - 05 Undergraduate awards for marine biology $600, $600, and $1,300; conference poster prize $500; and a student travel award $1,000
Lewer D, Aldridge RW, Menezes D, Sawyer C, Zaninotto P, Dedicoat M, Ahmed I, Luchenski S, Hayward A, Story A. Health-related quality of life and prevalence of six chronic diseases in homeless and housed people: a cross-sectional study in London and Birmingham, England. BMJ Open. 2019 Apr 24;9(4):e025192.
Aldridge RW, Menezes D, Lewer D, Cornes M, Evans H, Blackburn RM, Byng R, Clark M, Denaxas S, Fuller J, Hewett N, Kilmister A, Luchenski S, Manthorpe J, McKee M, Neale J, Story A, Tinelli M, Whiteford M, Wurie F, Hayward A. Causes of death among homeless people: a population-based cross-sectional study of linked hospitalisation and mortality data in England. Wellcome Open Res. 2019. Mar 11;4:49.
Alistair Story, Robert W Aldridge, Catherine M Smith, Elizabeth Garber, Joe Hall, Gloria Ferenando, Lucia Possas, Sara Hemming, Fatima Wurie, Serena Luchenski, Prof Ibrahim Abubakar, Prof Timothy D McHugh, Peter J White, Prof John M Watson, Marc Lipman, Richard Garfein, Prof Andrew C Hayward. Smartphone-enabled video-observed versus directly observed treatment for tuberculosis: a multicentre, analyst-blinded, randomised, controlled superiority trial. The Lancet. Published Online First: February 21, 2019
Luchenski SA, Fitzpatrick S, Hewett N, Aldridge RW, Hayward AC (2018). Can deinstitutionalisation contribute to exclusion? - Authors' reply. The Lancet. 2018 Jun 2;391(10136):2210-2211.
van Schalkwyk MCI, Aldridge RW; Public Health Science Conference Group. Public Health Science Conference: a call for abstracts. Lancet. 2018 Apr 14;391(10129):1463-1464.
Blackburn RM, Hayward A, Cornes M, McKee M, Lewer D, Whiteford M, Menezes D, Luchenski S, Story A, Denaxas S, Tinelli M, Wurie FB, Byng R, Clark MC, Fuller J, Gabbay M, Hewett N, Kilmister A, Manthorpe J, Neale J, Aldridge RW (2017). Outcomes of specialist discharge coordination and intermediate care schemes for patients who are homeless: analysis protocol for a population-based historical cohort. BMJ Open. Dec 14;7(12).
Luchenski, S, Maguire, N, Aldridge, R, Hayward, A, Story, A, Perri, P, Withers, J, Clint, S, Fitzpatrick, S, Hewett, N (2017). What works in Inclusion Health: overview of effective interventions for marginalised and excluded populations. Lancet. 2018 Jan 20;391(10117):266-280
Aldridge, RW, Story, A, Hwang, S, Nordentoft, M, Luchenski, S, Hartwell, G, Tweed EJ, Katikireddi, SV, and Hayward, AC (2017). Morbidity and mortality in homeless individuals, prisoners, sex workers, and individuals with substance use disorders in high-income countries: a systematic review and meta-analysis.. Lancet. 2018 Jan 20;391(10117):241-250.
Luchenski, S, Clint, S, Aldridge, R, Hayward, A Maguire, N, Story, A, Hewett, N (2017). Involving People with Lived Experience of Homelessness in Electronic Health Records Research. IJPDS. 1(1):295 Proceedings of the IPDLN Conference (August 2016) [meeting abstract].
George, J, Luchenski, S, Williamson, E, Banerjee, E, Saunders, P (2017). Listening to the Silence: What does unrecorded information in the Electronic Health Record tell us? Findings from a Patient and Public Involvement Event. IJPDS 1(1):289 Proceedings of the IPDLN Conference (August 2016) [meeting abstract].
Luchenski S, Aldridge RW, Capewell S, Greaves F, Johnson AM, Lyons RA, Lincoln P, McKee M, McPherson K, Walters H, Horton R. Public Health Science conference: a call for abstracts. Lancet. 2017 Apr 22;389(10079):1593
Greer, A, Luchenski, S, Amlani, A, Lacroix, K, Burmeister, C, Buxton, J (2016). Peer Engagement in harm reduction strategies and services: a critical case study and evaluation framework from British Columbia, Canada. BMC Public Health, 16:452.
Luchenski, S, Ti, L, Hayashi, K, Dong, H, Wood, E, Kerr, T (2015). Protective factors associated with short-term cessation of injection drug use among a Canadian cohort of people who inject drugs. Drug Alcohol Rev, 35(5):620-7.
Windish, P, Luchenski, S, Hall, J, Appleby, Y, Possas, L, Hemming, S, Story, A (2015). Video observed therapy for multidrug-resistant tuberculosis: a qualitative study of patient perspectives, The Lancet, 386(S78) [meeting abstract].
Luchenski, S, Reed, J, Marston, C, Papoutsi, S, Majeed, A and Bell, D (2013). Patient and public views on UK electronic health record systems and their uses: cross-sectional survey. J Med Internet Res, 15(8):e160.
Luchenski, S, Balasanthiran, A, Marston, C, Sasaki, K, Majeed, A, Bell, D, Reed, J (2012). Survey of patient and public perceptions of electronic health records for healthcare, policy and research: study protocol
BMC Medical Informatics and Decision Making, 12:40.
Luchenski, S., Quesnel-Vallée, A., Lynch, J. (2008). Differences Between Women’s And Men’s Socioeconomic Inequalities in Health: Longitudinal Analysis of the Canadian Population, 1994-2003. Journal of Epidemiology and Community Health, 62:1036-1044.
Luchenski, .S, Crevon, M., Chen, J., Li, P., Collet, J-P. (2005). A Model of Traditional Chinese Medicine Diagnosis and Treatment: Development and Validation, in "CAM Research in Canada: Sharing Successes and Challenges - 2nd Annual IN-CAM Symposium, Nov 2005, Toronto, Canada", Journal of Complementary and Integrative Medicine, 2(1): Article 12 [meeting abstract].
Clinical Research Fellow, UCL Department of Epidemiology and Public Health
Honorary Public Health Consultant, University College London Hospital
Chair, UCL Collaborative Centre for Inclusion Health
Module Lead, Homeless and Inclusion Health (UCL MSc Population Health)
Public Health Fellow, Pathway
LinkedIn: Serena Luchenski