CaHRU Newsletter (Spring 2018)

CaHRU_logotypeThe latest edition of the CaHRU Newsletter (Spring 2018) was published in July 2018. The newsletter presents the work of the research centre over the previous three months and includes articles from the CaHRU blog covering publications, conferences and funding. The newsletter is written by members of the CaHRU team and produced by Sue Bowler, CaHRU administrator.

[su_document url=”https://communityandhealth.dev.lincoln.ac.uk/files/2018/07/CaHRU-Newsletter-Spring-2018.pdf” width=”660″]Multi-morbidity, goal-oriented care, the community and equity[/su_document]

Dr Pradeep Ratnasekare joins CaHRU as an international visiting fellow

sigiriya2Dr Pradeep Ratnasekare joined CaHRU this January 2018 as our third international visiting fellow from the University of Colombo’s Postgraduate Institute of Medicine. Pradeep graduated as a bachelor of Medicine and bachelor of Surgery in 1996 from the faculty of Medicine, University of Ruhuna and then completed postgraduate studies at the University of Colombo, Sri Lanka, in the fields of respiratory medicine and then in medical administration where he gained his master’s in 2011 and MD in 2016.

davHe has worked for over four years as a primary care medical officer, and six years as a medical officer in respiratory medicine, health system manager and health care researcher. As a health system manager he developed experience in various fields of hospital and public health programme management. He has worked as a hospital director in many secondary and tertiary care hospitals in Sri Lanka and worked as deputy director of the Medical Research Institute, the premier national level reference and referral medical laboratory and medical research centre for public and private sectors in Sri Lanka for last 18 months. His main interests are in health technology assessment and management, modern hospital planning and architecture, health system research and quality improvement in health care. Pradeep has several publications into his credit in the Journal of Medical Administrators Sri Lanka and Sri-Lanka journal of Health Policy and Management mainly on interventions carried out to improve health systems. He is a member of several academic associations in Sri Lanka including the College of Medical Administrators of Sri Lanka and Sri Lanka Medical Association. He is a member of research evaluation committee of the Medical Research Institute.

lilypondWhile at CaHRU he plans to: study the prehospital care system in the UK with a view to adapting it to develop a suitable model for Sri Lanka; to study the primary health care system in the UK National Health Service (NHS) of United Kingdom with respect to quality improvement and clinical governance; to study the systems and methods in place for Health Technology Assessment (HTA) and Health Technology planning in the United Kingdom; to learn about hospital design and planning; and to actively contribute to CaHRU’s research programme in primary and prehospital care. Listening to classical music, singing and playing cricket are his favourite hobbies.

Nadeeka Chandraratne, joins CaHRU as an International Research Fellow

NadeekaChandraratneNadeeka Chandraratne joined the Community and Health Research Unit in May 2017 to work on the quality and costs of primary health care, as CaHRU’s second international research fellow.. She will study monitoring and evaluation of primary care systems in the National Health Service (NHS) and their applicability to low and middle income countries with high health standards, like Sri Lanka.

Nadeeka graduated as a medical doctor (MBBS with honours) from the Faculty of Medicine, University of Colombo in 2006. She gained her Master’s (MSc) in Community Medicine from the Postgraduate Institute of Medicine (PGIM) of the University of Colombo in 2011. She also completed a Master’s degree in Development Studies (MDS) at the Faculty of Graduate Studies, University of Colombo in 2013 and her MD in Community Medicine from the PGIM in 2016.

During her academic and professional career she has researched, published, trained and given invited presentations on a wide range of public health topics including child sexual abuse, premenstrual syndrome, gender-based violence, sexual harassment in workplaces, economic costs of tobacco and alcohol use, migrant health, child nutrition in communities and social health insurance for universal health coverage. She has won several national and academic awards and prizes for her publications.

sigiriya2Prior to joining our University, she worked as a Consultant to the World Health Organization where she was involved in preparing the WHO Country Cooperation Strategy for Sri Lanka and provided technical support to several activities including health financing for Universal Health Coverage.

She has also worked as a Consultant to UNICEF, and is an External Lecturer for the Department of Health Promotion, Rajarata University of Sri Lanka. She is also a member of the Expert Committee on Alcohol, Tobacco and Illicit Drugs and was the Secretary of the Expert Committee on Women’s Health of the Sri Lanka Medical Association.

At the Ministry of Health Nadeeka has worked in several capacities including as the Medical Officer of Health (MOH) in the most populated area in the country. She worked as a Senior Registrar in Community Medicine at the Gender and Women’s Health Unit, Family Health Bureau, Ministry of Health and a Registrar at the Department of Community Medicine, Faculty of Medicine of the University of Colombo.

 

Ravindra Pathirathna, international research fellow from Sri Lanka joins CaHRU

RavindraPathirathneDr. Ravindra Pathirathna joined the School of Health and Social Care and CaHRU in March 2017 as its first visiting international research fellow. Ravindra graduated in medicine from the University of Peradeniya and then completed postgraduate studies at the University of Colombo, Sri Lanka, in the field of medical administration where he gained his master’s and MD.

He has worked for 14 years as a medical officer in emergency medicine, health system manager and health care researcher. As a health system manager he developed experience in various fields of hospital and public health programme management. He worked as a hospital director in many secondary and tertiary care hospitals in Sri Lanka and worked as deputy provincial director of the health department in the central province of Sri Lanka. His main interests are in operational management, system development and quality improvement in health care.

gaullesunsetRavindra has published several research papers, for example in the Journal of Medical Administration in Sri Lanka, mainly in the area of health systems. These include: a study testing a new model of evaluation of health policy; interventional research using total quality principles and systems theory in inter-hospital patient transports; and workload assessment in health care administrative staff. He has also published in the fields of: cost evaluation of healthcare training; managerial approaches to waiting time reduction in clinical settings; interventions to improve clinical facility management; an epidemiological study on dengue in different climatic conditions and an evaluation of care in older people. He is a member of several academic associations in Sri Lanka including the College of Medical Administration of Sri Lanka.

During his visiting fellowship he will be studying the prehospital emergency system in the UK, mainly focusing on policy and operational background, ambulance service quality and clinical performance improvement. His main objective is to identify and develop an appropriate prehospital care model for a developing country such as Sri Lanka.

By Dr Ravindra Pathirathna

Professor Graham Law joins the School of Health and Social Care and CaHRU as Professor of Medical Statistics

Graham Law, appointed Professor of Medical Statistics, joined the School of Health and Social Care in February 2017. He has worked for 23 years in medical and healthcare research and student education. He has published many papers and books in a wide range of different fields such as cancer, diabetes, cardiovascular epidemiology, gastrointestinal disease, pregnancy and childbirth.

Graham LawOver the past six years he has been working on sleep research, using both experiments and observations. On sleep he has published papers using the National ‘Understanding Society’, with colleagues in Copenhagen and Cambridge on glucose control in people with diabetes, and using a cohort of women with gestational diabetes. These projects included a paper recently published in the New England Journal of Medicine.

Graham attracted investment for, set up and ran the Leeds ‘Sound Asleep Laboratory’ and is on the UK Biobank Sleep Expert Group. He is Honorary Secretary of the British Sleep Society and in June is publishing a book titled ‘Sleep Better: from myth to science’.

Recently Graham has developed an interest in a statistical field known as Functional Data Analysis, where you stop reducing data to a single number such as the mean, and try to accept, exploit and embrace complexity. Using this he has published, for example, papers on change in birth weight immediately following delivery (used by the WHO publication ‘Beyond Survival’ published in 2013) and changes in glucose during the day and night (for example in Diabetes Care and NEJM).

He is currently working on a number of cohorts including using accelerometer data to assess sleep in the UK Biobank data. This collected data on 100 000 people wearing an accelerometer (think of a Fitbit) for a week.