The study includes a consortium of seven European countries led by TESAN (Italy), Restech and including Del Politcnico Di Milano (Italy), University of Liverpool (UK), Tallina Tehnikaulikool (Estonia), Universitat De Barcelona (Spain), Uppsala Universitet (Sweden), Universitetssykehuset Nord-Norge (Norway), Bolnisnica Sezana Zavod (Slovenia), University of Lincoln, Lincolnshire Community Health Services NHS Trust.
The CHROMED study has been investigating the effectiveness and cost-effectiveness of a telemonitoring system for people with multiple chronic disease, specifically Chronic Obstructive Pulmonary Disease (COPD) and heart disease. The trial in Lincoln involved a feasibility study of five patients and a randomisation cohort of 32 patients aged 65 years and above in Lincolnshire. The monitoring equipment included a novel device for measuring lung function (using a technique called forced oscillation) and a wrist clinic measuring pulse, blood pressure, oxygen saturation, and temperature.
The study has already shown evidence that monitoring can detect patients’ worsening condition, even before symptoms are apparent. The study data have now been collected and are being analysed to see whether the monitoring system has improved patients’ outcomes, quality of life and healthcare costs.
The latest edition of the CaHRU Newsletter (Winter 2015-16) was published in March 2016. 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/2016/03/CaHRU-Newsletter-Winter-2015-16.pdf” responsive=”no”]Multi-morbidity, goal-oriented care, the community and equity[/su_document]
Professor Niro Siriwardena recently presented on ‘Developing new ways of measuring the quality of emergency medical services’ on 21 January 2016 at the Larrey Society’s inaugural conference on the Future of EMS in London. The Larrey Society, the brainchild of its founder David Davis, is an international organisation of paramedics and NHS, independent and voluntary ambulance services with leaders from health and academic communities, formed a year ago. The society is named after Dominque Jean Larrey, an army surgeon in Napoloen’s army who developed field medicine and ambulances.
The meeting was chaired by Sue Noyes, chief executive of East Midlands Ambulance Services NHS Trust and included keynote lectures from Prof Andy Newton, president of the society, Prof Jonathan Benger, professor of emergency medicine at the University of West of England, Prof Siriwardena, director of CAHRU, and Prof Kevin Mackway-Jones, professor of emergency medicine. Prof Newton talked about the current state of ambulance services and the urgent need to innovate to improve care quality. Prof Benger described an innovative method of ambulance dispatch currently being introduced and evaluated in the South West. Prof Mackway-Jones discussed the causes of and potential solutions to emergency department blocking.
Prof Siriwardena described work done by ambulance services in England over the past eight years developing new quality measures of ambulance service care and improving care for conditions such as heart attack, stroke, diabetes and asthma using methods such as largescale quality improvement collaboratives. He went onto describe the new indicators being developed through research programmes such as Prehospital Outcomes for Evidence Based Evaluation using method such systematic literature reviews, interviews of ambulance staff and patients, consensus methods and data linkage to derive risk adjustment measures, which provide potential for better measurement and improvement of ambulance service care.
The latest edition of the CaHRU Newsletter (Autumn2015) was published in November. 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 [su_document url=”https://communityandhealth.dev.lincoln.ac.uk/files/2016/01/CaHRU-Newsletter-Autumn-2015.pdf” responsive=”no”]Multi-morbidity, goal-oriented care, the community and equity[/su_document]produced by Sue Bowler, CaHRU administrator.
The Community and Health Research Unit were awarded the University of Lincoln team award for Achievement in Research at the awards ceremony in November 2015. Members of the team were Professor Niro Siriwardena (director), Dr Zahid Asghar, Dr Zowie Davy, Dr Jo Middlemass, Dr Coral Sirdifield, Ana Godoy Caballero, Fiona Togher, Viet-Hai Phung, Despina Laparidou, Rebecca Porter, Rachel Hawley and Sue Bowler. Ana Godoy has left the team to begin a new post in Spain and Rebecca Porter has started her medical studies at Durham.
Over the past year CaHRU achieved research centre status. The centre focussed its efforts on ‘making an impact on healthcare through international and world class research’ by: conducting research which is likely to make a difference to people’s health and well-being; promoting high quality care which enhances the experience, safety, effectiveness, efficiency and equity of healthcare by investigating how to transform the performance and function of health and social care practice, organisation and delivery; positively engaging with health care organisations regionally and nationally; strengthening its academic and health service collaborations regionally, nationally and internationally; supporting its researchers to achieve their potential through a research environment that encourages cooperation, collaboration and mutual support; and engaging with service users, carers, practitioners, health service managers, commissioners and policymakers in research activities to maximise the impact of its research by responding to service priorities, working with service users and care organisations to embed research into practice and disseminate findings.
The team’s efforts have led to an increase in the number and quality of successful research bids including funding from the National Institute for Health Research, Wellcome Trust and Falck Foundation, greater numbers of research outputs in high quality peer-reviewed journals, and continuing research impact extending regionally, nationally and internationally. Team members use a wide range of research designs and methods, but the centre is now undertaking more clinical trials which provide greater potential for future research impact.