Ana Godoy, Lecturer in Health Economics at the University of Extremadura, Spain and visiting research fellow at CaHRU, presented her thesis “Four essays about quality in the delivery of healthcare” last week to obtain her international doctorate.
Ana’s thesis considered the importance of quality indicators in primary healthcare, and included the development of a weighted measurement scale of patient satisfaction with healthcare (the w-HEALTHQUAL), a multi-level analysis of patients’ satisfaction with primary healthcare in the Extremadura region of Spain, and an investigation into the use of various patient reported outcome measures (PROMs) in the analysis of hospital performance in the UK.
After giving a detailed presentation of her work and responding to questions from the international panel, which included Drs. Coral Sirdifield and Zahid Asghar from CaHRU, Ana was successfully awarded her international doctorate. She now plans to build on her studies through future research at the University of Extremadura.
The latest CaHRU Implementation Science and Research Methods seminar was presented by Dr Murray Smith on 25th October 2016, on the topic of statistical modelling of time series data. Dr Smith, research fellow at the Community and Health Research Unit (CaHRU), is an econometrician with a wide range of experience and research interests in micro-econometric modelling, health informatics, health economic modelling, mathematical statistics and computer algebra. Murray has previously worked as an Associate Professor in the Department of Econometrics and Business Statistics at the University of Sydney, Australia, and as an Associate Professor at the School of Pharmacy, University of Nottingham before coming to the University of Lincoln. His research has focuses on the quality of use of pharmaceutical medicines in chronic disease, with analyses that utilise prescribing data drawn from a large database of general practice patient records.
He introduced his topic by defining (and giving examples) of data, and related these to how researchers can statistically model time series data in different ways. Murray described four fundamental components of times series including: time (Tt); Cycle (Ct); Seasonal (St) and Irregular (It). He also gave examples of Time Series Analysis Curves such as survival data, Engle’s AutoRegressive Conditional Heteroscedasticity (ARCH) and segmented regression. He showed how modelling time series data can be useful for quality improvement research, as this can facilitate the measurement of outcomes or impact over time and extrapolate or estimate future values or outcomes. A time series method (using segmented regression) is being used in a paper currently being prepared by Dr Murray Smith and Professor Niro Siriwardena for publication.
Dr Smith concluded his interesting presentation by recommending three key books for further reading on Statistical Modelling of Time Series Data: Time Series Analysis by Jame D Hamilton, Time Series Analysis: Forecasting and Control by George E. P. Box et al. and Introduction to Time Series and Forecasting by Peter J. Brockwell & Richard A. Davis. He made the session so interesting that participants asked for further presentations on time series analysis. For his next seminar, Murray will focus more on use of the method for current research at CaHRU to enable more researchers to apply this method to their research.
The latest edition of the CaHRU Newsletter (Summer 2016) was published in September 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.
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Joseph Akanuwe recently joined CaHRU as a research assistant working on quality improvement and implementation science projects in primary and prehospital care.
Joseph has a nursing and public health background. After qualifying as a registered general nurse (RGN) he worked within primary and secondary care settings as a staff nurse and a casualty and emergency unit manager in Ghana. He went completed his Bachelor’s degree in Nursing and Psychology and a Master’s in Public Health (MPH) at the University of Ghana. Returning to his former Nurses Training College, he worked as a lecturer before moving to the UK.
In the UK, Joseph has worked as a staff nurse (RN) in the Dartford and Gravesend NHS Trust from 2004 to 2006, and as a renal nurse (specialising in renal haemodialysis) at the Sheffield Teaching Hospitals NHS Foundation Trust. While working as a renal nurse in Sheffield, Joseph studied at the University of Sheffield, achieving a Master of Medical Science (MMedSci) degress specialising in the management of long term health conditions, and a Master of Philosophy (MPhil) with training in public health research. His MPhil thesis explored the impact of the UK Quality and Outcomes Framework (QOF) on the quality of diabetes care and health care inequalities in primary care settings in England. Joseph is completing his doctoral studies at the University of Lincoln exploring the perspectives of service users and practitioners on the use of QCancer, a novel cancer risk assessment tool, for early detection of cancer in primary care settings.
Joseph is a Practitioner Member of the UK Faculty of Public Health (FPH), a member of the European Public Health Association, a registered member of the UK Nurses and Midwifery Council (NMC) and an Associate Fellow of the Higher Education Academy (AFHEA). He also contributes to the teaching of the health promotion module, as part of the Health and Social Care and Nursing programmes at the University of Lincoln.
Julie Pattinson joined the CaHRU team this autumn as a research assistant from the University of Nottingham, Division of Epidemiology and Public Health Research (UK centre for Tobacco and Alcohol Studies; UKCTAS). She has a keen interest in behavioural addictions and her recent research explored electronic cigarette shops and users across the East Midlands. Julie has recently submitted her PhD, entitled, ‘UK Older Adult Gambling Behaviour; Evaluating Psychological and Physical Health as Predictive Risk Factors for Problem Gambling Behaviour’ at the University of Lincoln.
Julie was awarded £60,000 funding by the Responsible Gambling Trust UK to complete her PhD thesis. She also completed her MSc in Clinical Research (2009-2011) and BSc (Honours) in Psychology with Clinical Psychology (2006-2009) at the University of Lincoln.
Julie has extensive knowledge in quantitative and qualitative methodologies specifically Grounded Theory and Interpretative Phenomenological Analysis. She is currently is working on research led by Prof Siriwardena exploring the reasons for variations in performance in the Membership of the Royal College of General Practitioners (MRCGP) general practice licensing exam, specifically the Applied Knowledge Test (AKT).