Journal of health services research & policy
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J Health Serv Res Policy · Jul 2008
Randomized Controlled TrialInfluence of body mass index on prescribing costs and potential cost savings of a weight management programme in primary care.
Prescribed medications represent a high and increasing proportion of UK health care funds. Our aim was to quantify the influence of body mass index (BMI) on prescribing costs, and then the potential savings attached to implementing a weight management intervention. ⋯ Drug prescriptions rise from a minimum at BMI of 20 kg/m(2) and steeply above BMI 30 kg/m(2). An effective weight management programme in primary care could potentially reduce prescription costs and lead to substantial cost avoidance, such that at least 8% of the programme delivery cost would be recouped from prescribing savings alone in the first year.
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J Health Serv Res Policy · Jul 2008
Why 'knowledge transfer' is misconceived for applied social research.
'Knowledge transfer' has become established as shorthand for a wide variety of activities linking the production of academic knowledge to the potential use of such knowledge in non-academic environments. While welcoming the attention now being paid to non-academic applications of social research, we contend that terms such as knowledge transfer (and its subordinate sibling, knowledge translation) misrepresent the tasks that they seek to support. ⋯ Following from this analysis, we suggest that 'knowledge interaction' might more appropriately describe the messy engagement of multiple players with diverse sources of knowledge, and that 'knowledge intermediation' might begin to articulate some of the managed processes by which knowledge interaction can be promoted. While it might be hard to shift the terminology of knowledge transfer in the short term, awareness of its shortcomings can enhance understanding about how social research can have wider impacts.
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J Health Serv Res Policy · Jul 2008
Impact of critical care outreach services on the delivery and organization of hospital care.
To evaluate the impact of critical care outreach services on the delivery and organization of hospital care from the perspective of staff working in acute hospitals. ⋯ Critical care outreach services have had a positive impact on the delivery and organization of hospital care. In attempting to share critical care skills, however, these services can experience a tension between the aims of service delivery and education - a tension which is partly resolved by sharing skills in the clinical and organizational context of direct patient care.