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Biomedical subjects

C Teljeur

Publications and source records attributed to C Teljeur.

5 recordsLinked to original sources
PubMed2004

The potential impact on travel times of closure and redistribution of A&E units in Ireland.

Modelling has been used to estimate variations in travel time to Accident & Emergency (A&E) Departments for Acute Myocardial Infarction (AMI) and Road Traffic Accidents (RTA), taking into account three different distributions of A&E departments in the country. We have modelled three scenarios: current, the current distribution of A&E Departments; intermediate, two A&E Units for some Health Boards and one for others; and extreme, one A&E Department for each of the 10 Health Boards. The percentage of travel times that fall within an hour for AMI and RTA for the three scenarios (current, intermediate and extreme) are 85.6, 82.8, 70.0 and 81.8, 85.2, 71.8 percent respectively. While a redistribution of A&E Departments seems inevitable, a sensible modelling approach can be used to plan the new distribution of services to maintain equitable geographic access.

Accidents, Traffic↗
PubMed2003

Influence of material deprivation on prescribing patterns within a deprived population.

OBJECTIVE: To study the effect of material deprivation on prescribing trends in primary care, using a locally derived deprivation score. METHODS: A retrospective analysis of prescribing trends linked to material deprivation by district electoral division (DED) in the Eastern Region of the General Medical Services in Ireland (population of 334,031) was performed. Standardised prescribing ratios were determined for a number of drug classes, including those that could be used to identify particular diseases for 181,647 patients who were assigned a locally derived material deprivation score. RESULTS: Prescribing rates for a number of medications including anti-asthma, nitrate and benzodiazepine medications increased, whilst the prescribing of other medications such as anti-parkinsonian and antidepressive agents decreased with increasing deprivation. CONCLUSIONS: Our results suggest that, even within a population considered to be economically deprived, different levels of deprivation may significantly influence general practitioner prescribing patterns. Within the group of centrally active medications, the prescription of symptomatic medications increased with increasing material deprivation, whilst the prescription of disease-specific medications decreased with increasing material deprivation.

Cultural Deprivation↗
PubMed1997

Undergraduate training in the European Union. Convergence or divergence?

A survey of dental schools in the European Union was carried out for two main reasons. Firstly to promote the exchange of information in respect of curriculum objectives in the different countries and secondly to ascertain the differences in the interpretation of the 1978 EU sectoral directives for dental education and training. Out of 127 schools, only 30 responded, yet the information provided is of considerable importance. It demonstrates wide divergence in the interpretation of the 1978 Directives and methods of assessment of clinical competence. There is a considerable difference throughout Europe in hours devoted to the various subjects included in the Dental Directives. There is little evidence of convergence in methods of assessment or quality assurance. The survey demonstrates the difference in resources, levels of staff, availability of clinical training places, output in research and patient treatments throughout the European Union. The results question the effectiveness of the 1978 Dental Directives in promoting convergence of standards. As there is free movement of dentists throughout the European Union, it is concluded that a different approach may be necessary to ensure that all European Union dental graduates achieve comparable standards in their education and training.

Curriculum↗
PubMedDate not supplied

Using HIPE data as a research and planning tool: limitations and opportunities.

BACKGROUND: The Hospital Inpatient Enquiry (HIPE) system is an important information source for research and health service planning activities. However, as it was not designed explicitly for these purposes, some limitations exist. AIMS: To make recommendations that would increase the value of HIPE as a research and planning tool. METHODS: Experiences of using HIPE for research and planning exercises were analysed so as to identify its limitations and their impact on research and planning. RESULTS: Limitations were identified regarding data quality, policy issues and the general system. CONCLUSIONS: To increase the utility of HIPE as a research and planning tool, a number of changes are recommended, including: expanding the system to cover private hospitals and outpatient and emergency services; adopting routine small area and socio-economic coding; adopting unique personal identifiers; publishing regular detailed reports with in-depth analyses; and considering making hospital identifiers available in certain circumstances.

Databases as Topic↗