British medical bulletin
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British medical bulletin · Jun 2024
ReviewThe role of cultural competency training to address health disparities in surgical settings.
Disparities in health care delivered to marginalized groups are unjust and result in poor health outcomes that increase the cost of care for everyone. These disparities are largely avoidable and health care providers, have been targeted with education and specialised training to address these disparities. ⋯ Because health outcomes are affected by many different inputs, should the effectiveness of CCT be improvement in health outcomes or should we use a proxy or a surrogate of health outcomes.
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British medical bulletin · Jun 2024
Mind the implementation gap: a systems analysis of the NHS Long Term Workforce Plan to increase the number of doctors trained in the UK raises many questions.
The National Health Service (NHS) in England is facing a workforce crisis. A new Long Term Workforce Plan (LTWP) seeks to address this, setting out ambitious proposals to expand and reform domestic medical education and training in England. However, there are concerns about their feasibility. ⋯ First, the development of the LTWP provides a case study that adds to literature on policymaking in the UK. Second, while we only examined the expansion of medical training, the method could be applied to other parts of the LTWP. Third, a prospective evaluation of its implementation is necessary.
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British medical bulletin · Mar 2024
Influenza: cause or excuse? An analysis of flu's influence on worsening mortality trends in England and Wales, 2010-19.
England and Wales experienced a stagnation of previously improving life expectancy during the 2010s. Public bodies cited influenza as an important cause. ⋯ Future research should explore why so many in public office were quick to attribute the change in trends in overall mortality in the UK in this period to influenza, and why many continue to do so through to 2023 and to deny the key role of austerity in harming population health.
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British medical bulletin · Mar 2024
ReviewGenetics in Parkinson's disease, state-of-the-art and future perspectives.
Parkinson's disease (PD) is the second most common neurodegenerative disorder and is clinically characterized by the presence of motor (bradykinesia, rigidity, rest tremor and postural instability) and non-motor symptoms (cognitive impairment, autonomic dysfunction, sleep disorders, depression and hyposmia). The aetiology of PD is unknown except for a small but significant contribution of monogenic forms. ⋯ The application of PRS and integrated multi-omics in PD promises to improve the personalized care of patients.
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British medical bulletin · Mar 2024
Retraction Of PublicationRetraction of: Nutrition, adult hippocampal neurogenesis and mental health.