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Combining public health evidence, research and practice : a collection of pragmatic public health evaluations using existing data sources
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Coronini-Cronberg, Sophie (2022) Combining public health evidence, research and practice : a collection of pragmatic public health evaluations using existing data sources. PhD thesis, University of Warwick.
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WRAP_Theses_Coronini-Cronberg_2022_Redacted.pdf - Submitted Version Embargoed item. Restricted access to Repository staff only until 17 June 2024. Contact author directly, specifying your specific needs. - Requires a PDF viewer. Download (4Mb) |
Official URL: http://webcat.warwick.ac.uk/record=b3853430
Abstract
In England, specially-qualified public health practitioners, called Public Health Consultants (CPHs), support the planning and implementation of evidence-based public health improvement policies and programmes, including ensuring they reduce, or do not exacerbate, health inequalities. CPHs are required to deliver evaluations to assess effectiveness of interventions and protect funding provisions, or support policy decisions or recommendations. Despite clear inter-dependencies, the integration of academic research into public health practice continues to be problematic, with tensions remaining and research and evaluation under-utilised as a result. Where research is undertaken, observational research paradigms are usually the most applicable, particularly using existing data sources, often collected for administrative rather than health research per se. The resulting observational research can provide valuable insights into real-world programme impacts, and has the credibility to successfully change policy.
This thesis presents seven research works that were published in between 2011 and 2020. The included studies apply appropriate and pragmatic research methods (systematic literature review; regression analysis; cost utility analysis; cross-sectional survey; evidence-based policy creation through consensus) to existing data, thereby demonstrating feasibility of high-quality, generalisable research conducted in a public health service context, and include considerations of inequities – a fundamental consideration of public health practice in England. The papers comprise the following:
1. Systematic evidence review of smoking cessation interventions that are effective among Chronic Obstructive Pulmonary Disease patients, as well as perceived as barriers to quitting (2011);
2. Systematic evidence review of the impact of smoking on the risk of Severe Acute Respiratory Syndrome Coronavirus 2a infection, and risk of severe Coronavirus Disease outcomes (2020);
3. A zero-inflated negative binomial regression analysis to evaluate the public health benefit of the National Bus Pass, a universal social policy permitting free local bus travel for adults ≥60 years in England, using data from the National Travel Survey (2012);
4. A negative binomial regression analysis of a multi-year national dataset, Hospital Episode Statistics (HES), to examine changes in selected ‘low value’ surgical procedure rates as a result of a National Health Service efficiency savings programme (2015);
5. A cost-utility analysis of hernia surgery using data from three national datasets (Patient Reported Outcome MeasureS; Reference Costs; Hospital Episode Statistics) (2013);
6. A cross-sectional survey of 151 commissioning organisations to evaluate whether they had formal policies in place restricting access to cataract surgery and, if so, whether these were appropriate (2012);
7. Development of national commissioning guidelines for cataract surgery by consensus. Following publication of (6) above, the author of this thesis was invited by the Royal College of Ophthalmologists to join its working group responsible for developing NICE-accredited, national commissioning guidelines for cataract surgery (2016).
Together, the papers form a cohesive set of research undertaken alongside public health practice, demonstrating academic methodology applied to a range of real-world public health questions or problems.
Item Type: | Thesis (PhD) | ||||
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Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine | ||||
Library of Congress Subject Headings (LCSH): | Health services accessibility -- England, Equality -- Health aspects, Health facilities -- England, Public health -- England -- Research | ||||
Official Date: | June 2022 | ||||
Dates: |
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Institution: | University of Warwick | ||||
Theses Department: | Warwick Medical School | ||||
Thesis Type: | PhD | ||||
Publication Status: | Unpublished | ||||
Supervisor(s)/Advisor: | Millett, Christopher ; Oyebode, Oyinlola | ||||
Format of File: | |||||
Extent: | multiple pagings : illustrations | ||||
Language: | eng |
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