Publications by authors named "J J Kerssens"

Background: Unscheduled care is used increasingly during the last year of life by people known to have significant palliative care needs.

Aim: To document the frequency and patterns of use of unscheduled healthcare by people in their last year of life and understand the experiences and perspectives of patients, families and professionals about accessing unscheduled care out-of-hours.

Design: A mixed methods, multi-stage study integrating a retrospective cohort analysis of unscheduled healthcare service use in the last year of life for all people dying in Scotland in 2016 with qualitative data from three regions involving service users, bereaved carers and general practitioners.

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Objectives: To analyse patterns of use and costs of unscheduled National Health Service (NHS) services for people in the last year of life.

Design: Retrospective cohort analysis of national datasets with application of standard UK costings.

Participants And Setting: All people who died in Scotland in 2016 aged 18 or older (N=56 407).

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Objectives: Identify causes and future trends underpinning Scottish mortality improvements and quantify the relative contributions of disease incidence and survival.

Design: Population-based study.

Setting: Linked secondary care and mortality records across Scotland.

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Background: Psychiatric disorders are associated with increased risk of ischaemic heart disease (IHD) and stroke, but it is not known whether the associations or the role of sociodemographic factors have changed over time.

Aims: To investigate the association between psychiatric disorders and IHD and stroke, by time period and sociodemographic factors.

Method: We used Scottish population-based records from 1991 to 2015 to create retrospective cohorts with a hospital record for psychiatric disorders of interest (schizophrenia, bipolar disorder or depression) or no record of hospital admission for mental illness.

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Objective: To determine the incidence of type 2 diabetes in people with a history of hospitalization for major mental illness versus no mental illness in Scotland by time period and sociodemographics.

Research Design And Methods: We used national Scottish population-based records to create cohorts with a hospital record of schizophrenia, bipolar disorder, or depression or no mental illness and to ascertain diabetes incidence. We used quasi-Poisson regression models including age, sex, time period, and area-based deprivation to estimate incidence and relative risks (RRs) of diabetes by mental illness status.

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