Publications by authors named "M Lisa Crotty"
We examined the effect of botulinum toxin-A on upper limb impairments and activity limitations in chronic stroke. This study is a secondary analysis of control group data from a national, multicenter, Phase III randomized trial with a masked outcome assessment. We studied 71 stroke survivors who received a botulinum toxin-A injection in any muscle(s) that crosses the wrist due to significant spasticity after a stroke greater than 3 months previously.
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- Patients post-hip fracture often experience fragmented care and poor discharge planning, highlighting the need for improved patient flow and transition support from hospital to home.* -
- A qualitative study involving interviews with patients, carers, and health professionals revealed challenges such as ineffective communication and disjointed services during discharge, along with the complexity of recovery beyond just the physical injury.* -
- Solutions suggested include better reassurance, collaborative planning, and personalized care to help patients and their supporters navigate the transition more effectively, ultimately aiming for a more coordinated approach in discharge planning.*
Preparing early economic evaluations for the development and management of health service interventions.
Int J Technol Assess Health Care
October 2024
Objectives: We draw from the Health Technology Assessment (HTA) literature to propose how hospitals and local health networks can prepare the key components of early economic evaluations to support the development and management of health service interventions.
Methods: Using the case example of a proposed intervention for older people in the Emergency Department (ED), a conceptual logic model of a new health service intervention is articulated to inform the structuring and population of a decision-analytic model using observed data on the existing care comparator and structured elicitation exercise of initial stakeholder expectations of intervention effects.
Results: The elicited patient pathway probabilities and lengths of stay quantities profile which of the existing types of patients are expected to avoid the ED and how this impacts the lengths of stay across the system.
Article Synopsis
- Measures to reduce airborne pathogen transmission in healthcare settings can be costly and disruptive, especially when not specifically targeted.
- The study identified areas in a hospital that have a high risk for virus transmission through carbon dioxide assessments of air exchange.
- This method is efficient and low-cost, allowing for focused improvements in air quality where they are most needed in the hospital.
Article Synopsis
- * A study involving in-depth interviews with 10 GPs explored these challenges and identified factors that influence their management practices, using frameworks like the theoretical domains framework (TDF) and behavior change wheel (BCW).
- * Findings revealed that GPs struggle with knowledge gaps, patient-related issues, and systemic barriers, highlighting the need for improved support, enhanced patient engagement, and system-level changes for better obesity management.