Publications by authors named "Tim Gardner"
The health secretary gains sweeping new powers, with unclear consequences for patients
View Article and Find Full Text PDFHospital bed occupancy rates in the English National Health Service have risen to levels considered clinically unsafe. This study assesses the association of increased bed occupancy with changes in the percentage of overnight patients discharged from hospital on a given day, and their subsequent 30-day readmission rate. Longitudinal panel data methods are used to analyse secondary care records (n = 4,193,590) for 136 non-specialist Trusts between April 2014 and February 2016.
View Article and Find Full Text PDFArticle Synopsis
- The Five Year Forward View identifies 'closing the care and quality gap' as a key challenge for the English NHS by 2020, emphasizing the urgent need for a national strategy focused on high-quality, affordable care.
- Existing national policies may not effectively support frontline clinicians, raising questions about the alignment of long-term goals with immediate political needs.
- Research by the Health Foundation examined current quality-related policies, revealing imbalances and gaps, and proposed solutions to improve the overall healthcare strategy.
The accumulation of lipid at ectopic sites, including the skeletal muscle and liver, is a common consequence of obesity and is associated with tissue-specific and whole body insulin resistance. Exercise is well known to improve insulin resistance by mechanisms not completely understood. We performed lipidomic profiling via mass spectrometry in liver and skeletal muscle samples from exercise-trained mice to decipher the lipid changes associated with exercise-induced improvements in whole body glucose metabolism.
View Article and Find Full Text PDFPostoperative atrial fibrillation/flutter (PoAF) commonly complicates cardiac surgery, occurring in 25% to 60% of patients. Postoperative atrial fibrillation/flutter is associated with significant morbidity, higher long-term mortality, and increased health care costs. Novel preventive therapies are clearly needed.
View Article and Find Full Text PDFAim: To describe patterns of prescribing in general practice for New Zealanders aged 65 years and over.
Methods: The computerised records of 139 359 consulting patients from 31 general practices from around New Zealand were examined. A subset of 17 497 consulting patients aged 65 years and over was selected and their prescribed medications examined.