The Experts below are selected from a list of 40440 Experts worldwide ranked by ideXlab platform
C Chandler - One of the best experts on this subject based on the ideXlab platform.
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mapping patients experiences from initial change in health to cancer diagnosis a qualitative exploration of patient and system factors mediating this process
European Journal of Cancer Care, 2010Co-Authors: Alex Molassiotis, Barbara Wilson, Lisa Brunton, C ChandlerAbstract:Delays in the diagnosis of cancer are common, and they are attributed to both patient and healthcare system factors. Minimizing such delays and improving early detection rates is a key goal of the new cancer Reform Strategy in England, in light of recent data showing that survival rates in the UK are low. The aim of this study was to explore the pathway from initial persistent change in health to diagnosis of cancer in a sample of patients from seven diagnostic groups in the UK and the factors mediating this process. Qualitative interviews with patients diagnosed with cancer were carried out. Seventy-five cancer patients discussed their pre-diagnosis experience as part of a broader exploration of their symptom experience for a larger study. Data were analysed by using content analysis and chart events. A broader range of mediating factors affecting and extending the patient pathway to diagnosis were reported in relation to lung, gastrointestinal and head and neck cancers and lymphoma, compared with breast, gynaecological and brain cancer patients. Many of the mediating factors were patient-related (e.g. misattribution of symptoms to common ailments, underestimation of the seriousness of the symptoms, self-medication or monitoring of symptoms, etc.). Primary care practitioner-factors were also prominent, including the exploration of firstly more common possibilities for treating the presenting symptoms without follow-up of persisting symptoms. Public health education about common cancer signs and symptoms, educational approaches in primary care to improve early diagnoses of cancer and updated guidelines for referral of suspected cancers should be enhanced before we can see any improvements in survival rates from cancer in the UK.
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mapping patients experiences from initial change in health to cancer diagnosis a qualitative exploration of patient and system factors mediating this process
European Journal of Cancer Care, 2010Co-Authors: Alex Molassiotis, Barbara Wilson, Lisa Brunton, C ChandlerAbstract:MOLASSIOTIS A., WILSON B., BRUNTON L. & CHANDLER C. (2009) European Journal of Cancer Care19, 98–109 Mapping patients’ experiences from initial change in health to cancer diagnosis: a qualitative exploration of patient and system factors mediating this process Delays in the diagnosis of cancer are common, and they are attributed to both patient and healthcare system factors. Minimizing such delays and improving early detection rates is a key goal of the new cancer Reform Strategy in England, in light of recent data showing that survival rates in the UK are low. The aim of this study was to explore the pathway from initial persistent change in health to diagnosis of cancer in a sample of patients from seven diagnostic groups in the UK and the factors mediating this process. Qualitative interviews with patients diagnosed with cancer were carried out. Seventy-five cancer patients discussed their pre-diagnosis experience as part of a broader exploration of their symptom experience for a larger study. Data were analysed by using content analysis and chart events. A broader range of mediating factors affecting and extending the patient pathway to diagnosis were reported in relation to lung, gastrointestinal and head and neck cancers and lymphoma, compared with breast, gynaecological and brain cancer patients. Many of the mediating factors were patient-related (e.g. misattribution of symptoms to common ailments, underestimation of the seriousness of the symptoms, self-medication or monitoring of symptoms, etc.). Primary care practitioner-factors were also prominent, including the exploration of firstly more common possibilities for treating the presenting symptoms without follow-up of persisting symptoms. Public health education about common cancer signs and symptoms, educational approaches in primary care to improve early diagnoses of cancer and updated guidelines for referral of suspected cancers should be enhanced before we can see any improvements in survival rates from cancer in the UK.
Alex Molassiotis - One of the best experts on this subject based on the ideXlab platform.
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mapping patients experiences from initial change in health to cancer diagnosis a qualitative exploration of patient and system factors mediating this process
European Journal of Cancer Care, 2010Co-Authors: Alex Molassiotis, Barbara Wilson, Lisa Brunton, C ChandlerAbstract:Delays in the diagnosis of cancer are common, and they are attributed to both patient and healthcare system factors. Minimizing such delays and improving early detection rates is a key goal of the new cancer Reform Strategy in England, in light of recent data showing that survival rates in the UK are low. The aim of this study was to explore the pathway from initial persistent change in health to diagnosis of cancer in a sample of patients from seven diagnostic groups in the UK and the factors mediating this process. Qualitative interviews with patients diagnosed with cancer were carried out. Seventy-five cancer patients discussed their pre-diagnosis experience as part of a broader exploration of their symptom experience for a larger study. Data were analysed by using content analysis and chart events. A broader range of mediating factors affecting and extending the patient pathway to diagnosis were reported in relation to lung, gastrointestinal and head and neck cancers and lymphoma, compared with breast, gynaecological and brain cancer patients. Many of the mediating factors were patient-related (e.g. misattribution of symptoms to common ailments, underestimation of the seriousness of the symptoms, self-medication or monitoring of symptoms, etc.). Primary care practitioner-factors were also prominent, including the exploration of firstly more common possibilities for treating the presenting symptoms without follow-up of persisting symptoms. Public health education about common cancer signs and symptoms, educational approaches in primary care to improve early diagnoses of cancer and updated guidelines for referral of suspected cancers should be enhanced before we can see any improvements in survival rates from cancer in the UK.
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mapping patients experiences from initial change in health to cancer diagnosis a qualitative exploration of patient and system factors mediating this process
European Journal of Cancer Care, 2010Co-Authors: Alex Molassiotis, Barbara Wilson, Lisa Brunton, C ChandlerAbstract:MOLASSIOTIS A., WILSON B., BRUNTON L. & CHANDLER C. (2009) European Journal of Cancer Care19, 98–109 Mapping patients’ experiences from initial change in health to cancer diagnosis: a qualitative exploration of patient and system factors mediating this process Delays in the diagnosis of cancer are common, and they are attributed to both patient and healthcare system factors. Minimizing such delays and improving early detection rates is a key goal of the new cancer Reform Strategy in England, in light of recent data showing that survival rates in the UK are low. The aim of this study was to explore the pathway from initial persistent change in health to diagnosis of cancer in a sample of patients from seven diagnostic groups in the UK and the factors mediating this process. Qualitative interviews with patients diagnosed with cancer were carried out. Seventy-five cancer patients discussed their pre-diagnosis experience as part of a broader exploration of their symptom experience for a larger study. Data were analysed by using content analysis and chart events. A broader range of mediating factors affecting and extending the patient pathway to diagnosis were reported in relation to lung, gastrointestinal and head and neck cancers and lymphoma, compared with breast, gynaecological and brain cancer patients. Many of the mediating factors were patient-related (e.g. misattribution of symptoms to common ailments, underestimation of the seriousness of the symptoms, self-medication or monitoring of symptoms, etc.). Primary care practitioner-factors were also prominent, including the exploration of firstly more common possibilities for treating the presenting symptoms without follow-up of persisting symptoms. Public health education about common cancer signs and symptoms, educational approaches in primary care to improve early diagnoses of cancer and updated guidelines for referral of suspected cancers should be enhanced before we can see any improvements in survival rates from cancer in the UK.
Michael Barnes - One of the best experts on this subject based on the ideXlab platform.
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community schools as an urban school Reform Strategy examining partnerships governance and sustainability through the lens of the full service community schools grant program
Educational Policy, 2020Co-Authors: Jennifer Jellison Holme, Andrene Castro, Emily Germain, Madeline Haynes, Chloe Latham Sikes, Michael BarnesAbstract:The community school concept has become a popular school Reform model that has gained traction in urban school systems. To date, however, few studies have looked across contexts to see how various ...
Mark A Gooden - One of the best experts on this subject based on the ideXlab platform.
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transforming out of school challenges into opportunities community schools Reform in the urban midwest
Urban Education, 2014Co-Authors: Terrance L Green, Mark A GoodenAbstract:For more than three decades, community schools have aimed to improve education and neighborhood outcomes in low-income, urban communities of color. In this article, we position community schools as a place-based Reform Strategy that pushes back on top-down accountability systems. While most research on urban school Reform focuses on improving in-school factors, this study shifts the research lens to out-of-school factors that shape low-income, urban school-community contexts. The purpose of this study is to examine the out-of-school challenges that instigated a neighborhood-driven community school implementation in a racially diverse and low- to working-class community in the urban Midwest. Drawing on interviews and archival data, critical urban theory is used to guide our analysis. This case study details the political and socioeconomic out-of-school forces that preceded a community schools implementation. In doing so, we consider how school leaders can confront out-of-school challenges across similar ur...
Roy Kelly - One of the best experts on this subject based on the ideXlab platform.
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designing a property tax Reform Strategy for sub saharan africa an analytical framework applied to kenya
Public Budgeting & Finance, 2000Co-Authors: Roy KellyAbstract:Countries throughout Sub-Saharan Africa are exploring options to improve local property taxation. Using the case of Kenya, this article provides an analytical framework for designing an effective property tax Reform Strategy. The first section presents a general conceptual model of property tax revenues, identifying four critical ratios that ultimately determine the effectiveness of any property tax system—namely, the coverage ratio, the valuation ratio, the tax ratio, and the collection ratio. The second section applies this conceptual framework to the property tax system in Kenya, focusing on the status of these four ratios and outlining possibilities for improving each ratio. The article concludes by summarizing five basic lessons from the Kenyan analysis that can assist in the development of appropriate property tax Reforms in other developing countries in Sub-Saharan Africa.