Abel, Gary - University of Exeter

个人简介

I am a Statistician working within Primary Care at the University of Exeter Medical School. I have a strong interest in routine data, both derived from primary care and other healthcare settings. This interest spans two approaches which are 1) using routine data to explore a variety of health research questions and 2) understanding the limitations of, and the interpretation of, routine data used to inform health service delivery. Prior to joining the medical school in early 2016 I worked for the Cambridge Centre for Health Services Research at the University of Cambridge. Before this I completed an MSc in Medical Statistics at the London School of Hygiene and Tropical Medicine. Prior to retraining as a statistician, I worked for 10 years as a physicist at the British Antarctic Survey and UCL where I also completed a PhD in space physics. Qualifications 1995 BSc (Manchester) 1999 PhD (UCL) 2010 MSc (LSHTM)

研究领域

As a statistician I work across a broad range of health and healthcare areas, but there are three areas which have been a focus of my research to date. The first of these is patient experience. Patient experience is about the non-clinical aspects of how patients interact with the health service. I’ve worked extensively with the General Practice Patient Survey data as well as that from the Cancer Patient Experience Survey. These two national annual surveys provide a wealth of data which allow you to drill down to a level of detail which is simply not possible in smaller studies. Further my work as part of the NIHR funded IMPROVE project has help understand how reported outputs from the GP Patient Survey may or may not represent a wider picture. The second area of focus for me is early diagnosis of cancer. By looking at cancer registry data and other routinely collected data we can gain insights into who is at most risk from delayed diagnosis of cancer and potential reasons why. Armed with this knowledge it should be possible to more effectively target interventions at those in most need and at the right point in the cancer journey. Thirdly, I have been and continue to be, involved in the evaluation of a number health service intervention such as integrated care pilots. A focus here has been on the use of secondary care data as a marker of the success of primary care interventions. Across all three themes is a methodological interest in organizational variation. In particular I am interested in how we quantify it and how misleading crude statistics can be. Health systems are awash with indicators of activity and quality and care is needed if they are to be used appropriately.

近期论文

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walter F, Emery JD, Mendonce S, Hall N, Morris HC, Mills K, Dobson C, Bankhead C, Johnson M, Abel GA, et al (In Press). Symptoms and patient factors associated with longer time to diagnosis for colorectal cancer: results from a prospective cohort study. British Journal of Cancer Boyle A, Abel G, Raut P, Austin R, Dhakshinamoorthy V, Ayyamuthu R, Murdoch I, Burton J (2016). Comparison of the International Crowding Measure in Emergency Departments (ICMED) and the National Emergency Department Overcrowding Score (NEDOCS) to measure emergency department crowding: pilot study. Emerg Med J Abstract. Article has an altmetric score of 13 Saunders CL, Elliott MN, Lyratzopoulos G, Abel GA (2016). Do Differential Response Rates to Patient Surveys Between Organizations Lead to Unfair Performance Comparisons?: Evidence from the English Cancer Patient Experience Survey. Med Care, 54(1), 45-54. Abstract. Article has an altmetric score of 2 Lang SJ, Abel GA, Mant J, Mullis R (2016). Impact of socioeconomic deprivation on screening for cardiovascular disease risk in a primary prevention population: a cross-sectional study. BMJ Open, 6(3). Abstract. Author URL. Full text. Article has an altmetric score of 35 Abel GA, Saunders CL, Lyratzopoulos G (2016). Post-sampling mortality and non-response patterns in the English Cancer Patient Experience Survey: Implications for epidemiological studies based on surveys of cancer patients. Cancer Epidemiol, 41, 34-41. Abstract. Article has an altmetric score of 1 Mendonca SC, Abel GA, Lyratzopoulos G (2016). Pre-referral GP consultations in patients subsequently diagnosed with rarer cancers: a study of patient-reported data. Br J Gen Pract, 66(644), e171-e181. Abstract. Author URL. Full text. Article has an altmetric score of 38 Burt J, Lloyd C, Campbell J, Roland M, Abel G (2016). Variations in GP-patient communication by ethnicity, age, and gender: evidence from a national primary care patient survey. Br J Gen Pract, 66(642), e47-e52. Abstract. Author URL. Full text. Article has an altmetric score of 9 Saunders CL, Elliott MN, Lyratzopoulos G, Abel GA (2015). Beyond the ecological fallacy: potential problems when studying healthcare organisations. J R Soc Med Article has an altmetric score of 4 Abel GA, Shelton J, Johnson S, Elliss-Brookes L, Lyratzopoulos G (2015). Cancer-specific variation in emergency presentation by sex, age and deprivation across 27 common and rarer cancers. BRITISH JOURNAL OF CANCER, 112, S129-S136. Article has an altmetric score of 7 Abel GA, Shelton J, Johnson S, Elliss-Brookes L, Lyratzopoulos G (2015). Cancer-specific variation in emergency presentation by sex, age and deprivation across 27 common and rarer cancers. EUROPEAN JOURNAL OF CANCER CARE, 24, 29-29. Abel GA, Shelton J, Johnson S, Elliss-Brookes L, Lyratzopoulos G (2015). Cancer-specific variation in emergency presentation by sex, age and deprivation across 27 common and rarer cancers. Br J Cancer, 112 Suppl 1, S129-S136. Abstract. Article has an altmetric score of 7 Warren FC, Abel G, Lyratzopoulos G, Elliott MN, Richards S, Barry HE, Roland M, Campbell JL (2015). Characteristics of service users and provider organisations associated with experience of out of hours general practitioner care in England: population based cross sectional postal questionnaire survey. BMJ, 350 Abstract. Author URL. Full text. Mujica-Mota RE, Roberts M, Abel G, Elliott M, Lyratzopoulos G, Roland M, Campbell J (2015). Common patterns of morbidity and multi-morbidity and their impact on health-related quality of life: evidence from a national survey. Qual Life Res, 24(4), 909-918. Abstract. Author URL. Full text. Article has an altmetric score of 4 Zhou Y, Abel G, Warren F, Roland M, Campbell J, Lyratzopoulos G (2015). Do difficulties in accessing in-hours primary care predict higher use of out-of-hours GP services? Evidence from an English National Patient Survey. Emerg Med J, 32(5), 373-378. Abstract. Author URL. Article has an altmetric score of 11 Ahmed F, Abel GA, Lloyd CE, Burt J, Roland M (2015). Does the availability of a South Asian language in practices improve reports of doctor-patient communication from South Asian patients? Cross sectional analysis of a national patient survey in English general practices. BMC Fam Pract, 16, 55-55. Abstract. Article has an altmetric score of 3 Rutherford MJ, Ironmonger L, Ormiston-Smith N, Abel GA, Greenberg DC, Lyratzopoulos G, Lambert PC (2015). Estimating the potential survival gains by eliminating socioeconomic and sex inequalities in stage at diagnosis of melanoma. Br J Cancer, 112 Suppl 1, S116-S123. Abstract. Article has an altmetric score of 13 Setodji CM, Elliott MN, Abel G, Burt J, Roland M, Campbell J (2015). Evaluating Differential Item Functioning in the English General Practice Patient Survey: Comparison of South Asian and White British Subgroups. Med Care, 53(9), 809-817. Abstract. Author URL. Article has an altmetric score of 4 Abel G, Saunders C, Lyratzopoulos G (2015). General Practice Profiles for Cancer: how variable are the practices and can we reliably judge their diagnostic performance?. EUROPEAN JOURNAL OF CANCER CARE, 24, 72-72. Paddison CA, Saunders CL, Abel GA, Payne RA, Adler AI, Graffy JP, Roland MO (2015). How do people with diabetes describe their experiences in primary care? Evidence from 85,760 patients with self-reported diabetes from the English General Practice Patient Survey. Diabetes Care, 38(3), 469-475. Abstract. Article has an altmetric score of 16 Rubin GP, Saunders CL, Abel GA, McPhail S, Lyratzopoulos G, Neal RD (2015). Impact of investigations in general practice on timeliness of referral for patients subsequently diagnosed with cancer: analysis of national primary care audit data. Br J Cancer, 112(4), 676-687. Abstract.