thomas.dakin@sydney.edu.au

About Thomas Dakin

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So far Thomas Dakin has created 418 blog entries.

Impact of Full-Field Digital Mammography Versus Film-Screen Mammography in Population Screening: A Meta-Analysis

2021-05-28T10:59:58+10:00Breast cancer, Cancer, Publications|

Population mammography-screening programs aim to prevent women dying from breast cancer through earlier detection and treatment. Improvements in mammographic technology hold the promise of increasing the benefit of screening by increasing the detection of clinically important breast cancers. However, determining whether such theoretical benefits are [...]

Implementing changes to cervical screening: A qualitative study with health professionals

2021-05-28T10:58:16+10:00Cancer, Cervical Cancer, Publications|

The Australian National Cervical Screening Program (NCSP) introduced in 1991 has shown demonstrable success in reducing cervical cancer incidence and mortality in women aged 18 to 69 years screened with cytology every two years. Additionally, the implementation of a National Human Papillomavirus (HPV) Vaccination Program [...]

Health Literacy and Shared Decision-making: Exploring the Relationship to Enable Meaningful Patient Engagement in Healthcare

2021-05-28T10:56:17+10:00Health literacy, Publications, Shared decision making|

Research into health literacy and shared decision-making has largely developed along parallel, but distinct lines over the past two decades. There is little evidence that the concepts and related practice have intersected except in the most functional way, for example, to simplify shared decision-making tools [...]

Estimating misclassification error in a binary performance indicator: case study of low value care in Australian hospitals

2021-05-28T10:54:48+10:00Low-value care, Publications|

Indicators based on hospital administrative data have potential for misclassification error, especially if they rely on clinical detail that may not be well recorded in the data. We applied an approach using modified logistic regression models to assess the misclassification (false-positive and false-negative) rates of [...]

“A Pap smear saved my life”: Personal experiences of cervical abnormalities shape attitudes to cervical screening renewal

2021-05-28T10:50:12+10:00Cancer, Cervical Cancer, Publications|

In December 2017, the Australian National Cervical Screening Program (NCSP) changed from cytology (Pap testing) to human papillomavirus (HPV) testing, increased the age of first invitation to screen, and extended the screening interval. These changes were known as the “Renewal”. When the changes were announced, [...]

J Gen Intern Med – Health Literacy and Shared Decision-making: Exploring the Relationship to Enable Meaningful Patient Engagement in Healthcare – Danielle Muscat et al.

2020-08-28T16:16:40+10:00Health literacy, Publications, Shared decision making|

Research into health literacy and shared decision-making has largely developed along parallel, but distinct lines over the past two decades. There is little evidence that the concepts and related practice have intersected except in the most functional way, for example, to simplify shared decision-making tools [...]

BMJ Open – How do patients and the public understand overtesting and overdiagnosis? A protocol for a thematic meta-synthesis of qualitative research – Tomas Rozbroj et al.

2020-08-28T16:14:15+10:00Public comprehension, Publications|

Examining patient and public understanding of overtesting and overdiagnosis (OverTD) is vital for reducing the burden of OverTD. Studies from disparate contexts, disciplines and focusing on disparate healthcare issues have examined patient and public understanding of OverTD. A synthesis is needed to bring this literature [...]

PHRP – Learners’ experience and perceived impact of a health literacy program in adult basic education: a qualitative study – Danielle Muscat et al.

2020-08-28T16:10:38+10:00Health literacy, Publications|

Here we report the findings of a qualitative interview study carried out as part of a cluster-randomised controlled trial of a health literacy program delivered in adult education settings in New South Wales, Australia. Qualitative methodologies were employed to gain a broader understanding of program impacts [...]

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