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Andrew R H Dalton

Ph.D. M.Sc. B.Sc.

Senior Researcher

I am a researcher interested in the prevention of the cardiovascular diseases, with a focus on the impact that primary care can make on the wider public health. I am keen to examine the newly emerging power of routine primary care data, both in improving health service delivery and for public health research.

Despite over four decades of reductions in cardiovascular disease, it maintains a priority for health systems. Prevention is critical. Primary care, through its contact with patients and its growing data richness, stands at a unique position in preventive public health.

My primary responsibilities involve co-ordinating a clinical trial to promote the use of oral anticoagulants in patients with atrial fibrillation. Despite strong evidence that anticoagulation reduces risk of stroke in atrial fibrillation – a risk that is raised – prescribing remains limited in those eligible. We are investigating, through a cluster-randomised trial, whether a simple electronic reminder system in primary care records can safely improve prescribing. If found to be safe and effective, this simple and low-cost intervention could substantially improve the care of patients with atrial fibrillation.

I maintain an interest in wider story of the primary prevention of CVD – a focus of my PhD; including the most effective strategies for prevention, and how epidemiological changes of risk factors have impacted on the disease. I am keen to work on the potential that electronic primary care data have, both for service improvement and for less applied public health monitoring and research, and to use routine survey data to carry out public health research.

Recent Publications

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