Bruce Guthrie

+44 (0)1382 383740
Professor of Primary Care Medicine and Honorary Consultant NHS Fife

Bio

Biography

I am Professor of Primary Care Medicine at the University of Dundee Medical School where I carry out applied research to translate basic and clinical research into effective and reliable clinical practice. I am additionally an Honorary Consultant in NHS Fife and a General Practitioner in Cardenden in Fife. I was previously a Medical Research Council Health Services Research Fellow at University of Edinburgh, an National Institute for Health Research post-doctoral research fellow at University of Dundee, and a 2006/7 Commonwealth Fund Harkness Fellow in Healthcare Policy at University of California San Francisco where I was also a Visiting Professor in 2010. I regularly review for various grant-making bodies and journals, contribute to undergraduate and postgraduate medical teaching, and supervise and examine MSc and PhD students in Dundee and other universities. As well as conducting research, I serve or have served on a number of National Health Service advisory bodies, including the National Institute for Health and Clinical Excellence (NICE) Quality and Outcomes Framework Indicators Advisory Committee (which recommended which quality indicators should be included in the UK primary care pay for performance programme) where I chaired the Thresholds, Review and Retiral Sub-committee, and the Scottish Government Polypharmacy Working Group. I was the chair of the guideline development group of the NICE Multimorbidity Clinical Guideline published in late 2016. 

Research

My main research interests are the quality and safety of healthcare, particularly in primary care and currently focused on prescribing quality and safety, multimorbidity the organisation of healthcare. I am a mixed methods researcher and collaborate with researchers from a wide range of disciplines and institutions. The methods I use include quantitative analysis of large, routine datasets; cluster randomised trials with mixed methods parallel process evaluations; and qualitative analysis of interview and observational data. My recent and current work includes development and evaluation of interventions to improve polypharmacy, examination of the implications of competing mortality risk for single disease risk prediction, and examination of the applicability of trial evidence to clinical populations. 

Publications

Efficiency versus thoroughness in medication review : a qualitative study in primary care
9/2018, British Journal of General Practice
Research Output: Contribution To Journal > Article

Multimorbidity and patient-centred care in the 3D trial – Authors' reply
1/2019, The Lancet
Research Output: Contribution To Journal > Letter

Identifying care-home residents in routine healthcare datasets : a diagnostic test accuracy study of five methods
7/2018, Age and Ageing
Research Output: Contribution To Journal > Article

Multimorbidity in middle age predicts more subsequent hospital admissions than in older age : A nine-year retrospective cohort study of 121,188 discharged in-patients
12/2018, European Journal of Internal Medicine
Research Output: Contribution To Journal > Article

Living at home after emergency hospital admission : prospective cohort study in older adults with and without cognitive spectrum disorder
10/2018, BMC Medicine
Research Output: Contribution To Journal > Article

Mortality in people with dementia, delirium and unspecified cognitive impairment in the general hospital : prospective cohort study of 6724 patients with two years follow-up
11/2018, Clinical Epidemiology
Research Output: Contribution To Journal > Article

Understanding usual care for patients with multimorbidity : baseline data from a cluster-randomised trial of the 3D intervention in primary care
6/2018, BMJ Open
Research Output: Contribution To Journal > Article

Management of multimorbidity using a patient-centred care model : a pragmatic cluster-randomised trial of the 3D approach
5/2018, Lancet
Research Output: Contribution To Journal > Article

A computer template to enhance patient-centredness in multimorbidity reviews : a qualitative evaluation in primary care
2/2018, British Journal of General Practice
Research Output: Contribution To Journal > Article

Balancing measures or a balanced accounting of improvement impact : a qualitative analysis of individual and focus group interviews with improvement experts in Scotland
9/2017, BMJ Quality & Safety
Research Output: Contribution To Journal > Article

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Press

Better guidelines needed for multimorbidity

Bruce Guthrie & Marion McMurdo

9/10/12

1 item of media coverage

Press/Media: Research



Study calls for reviews of psychotropic medication

Colin McCowan, Bruce Guthrie & Stella Clark

13/09/12

1 item of media coverage

Press/Media: Research



http://www.dundee.ac.uk/pressreleases/2012/september12/psychotropic.htm

Bruce Guthrie

13/09/12

1 item of media coverage

Press/Media: Research



New research on multiple medical conditions

Karen Barnett, Bruce Guthrie & Michael Norbury

18/05/12

1 item of media coverage

Press/Media: Research



60,000 Scots prescribed 'high risk' drugs

Bruce Guthrie

22/06/11

1 item of media coverage

Press/Media: Research



View full profile on research portal