Sarah Montgomery-Taylor
London, England, United Kingdom
673 followers
500+ connections
About
Clinician at Google Health, previously DeepMind Health, with a background of Clinical…
Activity
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National Mental Health Awareness Month may be behind us, but Google's commitment to helping people find the resources they need is year-round. That’s…
National Mental Health Awareness Month may be behind us, but Google's commitment to helping people find the resources they need is year-round. That’s…
Liked by Sarah Montgomery-Taylor
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What is the most in-demand Google Health swag? And how can you get your hands on it? Socks of course! So come charm the socks off of us at the…
What is the most in-demand Google Health swag? And how can you get your hands on it? Socks of course! So come charm the socks off of us at the…
Liked by Sarah Montgomery-Taylor
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What an amazing group of founders and startups! Last week in Paris, we kicked off the second edition of our Growth Academy: AI for Health program…
What an amazing group of founders and startups! Last week in Paris, we kicked off the second edition of our Growth Academy: AI for Health program…
Liked by Sarah Montgomery-Taylor
Experience
Education
Publications
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Child Health General Practice Hubs: a service evaluation
Archives of Disease in Childhood
Abstract
Objective To evaluate the impact of an integrated child health system.
Design Mixed methods service evaluation.
Setting and patients Children, young people and their families registered in Child Health General Practitioner (GP) Hubs where groups of GP practices come together to form ‘hubs’.
Interventions Hospital paediatricians and GPs participating in joint clinics and multidisciplinary team (MDT) meetings in GP practices, a component of an ‘Inside-Out’ change…Abstract
Objective To evaluate the impact of an integrated child health system.
Design Mixed methods service evaluation.
Setting and patients Children, young people and their families registered in Child Health General Practitioner (GP) Hubs where groups of GP practices come together to form ‘hubs’.
Interventions Hospital paediatricians and GPs participating in joint clinics and multidisciplinary team (MDT) meetings in GP practices, a component of an ‘Inside-Out’ change known as ‘Connecting Care For Children (CC4C)’.
Main outcome measures Cases seen in clinic or discussed at MDT meetings and their follow-up needs. Hospital Episode data: outpatient and inpatient activity and A&E attendance. Patient-reported experience measures and professionals’ feedback.
Results In one hub, 39% of new patient hospital appointments were avoided altogether and a further 42% of appointments were shifted from hospital to GP practice. In addition, there was a 19% decrease in sub-specialty referrals, a 17% reduction in admissions and a 22% decrease in A&E attenders. Smaller hubs running at lower capacity in early stages of implementation had less impact on hospital activity. Patients preferred appointments at the GP practice, gained increased confidence in taking their child to the GP and all respondents said they would recommend the service to family and friends. Professionals valued the improvement in knowledge and learning and, most significantly, the development of trust and collaboration.
Conclusions Child Health GP Hubs increase the connections between secondary and primary care, reduce secondary care usage and receive high patient satisfaction ratings while providing learning for professionals.Other authorsSee publication -
Child health - leading the way in integrated care.
Journal of the Royal Society for Medicine
There is great awareness of the need for change in child health: for better outcomes, greater cost effectiveness, and crucially, to have children, young people and their families at the centre of everything that is done. Child health is a leading sector in understanding and developing new ways of integrating and delivering care.
Other authorsSee publication -
Management and outcomes of pregnancies among women with HIV in Oxford, UK, in 2008-2012.
International Journal of Gynecology & Obstetrics
Abstract
Objective
To evaluate the management and outcomes of pregnancies among women with HIV infection.
Methods
A retrospective cohort study was undertaken of pregnant women with HIV who delivered at one center in the UK in 2008–2012. Case notes were reviewed and detailed information extracted regarding obstetric and virological management.
Results
Overall, 61 pregnancies were included; 43% (26/60) were unplanned and 39% (22/57) booked late. HIV infection was…Abstract
Objective
To evaluate the management and outcomes of pregnancies among women with HIV infection.
Methods
A retrospective cohort study was undertaken of pregnant women with HIV who delivered at one center in the UK in 2008–2012. Case notes were reviewed and detailed information extracted regarding obstetric and virological management.
Results
Overall, 61 pregnancies were included; 43% (26/60) were unplanned and 39% (22/57) booked late. HIV infection was diagnosed during pregnancy for 32% (19/60); 71% (12/17) were diagnosed after the first trimester. At booking, 47% of women (28/60) were not on treatment, all but one of whom commenced treatment, either for maternal reasons (CD4 count < 350 cells per mm3; 48% [13/27]) or prevention of mother-to-child-transmission (52% [14/27]). Viral load was high (> 50 copies per mL) at delivery for 13% of women (8/61). Delivery was by cesarean for 74% [45/61]. One neonate was diagnosed with HIV infection. There were 6 (10%) preterm births, 9 (15%) cases of low birth weight, 11 (18%) small-for-gestational-age neonates, and 1 (2%) stillbirth.
Conclusion
Better pregnancy planning, earlier booking and HIV diagnosis, and optimal antiretroviral treatment should increase the proportion of women with a low viral load (< 50 copies per mL) at delivery, lead to more vaginal deliveries, and further reduce mother-to-child transmission of HIV.Other authors -
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Using an email advice line to connect care for children.
Archives of Disease in Childhood
There is a well recognised need to shift a significant proportion of hospital-based care to the community,1 and a corresponding increase in out-of-hospital specialist presence is needed to facilitate this.2 Potentially avoidable paediatric hospital referrals indicate the need for further support for primary care health professionals,3 especially given that many have limited formal paediatric training.4
Other authorsSee publication -
Eighteen months of "matching Michigan" at a UK neonatal intensive care unit.
Paediatric Infectious Diseases Journal
Our “Matching Michigan” program has 3 focuses for identifying and reducing nosocomial infection. First, practical training to optimize infection control; second, root cause analysis of blood-culture positives; and third, feedback and use of results to develop new guidelines. Our infection rates are comparable with adult units. Interventions have reduced coagulase-negative staphylococcal infections whereas other infection rates have reduced relative to increased activity.
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Honors & Awards
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Royal College of Paediatrics and Child Health Medical Student Prize
Royal College of Paediatrics and Child Health
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Peter Tizard Prize in Paediatrics
Oxford University Medical School
More activity by Sarah
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Really amazing to get to spend time this week with colleagues across the world who are focused on improving people’s health on a global scale, at the…
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It was a privilege to talk about the work that Google Health is doing in #FoodisMedicine at the 2nd annual Food is Medicine Institute National Summit…
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It was such a pleasure to be invited back to the University of Kent and talk to the current MSc ABA/PBS students at their last teaching session of…
It was such a pleasure to be invited back to the University of Kent and talk to the current MSc ABA/PBS students at their last teaching session of…
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We have an incredible team Google that builds tools that empower you with insights and information about how to better manage stress. It's a…
We have an incredible team Google that builds tools that empower you with insights and information about how to better manage stress. It's a…
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We believe that everyone has the right to health, and we’re committed to helping everyone, everywhere be healthier through products and services that…
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It was great to join a panel at HealthTechX Global Summit on Healthtech partnerships with the dynamic and insightful trio of Jessica Smith, Dr…
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Practical, impactful, accessible! It’s my approach to practicing cardiology and helping users promote #hearthealth with Google #Fitbit and #Pixel…
Practical, impactful, accessible! It’s my approach to practicing cardiology and helping users promote #hearthealth with Google #Fitbit and #Pixel…
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15 years ago, at medical school, we were told about the possibility of "one day" vaccinating against cancer - a pipe dream and science fiction. Now…
15 years ago, at medical school, we were told about the possibility of "one day" vaccinating against cancer - a pipe dream and science fiction. Now…
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At YouTube Health & Google Health, it is our fervent belief that timely and equitable access to high quality information is the bedrock of societal…
At YouTube Health & Google Health, it is our fervent belief that timely and equitable access to high quality information is the bedrock of societal…
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I'm bursting with pride!! ✨ Soli is featured in Apple's Women's History Month campaign on the App Store alongside giants like Electronic Arts (EA)…
I'm bursting with pride!! ✨ Soli is featured in Apple's Women's History Month campaign on the App Store alongside giants like Electronic Arts (EA)…
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