Career History

I am an academic public health physician. I have worked in 4 medical schools, in the UK (Bristol, UEA) and South Africa (Cape Town, Free State), doing epidemiological then health services research, and teaching medical and postgraduate research students. 

Good primary health care is a foundation of good population health. So my research is mostly focused on innovation, integration and evaluation of primary health care, for HIV/AIDS, tuberculosis, respiratory disease, diabetes, and other long term conditions.   When I was a medical student and junior doctor in 1980s South Africa, the struggle for liberation from apartheid had a big influence on me. I was active in anti-apartheid student and health politics in my twenties. This led me into occupational health and safety, consulting and doing epidemiological research for non-racial trade unions. My research since then has been grounded on methods I learned from fellow occupational epidemiologists. But when apartheid started dying out in the early nineties, I realised that there were even greater health benefits to be gained from health system reform, especially through massive expansion and strengthening of public sector primary health care. Hence my shift to health services research.

After  public health specialist training in South Africa and the UK I learned more from British health services researchers and public health colleagues . One of the many admirable features of the NHS is that it encourages experimentation and is responsive to health services research evidence, which it funds generously. This makes the UK a world leader in the research methods I use, such as the evaluation of complex interventions with cluster randomised trials, cost effectiveness evaluation, and interdisciplinary mixtures of epidemiology, economics and social science.  It has been my privilege to be based in this scientifically excellent setting while applying myself to the health care challenges of high, middle and low income countries.  

Educational and professional qualifications

  • PhD, University of Bristol

  • MSc (Public Health Medicine), London School of Hygiene and Tropical Medicine

  • Diploma in Occupational Health, University of Cape Town

  • Bachelor of Medicine and Bachelor of Surgery (MBChB), University of Cape Town

  • Fellow of the Faculty of Public Health, United Kingdom

 

All Publications

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Elwell-Sutton, T., Folb, N., Clark, A., Fairall, L., Lund, C., Bachmann, M. O.

(2017)

Socioeconomic position and depression in South African adults with long term health conditions: a longitudinal study of causal pathways,

in Epidemiology and Psychiatric Sciences

Full Text UEA Repository

(Article)

(E-pub ahead of print)


Murage, P., Murchie, P., Bachmann, M., Crawford, M., Jones, A.

(2017)

Impact of travel time and rurality on presentation and outcomes of symptomatic colorectal cancer: a cross-sectional cohort study in primary care,

in British Journal of General Practice

67

(660)

pp. e460-e466

Full Text UEA Repository

(Article)

(Published)


Quinn, T. J., Taylor-Rowan, M., Coyte, A., Clark, A. B., Musgrave, S. D., Metcalf, A. K., Day, D. J., Bachmann, M. O., Warburton, E. A., Potter, J. F., Myint, P. K.

(2017)

Pre-Stroke Modified Rankin Scale: Evaluation of Validity, Prognostic Accuracy, and Association with Treatment,

in Frontiers in Neurology

8

article no. 275

Full Text UEA Repository

(Article)

(Published)


Kwok, C. S., Bachmann, M. O., Mamas, M. A., Stirling, S., Shepstone, L., Myint, P. K., Zaman, M. J.

(2017)

Effect of age on the prognostic value of left ventricular function in patients with acute coronary syndrome: a prospective registry study,

in European Heart Journal: Acute Cardiovascular Care

6

(2)

pp. 191-198

Full Text UEA Repository

(Article)

(Published)


Notley, C., Blyth, A., Maskrey, V., Karavadra, B., Brown, T., Holland, R., Bachmann, M. O., Brandon, T. H., Song, F.

(2017)

Self help materials for smoking relapse prevention: A process evaluation of the SHARPISH randomised controlled trial,

in Journal of Public Health

Full Text UEA Repository

(Article)

(E-pub ahead of print)


Pascale, M., Murray, N., Bachmann, M., Barton, G., Clark, A., Howe, A., Greaves, C., Sampson, M.

(2017)

Study Protocol: The Norfolk Diabetes Prevention Study [NDPS]: a 46 month multi - centre, randomised, controlled parallel group trial of a lifestyle intervention [with or without additional support from lay lifestyle mentors with Type 2 diabetes] to prevent transition to Type 2 diabetes in high risk groups with non - diabetic hyperglycaemia, or impaired fasting glucose,

in BMC Public Health

17

(1)

article no. 31

Full Text UEA Repository

(Article)

(Published)


Myint, P. K., Bachmann, M. O., Loke, Y. K., Musgrave, S. D., Price, G. M., Hale, R., Metcalf, A. K., Turner, D. A., Day, D. J., Warburton, E. A., Potter, J. F.

(2017)

Important factors in predicting mortality outcome from stroke: findings from the Anglia Stroke Clinical Network Evaluation Study,

in Age and Ageing

46

(1)

pp. 83-90

Full Text UEA Repository

(Article)

(Published)


Song, F., Bachmann, M. O.

(2016)

Cumulative subgroup analysis to reduce waste in clinical research for individualised medicine,

in BMC Medicine

14

article no. 197

Full Text UEA Repository

(Article)

(Published)


Folb, N., Bachmann, O., Bateman, E. D., Steyn, K., Levitt, N., Timmerman, V., Lombard, C., Gaziano, T. A., Fairall, L. R.

(2016)

Socioeconomic and modifiable predictors of blood pressure control for hypertension in primary care attenders in the Western Cape, South Africa,

in South African Medical Journal

106

(12)

pp. 1241-1246

Full Text UEA Repository

(Article)

(Published)


Myint, P. K., Kidd, A. C., Kwok, C. S., Musgrave, S. D., Redmayne, O., Metcalfe, A. K., Ngeh, J., Nicolson, A., Owusu-Agyei, P., Shekhar, R., Walsh, K., Day, D. J., Warburton, E. A., Bachmann, M. O., Potter, J. F.

(2016)

Time to Computerized Tomography Scan, Age, and Mortality in Acute Stroke,

in Journal of Stroke & Cerebrovascular Diseases

25

(12)

pp. 3005–3012

Full Text UEA Repository

(Article)

(Published)


Scanlon, P., Stratton, I. M., Bachmann, M. O., Jones, C., Leese, G. P.

(2016)

Risk of diabetic retinopathy at first screen in children at 12 and 13 years of age,

in Diabetic Medicine

33

(12)

pp. 1655–1658

Full Text UEA Repository

(Article)

(Published)


Fairall, L. R., Folb, N., Timmerman, V., Steyn, K., Lombard, C., Bachmann, M. O., Bateman, E. D., Lund, C., Cornick, R., Faris, G., Gaziano, T., Georgeu-Pepper, D., Zwarenstein, M., Levitt, N. S.

(2016)

Educational outreach in an integrated clinical management tool for nurse-led non-communicable chronic disease management in primary care in South Africa: pragmatic cluster randomised controlled trial,

in PLoS Medicine

13

(11)

article no. e1002178

Full Text UEA Repository

(Article)

(Published)


Murage, P., Crawford, S. M., Bachmann, M., Jones, A.

(2016)

Geographical disparities in access to cancer management and treatment services in England,

in Health & Place

42

pp. 11–18

Full Text UEA Repository

(Article)

(Published)


Mamas, M. A., Kwok, C. S., Kontopantelis, E., Fryer, A. A., Buchan, I., Bachmann, M. O., Zaman, M. J., Myint, P. K.

(2016)

Relationship between anemia and mortality outcomes in a national acute coronary syndrome cohort: Insights from the UK Myocardial Ischemia National Audit Project registry,

in Journal of the American Heart Association

5

(11)

article no. e003348

Full Text UEA Repository

(Article)

(Published)


Scanlon, P., Stratton, I., Leese, G., Bachmann, M., Land, M., Jones, C., Ferguson, B.

(2016)

Screening attendance, age group and diabetic retinopathy level at first screen,

in Diabetic Medicine

33

(7)

pp. 904–911

Full Text UEA Repository

(Article)

(Published)


Song, F., Maskrey, V., Blyth, A., Brown, T., Barton, G., Aveyard, P., Notley, C., Holland, R., Bachmann, M., Sutton, S., Brandon, T.

(2016)

Differences in longer-term smoking abstinence after treatment by specialist or non-specialist advisors – secondary analysis of data from a relapse prevention trial,

in Nicotine and Tobacco Research

18

(5)

pp. 1061-1066

Full Text UEA Repository

(Article)

(Published)


Zaman, M. J., Fleetcroft, R., Bachmann, M., Sarev, T., Stirling, S., Clark, A., Myint, P. K.

(2016)

Association of increasing age with receipt of specialist care and long-term mortality in patients with non-ST elevation myocardial infarction,

in Age and Ageing

45

(1)

pp. 96-103

Full Text UEA Repository

(Article)

(Published)


Irena, A. H., Bahwere, P., Owino, V. O., Diop, E. I., Bachmann, M. O., Mbwili-Muleya, C., Dibari, F., Sadler, K., Collins, S.

(2015)

Comparison of the effectiveness of a milk-free soy-maize-sorghum-based ready-to-use therapeutic food to standard ready-to-use therapeutic food with 25% milk in nutrition management of severely acutely malnourished Zambian children: an equivalence non-blinded cluster randomised controlled trial,

in Maternal & Child Nutrition

11

(Supplement S4)

pp. 105–119

Full Text UEA Repository

(Article)

(Published)


Maskrey, V., Blyth, A., Brown, T., Barton, G., Notley, C., Aveyard, P., Holland, R., Bachmann, M., Sutton, S., Leonardi-Bee, J., Brandon, T. H., Song, F.

(2015)

Self-help educational booklets for the prevention of smoking relapse following smoking cessation treatment: a randomised controlled trial,

in Addiction

110

(12)

pp. 2006–2014

Full Text UEA Repository

(Article)

(Published)


Folb, N., Lund, C., Fairall, L. R., Timmerman, V., Levitt, N. S., Steyn, K., Bachmann, M. O.

(2015)

Socioeconomic predictors and consequences of depression among primary care attenders with non-communicable diseases in the Western Cape, South Africa: Cohort study within a randomised trial,

in BMC Public Health

15

article no. 1194

Full Text UEA Repository

(Article)

(Published)


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Key Research Interests

How to improve health care, and so improve population health

  • Primary health care, especially in South Africa and other low and middle income countries, and in the NHS
  • Innovation, integration and evaluation of health care for HIV/AIDS, tuberculosis, respiratory disease, diabetes, hypertension, depression, cancer, and other long term conditions
  • Implementation research: how to get evidence into practice through complex interventions aimed at changing professional, organisational behavour, for example using education and clinical practice guidelines. What that means is illustrated here: http://knowledgetranslation.co.za/

 

Multi-disciplinary health services research methodology

  • Health care evaluation of effectiveness, efficiency and equity using epidemiologic, economic, statistical and quantitative modelling methods
  • Clinical epidemiology, randomised trials, quasi-experiments and patient cohort studies
  • Evaluation of diagnostic information and screening programmes
  • Causal inference and effectiveness estimation from observational data


 
  

Teaching Interests

I teach and advise medical degree students, and train postgraduate research students in health services research methods. I have supervised ten PhD students to completion and am currently supervising another six.

External Activities and Indicators of Esteem

  • Honorary Professor, University of Cape Town Medical School
  • Honorary Fellow, Knowledge Translation Unit, University of Cape Town Lung Institute. http://knowledgetranslation.co.za/
  • Honorary Professor, School of Nursing and Public Health, University of KwaZulu Natal. http://snph.ukzn.ac.za/Homepage.aspx
  • Senior Investigator, Africa Health Research Institute, South Africa. http://www.africacentre.ac.za/index.php, http://ahri.org/
  • NHS NIHR Programme Grants for Applied Research panel member

Administrative Posts

  • Head of Department of Population Health and Primary Care