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A qualitative study of patient experiences of decentralized acute healthcare services

Overview of attention for article published in Scandinavian Journal of Primary Health Care, August 2016
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Title
A qualitative study of patient experiences of decentralized acute healthcare services
Published in
Scandinavian Journal of Primary Health Care, August 2016
DOI 10.1080/02813432.2016.1222200
Pubmed ID
Authors

Ann-Chatrin Linqvist Leonardsen, Lilliana Del Busso, Vigdis Abrahamsen Grøndahl, Waleed Ghanima, Paul Barach, Lars-Petter Jelsness-Jørgensen

Abstract

Municipality acute wards (MAWs) have recently been launched in Norway as an alternative to hospitalizations, and are aimed at providing treatment for patients who otherwise would have been hospitalized. The objective of this study was to explore how patients normally admitted to hospitals perceived the quality and safety of treatment in MAWs. The study had a qualitative design. Thematic analysis was used to analyze the data. The study was conducted in a county in south-eastern Norway and included five different MAWs. Semi-structured interviews were conducted with 27 participants who had required acute health care and who had been discharged from the five MAWs. Three subthemes were identified that related to the overarching theme of hospital-like standards ("almost a hospital, but…"), namely (a) treatment and competence, (b) location and physical environment, and (c) adequate time for care. Participants reported the treatment to be comparable to hospital care, but they also experienced limitations. Participants spoke positively about MAW personnel and the advantages of having a single patient room, a calm environment, and proximity to home. Participants felt safe when treated at MAWs, even though they realized that the diagnostic services were not similar to that in hospitals. Geographical proximity, treatment facilities and time for care positively distinguished MAWs from hospitals, while the lack of diagnostic resources was stressed as a limitation. Key points   Municipality acute wards (MAWs) have been implemented across Norway. Research on patient perspectives on the decentralization of acute healthcare in MAWs is lacking.   • Patients perceive decentralized acute healthcare and treatment as being comparable to the quality they would have expected in hospitals.   • Geographical proximity, a home-like atmosphere and time for care were aspects stressed as positive features of the decentralized services.   • Lack of diagnostic resources was seen as a limitation.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 35 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 35 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 9 26%
Student > Bachelor 5 14%
Student > Doctoral Student 4 11%
Student > Master 3 9%
Researcher 2 6%
Other 3 9%
Unknown 9 26%
Readers by discipline Count As %
Nursing and Health Professions 6 17%
Medicine and Dentistry 5 14%
Business, Management and Accounting 4 11%
Psychology 3 9%
Computer Science 2 6%
Other 6 17%
Unknown 9 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 September 2016.
All research outputs
#12,669,792
of 22,884,315 outputs
Outputs from Scandinavian Journal of Primary Health Care
#449
of 732 outputs
Outputs of similar age
#167,541
of 340,306 outputs
Outputs of similar age from Scandinavian Journal of Primary Health Care
#6
of 9 outputs
Altmetric has tracked 22,884,315 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 732 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.8. This one is in the 37th percentile – i.e., 37% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 340,306 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 50% of its contemporaries.
We're also able to compare this research output to 9 others from the same source and published within six weeks on either side of this one. This one has scored higher than 3 of them.