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Perspectives on the underlying drivers of urgent and emergency care reconfiguration in Ireland

Overview of attention for article published in The International Journal of Health Planning and Management, October 2017
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#18 of 858)
  • High Attention Score compared to outputs of the same age (92nd percentile)
  • High Attention Score compared to outputs of the same age and source (99th percentile)

Mentioned by

policy
1 policy source
twitter
41 X users

Citations

dimensions_citation
11 Dimensions

Readers on

mendeley
26 Mendeley
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Title
Perspectives on the underlying drivers of urgent and emergency care reconfiguration in Ireland
Published in
The International Journal of Health Planning and Management, October 2017
DOI 10.1002/hpm.2469
Pubmed ID
Authors

E. Droog, C. Foley, O. Healy, C. Buckley, M. Boyce, S. McHugh, J.P. Browne

Abstract

There is an increasing tendency to reconfigure acute hospital care towards a more centralised and specialised model, particularly for complex care conditions. Although centralisation is presented as "evidence-based", the relevant studies are often challenged by groups which hold perspectives and values beyond those implicit in the literature. This study investigated stakeholder perspectives on the rationale for the reconfiguration of urgent and emergency care in Ireland. Specifically, it considered the hypothesis that individuals from different stakeholder groups would endorse different positions in relation to the motivation for, and goals of, reconfiguration. Documentary analysis of policy documents was used to identify official justifications for change. Semi-structured interviews with 175 purposively sampled stakeholders explored their perspectives on the rationale for reconfiguration. While there was some within-group variation, internal and external stakeholders generally vocalised different lines of argument. Clinicians and management in the internal stakeholder group proposed arguments in favour of reconfiguration based on efficiency and safety claims. External stakeholders, including hospital campaigners and local political representatives expressed arguments that focused on access to care. A "voter" argument, focused on the role of local politicians in determining the outcome of reconfiguration planning, was mentioned by both internal and external stakeholders, often in a critical fashion. Our study adds to an emerging literature on the interaction between a technocratic approach to health system planning advocated by clinicians and health service managers, and the experiential "non-expert" claims of the public and patients.

X Demographics

X Demographics

The data shown below were collected from the profiles of 41 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 26 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 26 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 6 23%
Student > Ph. D. Student 5 19%
Researcher 4 15%
Lecturer > Senior Lecturer 1 4%
Student > Doctoral Student 1 4%
Other 1 4%
Unknown 8 31%
Readers by discipline Count As %
Medicine and Dentistry 4 15%
Nursing and Health Professions 3 12%
Social Sciences 3 12%
Psychology 2 8%
Economics, Econometrics and Finance 1 4%
Other 2 8%
Unknown 11 42%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 32. 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 18 September 2019.
All research outputs
#1,139,082
of 24,051,764 outputs
Outputs from The International Journal of Health Planning and Management
#18
of 858 outputs
Outputs of similar age
#24,467
of 331,564 outputs
Outputs of similar age from The International Journal of Health Planning and Management
#1
of 12 outputs
Altmetric has tracked 24,051,764 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 858 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.7. This one has done particularly well, scoring higher than 98% of its peers.
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 331,564 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 12 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.