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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Remote links: Redesigning maternity care for Aboriginal women from remote communities in Northern Australia – A comparative cohort study
|
|---|---|
| Published in |
Midwifery, January 2016
|
| DOI | 10.1016/j.midw.2016.01.009 |
| Pubmed ID | |
| Authors |
Sue Kildea, Yu Gao, Margaret Rolfe, Cathryn M. Josif, Sarah J. Bar-Zeev, Malinda Steenkamp, Sue Kruske, Desley Williams, Terry Dunbar, Lesley M. Barclay |
| Abstract |
to compare the quality of care before and after the introduction of the new Midwifery Group Practice. a cohort study. the health centers (HCs) in two of the largest remote Aboriginal communities (population 2200-2600) in the Top End of the Northern Territory (NT), each located approximately 500km from Darwin. The third study site was the Royal Darwin Hospital (RDH) which provides tertiary care. a 2004-06 retrospective cohort (n=412 maternity cases) provided baseline data. A clinical redesign of maternity services occurring from 2009 onwards focused on increasing Continuity of Carer, Communication, Choice, Collaboration and Co-ordination of Care (5Cs). Data from a 2009-11 prospective cohort (n=310 maternity cases) were collected to evaluate the service redesign. Outcome measures included indicators on the quality of care delivery, adherence to recommended antenatal guidelines and maternal and neonatal health outcomes. statistically significant improvements were recorded in many areas reflecting improved access to, and quality of, care. For example: fewer women had <4 visits in pregnancy (14% versus 8%), a higher proportion of women had routine antenatal tests recorded (86% versus 97%) and improved screening rates for urine (82% versus 87%) and sexual tract infections (78% versus 93%). However, the treatment of conditions according to recommended guidelines worsened significantly in some areas; for example antibiotics prescribed for urine infections (86% versus 52%) and treatment for anaemia in pregnancy (77% versus 67%). High preterm (21% versus 20%), low birth weight (18% versus 20%) and PPH (29% versus 31%) rates did not change over time. The out of hospital birth rate remained high and unchanged in both cohorts (10% versus 10%). this model addresses some of the disparities in care for remote-dwelling Aboriginal women. However, much work still needs to occur before maternity care and outcomes are equal to that of non-Aboriginal women. Targeted program interventions with stronger clinical governance frameworks to improve the quality of care are essential. A complete rethink of service delivery and engagement may deliver better results. |
X Demographics
The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Australia | 4 | 57% |
| Canada | 1 | 14% |
| Unknown | 2 | 29% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 4 | 57% |
| Practitioners (doctors, other healthcare professionals) | 2 | 29% |
| Science communicators (journalists, bloggers, editors) | 1 | 14% |
Mendeley readers
The data shown below were compiled from readership statistics for 202 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Australia | 2 | <1% |
| Myanmar | 1 | <1% |
| Spain | 1 | <1% |
| Unknown | 198 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 39 | 19% |
| Student > Master | 30 | 15% |
| Researcher | 24 | 12% |
| Student > Ph. D. Student | 15 | 7% |
| Student > Postgraduate | 11 | 5% |
| Other | 34 | 17% |
| Unknown | 49 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 55 | 27% |
| Medicine and Dentistry | 27 | 13% |
| Social Sciences | 15 | 7% |
| Psychology | 10 | 5% |
| Agricultural and Biological Sciences | 6 | 3% |
| Other | 37 | 18% |
| Unknown | 52 | 26% |
Attention Score in Context
This research output has an Altmetric Attention Score of 15. 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 February 2019.
All research outputs
#2,405,474
of 25,374,917 outputs
Outputs from Midwifery
#304
of 2,219 outputs
Outputs of similar age
#40,770
of 405,488 outputs
Outputs of similar age from Midwifery
#11
of 53 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 90th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,219 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one has done well, scoring higher than 86% 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 405,488 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 89% of its contemporaries.
We're also able to compare this research output to 53 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 79% of its contemporaries.