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Legal and professional implications of shared care: a case study in oral anticoagulation stroke prevention therapy

Overview of attention for article published in BMC Health Services Research, March 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (77th percentile)

Mentioned by

twitter
2 tweeters
wikipedia
1 Wikipedia page
googleplus
1 Google+ user

Citations

dimensions_citation
1 Dimensions

Readers on

mendeley
28 Mendeley
citeulike
1 CiteULike
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Title
Legal and professional implications of shared care: a case study in oral anticoagulation stroke prevention therapy
Published in
BMC Health Services Research, March 2015
DOI 10.1186/s12913-015-0756-9
Pubmed ID
Authors

Jacqueline A Nicholls, Henry WW Potts, Bridget Coleman, David L Patterson

Abstract

Policy initiatives and technological advances enable the use of integrated shared care models of healthcare delivery whereby the focus of care is moved from the hospital to the community, and also of models where patients take increasing responsibility for monitoring and treatment. Such shifts may or may be perceived to change professional roles and responsibilities with implications to the delivery of a professionally and legally acceptable standard of care. We focus on oral anticoagulation and stroke prevention therapy to examine some possible professional and legal implications of the increasing use of shared care. This paper sought to explore how changes in service delivery influence the discharge of professional responsibilities to patients receiving oral anti-coagulation therapy in the context of clinicians' legal and professional duties. We used a case study of the implementation of a distributed care anti-coagulation service. Qualitative data were collected using complementary methods: participant observation, reflective journaling and legal analysis. Concerns identified by this study included a fear of litigation among both hospital and community-based professionals, a reluctance to embrace an extended role, uncertainty among professionals about the extent of their responsibilities and associated difficulties around adequate exchanges of information. These concerns reflected uncertainty among professionals about the legal and professional scope of the duty of care they owed patients. The findings from this study emphasise the importance of clear role definition, communication and inter-agency cooperation for the successful implementation of a shared care service in which threats to professional and legal standards of care are minimised.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 28 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 4%
Switzerland 1 4%
Unknown 26 93%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 18%
Professor 4 14%
Student > Ph. D. Student 4 14%
Student > Master 3 11%
Professor > Associate Professor 2 7%
Other 3 11%
Unknown 7 25%
Readers by discipline Count As %
Medicine and Dentistry 7 25%
Social Sciences 3 11%
Nursing and Health Professions 2 7%
Psychology 1 4%
Computer Science 1 4%
Other 4 14%
Unknown 10 36%

Attention Score in Context

This research output has an Altmetric Attention Score of 6. 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 01 February 2018.
All research outputs
#2,748,901
of 12,448,635 outputs
Outputs from BMC Health Services Research
#1,138
of 4,121 outputs
Outputs of similar age
#49,439
of 219,548 outputs
Outputs of similar age from BMC Health Services Research
#1
of 1 outputs
Altmetric has tracked 12,448,635 research outputs across all sources so far. Compared to these this one has done well and is in the 77th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,121 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.4. This one has gotten more attention than average, scoring higher than 72% 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 219,548 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 77% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them