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Understanding action on the social determinants of health: a critical realist analysis of in-depth interviews with staff of nine Ontario public health units

Overview of attention for article published in BMC Research Notes, March 2015
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (90th percentile)

Mentioned by

twitter
23 tweeters

Citations

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16 Dimensions

Readers on

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70 Mendeley
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Title
Understanding action on the social determinants of health: a critical realist analysis of in-depth interviews with staff of nine Ontario public health units
Published in
BMC Research Notes, March 2015
DOI 10.1186/s13104-015-1064-5
Pubmed ID
Authors

Dennis Raphael, Julia Brassolotto

Abstract

Addressing the social determinants of health (SDH) is identified as a role for local public health units (PHUs) in the province of Ontario. Despite this authorization to do so there is wide variation in PHU practice. In this article we consider the factors that shape local PHU action on the SDH through a critical realist analysis. Interviews with Medical Officers of Health (MOHs) and lead staff from nine PHUs in Ontario identify the structures and powers that allow PHUs to address the SDH as well as the many factors that either activate or inhibit these structures and powers. We found that personal backgrounds and attitudes of MOHs and leading staff people as well as local jurisdictional characteristics shape whether and how PHUs carry out SDH-related activities. Action on the SDH is a result of a complex interplay of micro-, meso- and macro-level factors that requires recognition of the contested nature of public health, presence of Ministry of Health mandates, local jurisdictional characteristics, and politics. The most effective way to assure PHU action on the SDH is for the Ministry of Health and Long-Term Care to mandate such activities and develop accountability mechanisms that assure implementation.

Twitter Demographics

The data shown below were collected from the profiles of 23 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 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 1%
New Zealand 1 1%
Canada 1 1%
Unknown 67 96%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 11 16%
Researcher 10 14%
Student > Master 10 14%
Other 8 11%
Student > Doctoral Student 6 9%
Other 16 23%
Unknown 9 13%
Readers by discipline Count As %
Medicine and Dentistry 19 27%
Nursing and Health Professions 16 23%
Social Sciences 9 13%
Business, Management and Accounting 3 4%
Psychology 3 4%
Other 6 9%
Unknown 14 20%

Attention Score in Context

This research output has an Altmetric Attention Score of 17. 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 11 September 2019.
All research outputs
#1,662,862
of 21,025,129 outputs
Outputs from BMC Research Notes
#198
of 4,086 outputs
Outputs of similar age
#23,872
of 239,574 outputs
Outputs of similar age from BMC Research Notes
#1
of 1 outputs
Altmetric has tracked 21,025,129 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 92nd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,086 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.3. This one has done particularly well, scoring higher than 95% 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 239,574 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 90% 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