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Implementing a patient-initiated review system in rheumatoid arthritis: a qualitative evaluation

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

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (86th percentile)
  • High Attention Score compared to outputs of the same age and source (84th percentile)

Mentioned by

blogs
1 blog
twitter
8 tweeters

Citations

dimensions_citation
8 Dimensions

Readers on

mendeley
63 Mendeley
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Title
Implementing a patient-initiated review system in rheumatoid arthritis: a qualitative evaluation
Published in
BMC Health Services Research, April 2015
DOI 10.1186/s12913-015-0837-9
Pubmed ID
Authors

Sue Child, Victoria A Goodwin, Mark G Perry, Christian A Gericke, Richard Byng

Abstract

The management of Rheumatoid Arthritis (RA), a chronic relapsing condition primarily affecting joints usually entails regular hospital reviews with a specialist. These reviews can occur when the patient is well. This study forms part of a service evaluation of a system wide implementation of a patient initiated review appointment system which we have called Direct Access (DA). The aim was to explore the experiences of patients and staff of a DA system in order to understand the process of the implementation and to identify potential improvements. Twenty-three patients with RA that had completed one year of follow-up on the DA system and seven healthcare professionals (HCPs) involved in the implementation of the DA review system took part in semi-structured interviews. Thematic analysis was used to analyse the interview data and field notes. Four themes emerged in the data: (1) building patient confidence and empowerment, (2) right place right time, (3) safety, (4) the everyday challenges of managing change. These show that in order for implementation to be successful the patient needs to have confidence in using a new system of requesting a medical review, which, in turn, needs to be offered quickly and in a setting convenient to both patient and clinician. Embedded in the change process need to be systems for ensuring regular disease monitoring and general issues surrounding team working, communication and ownership of the change process also need to be considered from the outset. The clinics offer increased patient autonomy and the opportunity for greater self-management of chronic disease. This fits with new models of care where the patient is considered to be 'the expert'.

Twitter Demographics

The data shown below were collected from the profiles of 8 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 63 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 2%
Unknown 62 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 11 17%
Researcher 10 16%
Student > Bachelor 8 13%
Student > Doctoral Student 6 10%
Student > Ph. D. Student 6 10%
Other 13 21%
Unknown 9 14%
Readers by discipline Count As %
Nursing and Health Professions 14 22%
Medicine and Dentistry 11 17%
Psychology 6 10%
Agricultural and Biological Sciences 3 5%
Social Sciences 3 5%
Other 10 16%
Unknown 16 25%

Attention Score in Context

This research output has an Altmetric Attention Score of 12. 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 22 November 2019.
All research outputs
#2,671,734
of 22,799,071 outputs
Outputs from BMC Health Services Research
#1,131
of 7,629 outputs
Outputs of similar age
#36,192
of 264,077 outputs
Outputs of similar age from BMC Health Services Research
#14
of 88 outputs
Altmetric has tracked 22,799,071 research outputs across all sources so far. Compared to these this one has done well and is in the 88th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,629 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one has done well, scoring higher than 85% 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 264,077 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 86% of its contemporaries.
We're also able to compare this research output to 88 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 84% of its contemporaries.