ArticleBMJ (Clinical research ed.)1999
Barriers to referral in patients with angina: qualitative study.
Article in BMJ (Clinical research ed.), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed, 102 citations in OpenAlex.
- 'Well London' and the benefits of participation: results of a qualitative study nested in a cluster randomised trial.BMJ open · 2014Trial
- Cost of illness for chronic stable angina patients enrolled in a self-management education trial.The Canadian journal of cardiology · 2008Trial
- Running nurse-led secondary prevention clinics for coronary heart disease in primary care: qualitative study of health professionals' perspectives.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Trial
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- Rebuild doctor-patient trust in medical service delivery in China.Scientific reports · 2020Article
- Explaining experiences of community-dwelling older adults with a pro-active comprehensive geriatric assessment program - a thorough evaluation by interviews.BMC geriatrics · 2019Article
- Influences of socioeconomic deprivation on GPs' decisions to refer patients to cardiology: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Managing chest pain patients in general practice: an interview-based study.BMC family practice · 2018Article
- Equity in healthcare for coronary heart disease, Wales (UK) 2004-2010: A population-based electronic cohort study.PloS one · 2017Article
- Access to primary care for socioeconomically disadvantaged older people in rural areas: a realist review.BMJ open · 2016Review
- Economic inequalities in burden of illness, diagnosis and treatment of five long-term conditions in England: panel study.BMJ open · 2014Article
- Stroke prevention: managing modifiable risk factors.Stroke research and treatment · 2012Article
- Article
- Referring patients with chronic noncancer pain to pain clinics: survey of Ontario family physicians.Canadian family physician Medecin de famille canadien · 2011Article
- Patients' descriptions of angina symptoms: a qualitative study of primary care patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Presentation of stable angina pectoris among women and South Asian people.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2008Article
- Effectiveness of Psychoeducational Interventions for Improving Symptoms, Health-Related Quality of Life, and Psychological well Being in Patients with Stable Angina.Current cardiology reviews · 2008Article
- A population study of the long-term consequences of Rose angina: 20-year follow-up of the Renfrew-Paisley study.Heart (British Cardiac Society) · 2006Article
- Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups.BMC medical research methodology · 2006Article
- Exploring the equity of GP practice prescribing rates for selected coronary heart disease drugs: a multiple regression analysis with proxies of healthcare need.International journal for equity in health · 2005Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore barriers to patients being referred for possible revascularisation.
designQualitative study using semi-structured interviews.
participants16 patients aged under 75 years with stable angina and their doctors.
settingGeneral practice in Toxteth, Liverpool.
resultsFear of both hospitals and medical tests was common and largely hidden from the doctors. Patients felt they were old, had low expectations of treatment, viewed angina as a chronic illness, and knew little about new developments in angina treatment. Patients and doctors had difficulty in recognising angina symptoms that were not textbook definitions amid multiple comorbidity. Patients saw doctors as busy and did not want to bother them with their condition. Cultural gaps and communication difficulties existed despite all but one patient having English as their first language.
conclusionsListening to patients is vital to address inequitable access to health services: how patients are treated by doctors today affects acceptability of referral tomorrow. Primary care groups in deprived areas should work with communities to address local fears. This will involve collaboration between primary, secondary, and tertiary care. Cultural gaps exist between patients and doctors in deprived areas, and diagnostic confusion can occur particularly in the presence of other psychological and physical morbidity. Adequate time and resources-for example, education for doctors and patients and provision of interpreters-need to be provided if inequitable access to revascularisation procedures is to be addressed.
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