ArticleBMJ (Clinical research ed.)2001
Barriers to uptake of services for coronary heart disease: qualitative study.
Article in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed.
- Trial
- Trial
- Participants' experiences of care during a randomized controlled trial comparing a lay-facilitated angina management programme with usual care: a qualitative study using focus groups.Journal of advanced nursing · 2013Trial
- Behavioral delays in seeking care among post-acute myocardial infarction women: a qualitative study following percutaneous coronary intervention.Frontiers in global women's health · 2025Article
- The COVID-19 Pandemic and Coronary Heart Disease: the Next Surge.Current atherosclerosis reports · 2023Review
- Article
- Article
- 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
- Article
- Exploratory study into the awareness of heart diseases among Emirati women (UAE) and their health seeking behaviour- a qualitative study.BMC women's health · 2016Article
- Access to primary care for socioeconomically disadvantaged older people in rural areas: a realist review.BMJ open · 2016Review
- A qualitative study of the anticipated barriers and facilitators to the implementation of a lifestyle intervention in the Dutch construction industry.BMC public health · 2014Article
- Economic inequalities in burden of illness, diagnosis and treatment of five long-term conditions in England: panel study.BMJ open · 2014Article
- Being healthy: a grounded theory study of help seeking behaviour among Chinese elders living in the UK.International journal of qualitative studies on health and well-being · 2014Article
- Facilitators and barriers to implementation of the ankle brachial index in outpatient physical therapy practice: a qualitative study.Cardiopulmonary physical therapy journal · 2013Article
- Article
- What is the 'problem' that outreach work seeks to address and how might it be tackled? Seeking theory in a primary health prevention programme.BMC health services research · 2011Article
- GPs' reasons for referral of patients with chest pain: a qualitative study.BMC family practice · 2009Article
- Repressive coping in geriatric patients' reports - impact on fear of falling.Zeitschrift fur Gerontologie und Geriatrie · 2009Article
- How should public health professionals engage with lay epidemiology?Journal of medical ethics · 2006Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify factors within the South Yorkshire coalfields that influence use of health services by people with angina.
designQualitative study using semistructured individual and group interviews.
settingGeneral practice and community settings in Barnsley and Rotherham health authorities.
participants14 patients with stable angina and nine primary care staff had individual interviews plus five community groups and one group of general practitioners.
main outcome measuresBarriers to accessing health services.
resultsA complex web of factors was identified that prevented, delayed, or facilitated referral to secondary care. Delay, denial, and self management by patients meant that the full extent of symptoms often remained hidden from general practitioners, resulting in a delayed or missed referral. Barriers identified fell into six categories: structural, personal, social and cultural, past experience and expectations, diagnostic confusion, and knowledge and awareness.
conclusionsMany of the factors influencing referral operate before general practitioners become involved. Community development could be one way of tackling inequalities and promoting sustainable change. Structural changes are needed to improve access and increase the acceptability of general practice services. Primary care staff should be educated to detect underreporting of symptoms and promote appropriate referral.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.