Evidence map›Paper›PMID 17933955›Full record

ArticleJournal of epidemiology and community health2007

Social problems, primary care and pathways to help and support: addressing health inequalities at the individual level. Part II: lay perspectives.

Jennie Popay, Ute Kowarzik, Sara Mallinson, Sara Mackian, Jacqui Barker

Abstract readMulticenter Study
In one paragraph

Article in Journal of epidemiology and community health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Observational
  6. Green Social Prescribing in Practice: A Case Study of Walsall, UK.International journal of environmental research and public health · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Steps to benefit from social prescription: a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Article
  18. Article
  19. Article
  20. Taking action on the social determinants of health in clinical practice: a framework for health professionals.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jennie PopayInstitute for Health Research, Lancaster University, Alexandra Square, Lancaster LA1 4NT, UK. j.popay@lancaster.ac.uk
Ute Kowarzik
Sara Mallinson
Sara Mackian
Jacqui Barker

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to describe social problems presented to general practitioners (GPs) in UK inner cities and GPs' responses; describe patients help-seeking pathways; and consider how these pathways can be improved.

methodsThe study involved a pilot survey and follow-up qualitative interviews with patients in two inner city areas in London and Salford in 2001-2. The pilot survey involved five practices in each locality. GPs completed questionnaires on 57 people presenting with social problems. A diversity sample of 12 patients was followed up for interview.

resultsStudy results are presented in two parts. Here (Part II) qualitative research results are reported highlighting four themes: the complex and enduring nature of social problems; the persistence people display seeking help; the fragmented and problematic pathways available; and the roles GPs play as: primary medical adviser; formal gateway to another service; advocates or facilitators to another service; and sources of support and advice during a process of recovery. Commonly, GPs occupied more than one role.

conclusionsGPs do help people deal with social problems, but their responses are limited. More integrated pathways to help and advice for social problems are needed. Existing pathways could be more visible and accessible, and new pathways developed through commissioning and extending social prescribing. More partnerships across sectors may create more co-ordinated provision, but these are notoriously difficult, and other trends such as the focus on lifestyle issues and long-standing conditions may make it more difficult for people with social needs to access support.

Indexed as

Attitude to HealthPatient Acceptance of Health CareEnglandEpidemiologic MethodsFamily PracticeFemaleHealth Services ResearchHealth Status DisparitiesHumansLondonMaleMiddle AgedPhysician's RolePrimary Health CareSocial ProblemsSocioeconomic Factors

Identifiers

PMID17933955
PMCPMC2465618

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.