ArticleFamily practice2015
Providing care to vulnerable populations: a qualitative study among GPs working in deprived areas in Montreal, Canada.
Article in Family practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 35 citations in OpenAlex.
- Care-seeking strategies of migrants during the transition from a specific primary healthcare facility for uncovered individuals to common ambulatory general practice: A French qualitative study.BMC public health · 2024Article
- Strategies that facilitate the delivery of exceptionally good patient care in general practice: a qualitative study with patients and primary care professionals.BMC primary care · 2024Article
- Responding to vulnerable patients with multimorbidity: an interprofessional team approach.BMC primary care · 2022Article
- Transformative medical education: must community-based traineeship experiences be part of the curriculum? A qualitative study.International journal for equity in health · 2020Article
- Experiences of primary healthcare professionals and patients from an area of urban disadvantage: a qualitative study.BJGP open · 2019Article
- A novel income security intervention to address poverty in a primary care setting: a retrospective chart review.BMJ open · 2017Article
- Reflective practice and social responsibility in family medicine: Effect of performing an international rotation in a developing country.Canadian family physician Medecin de famille canadien · 2016Article
- [Not Available].Canadian family physician Medecin de famille canadien · 2016Article
- Medical education for equity in health: a participatory action research involving persons living in poverty and healthcare professionals.BMC medical education · 2016Article
- Transportation and Other Nonfinancial Barriers Among Uninsured Primary Care Patients.Health services research and managerial epidemiologyArticle
- Breathe Easy at Home: A Qualitative Evaluation of a Pediatric Asthma Intervention.Global qualitative nursing researchArticle
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundCommunication barriers between persons living in poverty and healthcare professionals reduce care effectiveness. Little is known about the strategies general practitioners (GPs) use to enhance the effectiveness of care for their patients living in poverty.
objectiveThe aim of this study was to identify strategies adopted by GPs to deliver appropriate care to patients living in poverty.
methodsWe conducted in-depth semi-structured interviews with 35 GPs practising in Montreal, Canada, who regularly provide care to underprivileged patients in primary care clinics located in deprived urban areas. Analysis consisted of interview debriefing, transcript coding, thematic analysis and data interpretation.
resultsGPs develop specific skills for caring for these patients that are responsive to their complex medical needs and challenging social context. Our respondents used three main strategies in working with their patients: building a personal connection to overcome social distance, aligning medical expectations with patients' social vulnerability and working collaboratively to empower patients. With these strategies, the physicians were able to enhance the patient-physician relationship and to take into account the impact of poverty on illness self-management.
conclusionsOur results may help GPs improve the health and care experience of their vulnerable patients by adopting these strategies. The strategies' impacts on patients' experience of care and health outcomes should be evaluated as a prelude to integrating them into primary care practice and the training of future physicians.
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