Evidence map›Paper›PMID 27215569›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2016

Worrying about wasting GP time as a barrier to help-seeking: a community-based, qualitative study.

Susanne K Cromme, Katriina L Whitaker, Kelly Winstanley, Cristina Renzi, Claire Friedemann Smith, Jane Wardle

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Reasons why people do not attend NHS Health Checks: a systematic review and qualitative synthesis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Pooled it
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  9. Understanding access to general practice through the lens of candidacy: a critical review of the literature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Review
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  18. Factors influencing symptom appraisal and help-seeking of older adults with possible cancer: a mixed-methods systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  19. Stuff you think you can handle as a parent and stuff you can't'. Understanding parental health-seeking behaviour when accessing unscheduled care: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2021
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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

6 authors.

Susanne K Cromme
Katriina L Whitaker
Kelly Winstanley
Cristina Renzi
Claire Friedemann Smith
Jane Wardle

Funding

Cancer Research UK 13276
6 · The paper itself

Abstract

backgroundWorrying about wasting GP time is frequently cited as a barrier to help-seeking for cancer symptoms.

aimTo explore the circumstances under which individuals feel that they are wasting GP time. DESIGN AND

settingCommunity-based, qualitative interview studies that took place in London, the South East and the North West of England.

methodInterviewees (n = 62) were recruited from a sample (n = 2042) of adults aged ≥50 years, who completed a 'health survey' that included a list of cancer 'alarm' symptoms. Individuals who reported symptoms at baseline that were still present at the 3-month follow-up (n = 271), and who had also consented to be contacted (n = 215), constituted the pool of people invited for interview. Analyses focused on accounts of worrying about wasting GP time.

resultsParticipants were worried about wasting GP time when time constraints were visible, while dismissive interactions with their GP induced a worry of unnecessary help-seeking. Many felt that symptoms that were not persistent, worsening, or life-threatening did not warrant GP attention. Additionally, patients considered it time-wasting when they perceived attention from nurses or pharmacists to be sufficient, or when appointment structures (for example, 'one issue per visit') were not adhered to. Close relationships with GPs eased worries about time-wasting, while some patients saw GPs as fulfilling a service financed by taxpayers.

conclusionWorrying about wasting GP time is a complex barrier to help-seeking. GP time and resource scarcity, symptom gravity, appointment etiquette, and previous GP interactions contribute to increasing worries. Friendly GP relationships, economic reasoning, and a focus on the GP's responsibilities as a medical professional reduce this worry.

Indexed as

General PracticeHelp-Seeking BehaviorAnxietyDecision MakingDelayed DiagnosisEnglandHealth Knowledge, Attitudes, PracticeHealth SurveysHumansPatient Acceptance of Health CareQualitative ResearchReferral and ConsultationSocial Responsibilitycancerdiagnosishelp-seeking behaviourneoplasmsprimary health care

Identifiers

PMID27215569
PMCPMC4917050

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.