ArticleInternational journal for equity in health2016
Exploring levers and barriers to accessing primary care for marginalised groups and identifying their priorities for primary care provision: a participatory learning and action research study.
Article in International journal for equity in health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
52 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Representation of marginalised populations in digital surveillance for notifiable conditions in Australia: a systematic review.Perspectives in public health · 2024Pooled it
- Decision-making and related outcomes of patients with complex care needs in primary care settings: a systematic literature review with a case-based qualitative synthesis.BMC primary care · 2022Pooled it
- Stigma and Barriers to Mental Health and Substance Use Care for Hispanic/Latine Individuals Living with HIV or at Risk for HIV in Texas, United States.International journal of environmental research and public health · 2026Article
- The Wishes, Perceived Barriers, and Support Needs of People Living in Persistent Poverty.Qualitative health research · 2026Article
- Examining the Impact of Patient Demographics on Outreach Efforts for a Student-Run LGBTQIA + Free Clinic.Journal of community health · 2026Article
- Cost-effectiveness and equity impact of complex primary care interventions for disadvantaged populations.BJGP open · 2026Article
- Homelessness as structural vulnerability: Precarious citizenship and migrant health in a Nordic welfare state.Journal of migration and health · 2026Article
- Patients and Communities Shape Regional Health Research Priorities: A Participatory Study from South Tyrol, Italy.Healthcare (Basel, Switzerland) · 2025Article
- Factors influencing general practice nurse's implementation of culturally responsive care, using normalization process theory: A cross-sectional study.Journal of advanced nursing · 2025Article
- Evaluation of the Implementation of an Outreach Clinic for Opioid Use Disorder: Protocol for a Participatory Cocreation and Implementation Study.JMIR research protocols · 2025Article
- Co-design of interventions and services with structurally marginalized populations in the context of maternal and early childhood primary care: a rapid scoping review.Primary health care research & development · 2025Article
- Healthcare-Seeking behavior for sexually transmitted infections among women who initiated sexual intercourse at an early age in 22 Sub-Saharan African Countries: a multilevel analysis of 2018-2024 demographic and health survey data.BMC infectious diseases · 2025Article
- Barriers and delays to healthcare at time of death: qualitative analysis of Los Angeles County death records of people experiencing homelessness.BMC public health · 2025Article
- Grey literature scoping review: a synthesis of the application of participatory methodologies in underrepresented groups at an elevated risk of dementia.BMC medical research methodology · 2025Article
- Series: Public engagement with research. Part 3: Sharing power and building trust through partnering with communities in primary care research.The European journal of general practice · 2024Article
- Retention in primary care among unstably housed residents of a low-income, inner-city neighborhood with a high prevalence of substance use and related disorders.International journal for equity in health · 2024Article
- Interrogating the effectiveness of service engagement for underserved populations in complex health and social care systems: towards an equitable engagement strategy.International journal for equity in health · 2024Article
- Human Rights and Inclusion of Vulnerable Groups in Health and Well-Being Policy Documents Relevant to Children and Young People in Ireland.International journal of environmental research and public health · 2024Article
- Seeing the invisible: extracurricular learning processes and learning outcome as experienced by student volunteers accompanying persons in a socially vulnerable situation to healthcare appointments-an ethnographic study.Advances in health sciences education : theory and practice · 2024Article
- Patient influence on general practice service improvement decision making: a participatory research mixed-methods intervention study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe involvement of patients and the public in healthcare has grown significantly in recent decades and is documented in health policy documents internationally. Many benefits of involving these groups in primary care planning have been reported. However, these benefits are rarely felt by those considered marginalised in society and they are often excluded from participating in the process of planning primary care. It has been recommended to employ suitable approaches, such as co-operative and participatory initiatives, to enable marginalised groups to highlight their priorities for care.
methodsThis Participatory Learning and Action (PLA) research study involved 21 members of various marginalised groups who contributed their views about access to primary care. Using a series of PLA techniques for data generation and co-analysis, we explored barriers and facilitators to primary healthcare access from the perspective of migrants, Irish Travellers, homeless people, drug users, sex workers and people living in deprivation, and identified their priorities for action with regard to primary care provision.
resultsFour overarching themes were identified: the home environment, the effects of the 'two-tier' healthcare system on engagement, healthcare encounters, and the complex health needs of many in those groups. The study demonstrates that there are many complicated personal and structural barriers to accessing primary healthcare for marginalised groups. There were shared and differential experiences across the groups. Participants also expressed shared priorities for action in the planning and running of primary care services.
conclusionsMembers of marginalised groups have shared priorities for action to improve their access to primary care. If steps are taken to address these, there is scope to impact on more than one marginalised group and to address the existing health inequities.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.