ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2018
Influences of socioeconomic deprivation on GPs' decisions to refer patients to cardiology: a qualitative study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Disparities in time to breast cancer surgery in New Zealand by level of neighbourhood deprivation: a population-based study.Cancer causes & control : CCC · 2025Article
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- Spatio-temporal modelling of referrals to outpatient respiratory clinics in the integrated care system of the Morecambe Bay area, England.BMC health services research · 2024Article
- Medical Doctors Approaches and Understanding of Health Literacy: A Systematic Literature Review.Cureus · 2024Review
- Greek medical professionals approaches and understanding of health literacy: a qualitative study.BMC health services research · 2023Article
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- Socioeconomic disparities in abdominal aortic aneurysm repair rates and survival.The British journal of surgery · 2022Article
- The epidemiology of alopecia areata: a population-based cohort study in UK primary care.The British journal of dermatology · 2022Article
- Variation in referrals from primary care to scheduled paediatric services in North and East Scotland -a cross-sectional study.BMC health services research · 2021Article
- Article
- Experiences of primary healthcare professionals and patients from an area of urban disadvantage: a qualitative study.BJGP open · 2019Article
- The inverse care law revisited: a continuing blot on the record of the National Health Service.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVariation in GP referral practice may be a factor contributing to the lower uptake of cardiology specialist services for people living in socioeconomic deprivation. Cardiology referrals were chosen for this study due to higher rates of premature death and emergency admissions resulting from coronary heart disease for patients living in more deprived areas.
aimTo find out how socioeconomic deprivation influences GP referral practice. DESIGN AND
settingA qualitative study of GPs working in affluent and deprived areas of one large city in the UK.
methodThe authors used purposive and snowball sampling to recruit 17 GP participants to interviews and a focus group. Participants were asked to reflect on their own experience of making referrals. The authors used a framework approach to the analysis, with differences in themes for GPs working in least and most deprived areas being highlighted.
resultsThe authors identified four main themes by which socioeconomic deprivation influenced GP referral practice: identifying problems; making decisions about referral; navigating the healthcare system; and external pressures. Using a published framework of consultation complexity, the authors then examined the data in relation to a fifth theme of complexity. Referrals from areas of high socioeconomic deprivation involved greater complexity in the majority of the domains of this framework.
conclusionSocioeconomic deprivation influences GP referral decisions and navigation of the healthcare system in multiple ways. Referral practice for GPs working in deprived areas is more complex than for their peers working in more affluent areas.
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