ArticleBMC health services research2018
Using the candidacy framework to understand how doctor-patient interactions influence perceived eligibility to seek help for cancer alarm symptoms: a qualitative interview study.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Understanding care-seeking of pregnant women from underserved groups: a systematic review and meta-ethnography.Frontiers in public health · 2025Pooled it
- Pooled it
- Factors affecting the decision to investigate older adults with potential cancer symptoms: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Pooled it
- Primary care determinants for timely diagnosis of dementia.Family medicine and community health · 2026Article
- A scoping review of how the candidacy framework has been used in research on access to general practice.Journal of health services research & policy · 2026Article
- An adapted health system access framework for avoidable inflammatory bowel disease admissions: a scoping review.Crohn's & colitis 360 · 2026Review
- Health-seeking behavior among hematuria patients in Jordan: the case of the Health Belief Model.Frontiers in public health · 2026Article
- Article
- Urgent Care Centre Eligible Presentations in a Remote Emergency Department.Emergency medicine Australasia : EMA · 2025Article
- Article
- Stakeholder understanding of social prescribing in England: a qualitative study in primary care.BMC primary care · 2025Article
- Finding knowledge: how youth identify their candidacy and sources of information regarding sexual and reproductive health in rural KwaZulu-Natal. South Africa.BMC public health · 2025Article
- Pathways to myeloproliferative neoplasm presentation and time to diagnosis: results from a cross-sectional study.BJGP open · 2025Article
- Help-seeking and access to care for stroke and heart attack during the COVID-19 pandemic: A qualitative study.Sociology of health & illness · 2025Article
- Impact of Self-Reported Long-Term Mental Health Morbidity on Help-Seeking and Diagnostic Testing for Bowel-Related Cancer Symptoms: A Vignette Study.Cancer medicine · 2024Article
- Article
- Disrupted Candidacy: A Longitudinal Examination of the Constrained Healthcare-Access Journeys of National Health Service Workers in Scotland Seeking Supports for Long COVID Illness.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Enablers of and Barriers to Perinatal Mental Healthcare Access and Healthcare Provision for Refugee and Asylum-Seeking Women in the WHO European Region: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Article
- The performance of general practice in the English National Health Service (NHS): an analysis using Starfield's framework for primary care.Health affairs scholar · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
background'Candidacy' is concerned with the way people consider their eligibility for accessing health services. We used the Candidacy Framework to explore how the doctor-patient relationship can influence perceived eligibility to visit their General Practitioner (GP) among people experiencing cancer alarm symptoms.
methodsWe carried out a secondary analysis of qualitative interviews with 29 women and 33 men, aged ≥50 years experiencing cancer alarm symptoms, recruited through primary care. Interviews focused on symptom experience, help-seeking and primary care use. Framework analysis was used to analyse transcripts with a focus on GP-patient interactions.
resultsPerceived (im)permeability of services acted as a barrier to help-seeking, due to limited availability of appointments, time-limited communication and difficulties asserting candidacy. There was also a focal role of communication in building a positive doctor-patient relationship, with some participants describing resisting offers of appointments as a result of previous negative GP adjudication. These factors not only influenced the current consultation but had longer-term consequences for future consultation.
conclusionsCandidacy provides a valuable theoretical framework to understand the interactional factors of the doctor-patient relationship which influence perceived eligibility to seek help for possible cancer alarm symptoms. We have highlighted areas for targeted interventions to improve patient-centred care and improve earlier diagnosis.
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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.