Evidence map›Paper›PMID 31299969›Full record

ArticleBMC health services research2019

A conceptual model of urgent care sense-making and help-seeking: a qualitative interview study of urgent care users in England.

Joanne Turnbull, Catherine Pope, Jane Prichard, Gemma McKenna, Anne Rogers

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Article
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  9. Review
  10. COVID-19 community assessment hubs in Ireland: A study of staff and patient perceptions of their value.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  11. The perceptions of general practice among Central and Eastern Europeans in the United Kingdom: A systematic scoping review.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  12. Article
  13. Article
  14. Caring for a sick or injured child during the COVID-19 pandemic lockdown in 2020 in the UK: An online survey of parents' experiences.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  15. Article
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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

5 authors.

Joanne TurnbullSchool of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, SO17 1BJ, UK. j.c.turnbull@soton.ac.uk.ORCID http://orcid.org/0000-0002-5006-4438
Catherine PopeNIHR CLAHRC Wessex, University of Southampton, Southampton, SO17 1BJ, UK.
Jane PrichardSchool of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, SO17 1BJ, UK.
Gemma McKennaNIHR CLAHRC Wessex, University of Southampton, Southampton, SO17 1BJ, UK.
Anne RogersNIHR CLAHRC Wessex, University of Southampton, Southampton, SO17 1BJ, UK.

Funding

Department of Health HS&DR/14/19/16National Institute of Health Research HS&DR programme 14/19/16
6 · The paper itself

Abstract

backgroundTheoretical models have sought to comprehend and conceptualise how people seek help from health professionals but it is unclear if such models apply to urgent care. Much previous research does not explain the complex interactions that influence how people make sense of urgent care and how this shapes service use. This paper aims to conceptualise the complexity of sense-making and help-seeking behaviour in peoples' everyday evaluations of when and how to access modern urgent care provision.

methodsThis study comprised longitudinal semi-structured interviews undertaken in the South of England. We purposively sampled participants 75+, 18-26 years, and from East/Central Europe (sub-sample of 41 received a second interview at + 6-12 months). Framework analysis was thematic and comparative.

resultsThe amount and nature of the effort (work) undertaken to make sense of urgent care was an overarching theme of the analysis. We distinguished three distinct types of work: illness work, moral work and navigation work. These take place at an individual level but are also shared or delegated across social networks and shaped by social context and time. We have developed a conceptual model that shows how people make sense of urgent care through work which then influences help-seeking decisions and action.

conclusionsThere are important intersections between individual work and their social networks, further shaped by social context and time, to influence help-seeking. Recognising different, hidden or additional work for some groups may help design and configure services to support patient work in understanding and navigating urgent care.

Indexed as

Help-Seeking BehaviorAdolescentAdultAmbulatory CareEnglandFemaleHumansMaleModels, TheoreticalQualitative ResearchYoung AdultHealthcare serviceHealthcare utilizationHelp-seekingPatient workQualitative methodsSense-makingUrgent care

Identifiers

PMID31299969
PMCPMC6624886

What OpenQuestion holds

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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.