Evidence map›Paper›PMID 31772038›Full record

ArticleBJGP open2019

Experiences of primary healthcare professionals and patients from an area of urban disadvantage: a qualitative study.

Jennifer Reath, Marlee King, Walter Kmet, Diana O'Halloran, Ronald Brooker, Diana Aspinall, Hani Bittar, Thava Seelan, Michael Burke, Tim Usherwood

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJGP open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
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

10 authors.

Jennifer ReathProfessor, School of Medicine, Western Sydney University, Sydney, Australia j.reath@westernsydney.edu.au.ORCID http://orcid.org/0000-0002-0676-4402
Marlee KingSessional Academic, School of Psychology, Western Sydney University, Sydney, Australia.
Walter KmetChief Executive Officer, Macquarie University Hospital and Clincial Service, Macquarie University, Sydney, Australia.
Diana O'HalloranConjoint Professor, School of Medicine, Western Sydney University, Sydney, Australia.
Ronald BrookerResearch Affiliate, School of Medicine, Western Sydney University, Sydney, Australia.
Diana AspinallConsumer Representative, School of Medicine, Western Sydney University, Sydney, Australia.
Hani BittarGeneral Practitioner and Conjoint Lecturer, School of Medicine, Western Sydney University, Sydney, Australia.
Thava SeelanGeneral Practitioner and Conjoint Lecturer, School of Medicine, Western Sydney University, Sydney, Australia.
Michael BurkeGeneral Practitioner and Conjoint Associate Professor, School of Medicine, Western Sydney University, Sydney, Australia.
Tim UsherwoodProfessor of General Practice and Head of Westmead Clinical School, The University of Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe health disadvantage in socioeconomically marginalised urban settings can be challenging for health professionals, but strong primary health care improves health equity and outcomes.

aimTo understand challenges and identify needs in general practices in a socioeconomically marginalised Australian setting. DESIGN &

settingQualitative methodology with general practices in a disadvantaged area of western Sydney.

methodSemi-structured interviews with healthcare professionals and their patients were transcribed and analysed thematically under the guidance of a reference group of stakeholder representatives.

resultsA total of 57 participants from 17 practices (comprising 16 GPs, five GP registrars [GPRs], 15 practice staff, 10 patients, and 11 allied health professionals [AHPs]), provided a rich description of local communities and patients, and highlighted areas of satisfaction and challenges of providing high quality health care in this setting. Interviewees identified issues with health systems impacting on patients and healthcare professionals, and recommended healthcare reform. Team-based, patient-centred models of primary health care with remuneration for quality of care rather than patient throughput were strongly advocated, along with strategies to improve patient access to specialist care.

conclusionThe needs of healthcare professionals and patients working and living in urban areas of disadvantage are not adequately addressed by the Australian health system. The authors recommend the implementation of local trials aimed at improving primary health care in areas of need, and wider health system reform in order to improve the health of those at socioeconomic and health disadvantage.

Indexed as

delivery of healthcaregeneral practitionersPrimary health carequalitative researchsocioeconomic factors

Identifiers

PMID31772038
PMCPMC6995866

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.