Evidence map›Paper›PMID 32020646›Full record

ArticleSociology of health & illness2020

'If there were doctors who could understand our problems, I would already be better': dissatisfactory health care and marginalisation in superdiverse neighbourhoods.

Hannah Bradby, Antje Lindenmeyer, Jenny Phillimore, Beatriz Padilla, Tilman Brand

Abstract read
In one paragraph

Article in Sociology of health & illness, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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  10. 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
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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.

Hannah BradbySociology Department, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-0664-1170
Antje LindenmeyerInstitute of Clinical Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0001-5101-1648
Jenny PhillimoreInstitute for Research into Superdiversity (IRiS), School of Social Policy, University of Birmingham, Birmingham, UK.ORCID 0000-0003-1213-2302
Beatriz PadillaDepartment of Sociology, University of South Florida, Tampa, USA.ORCID 0000-0002-2359-3369
Tilman BrandDepartment Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.ORCID 0000-0001-5140-7511

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

How people in community settings describe their experience of disappointing health care, and their responses to such dissatisfaction, sheds light on the role of marginalisation and underlines the need for radically responsive service provision. Making the case for studying unprompted accounts of dissatisfaction with healthcare provision, this is an original analysis of 71 semi-structured interviews with healthcare users in superdiverse neighbourhoods in four European cities. Healthcare users spontaneously express disappointment with services that dismiss their concerns and fail to attend to their priorities. Analysing characteristics of these healthcare users show that no single aspect of marginalisation shapes the expression of disappointment. In response to disappointing health care, users sought out alternative services and to persuade reluctant service providers, and they withdrew from services, in order to access more suitable health care and to achieve personal vindication. Promoting normative quality standards for diverse and diversifying populations that access care from a range of public and private service providers is in tension with prioritising services that are responsive to individual priorities. Without an effort towards radically responsive service provision, the ideal of universal access on the basis of need gives way to normative service provision.

Indexed as

Delivery of Health CarePhysiciansHumansaccessdisappointmentdissatisfactiondiversityhealthcarequality of careservice improvementuser perspectives

Identifiers

PMID32020646
PMCPMC7318273

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.