Evidence map›Paper›PMID 32148723›Full record

ArticleFamily medicine and community health2019

How French general practitioners adapt their care to patients with social difficulties?

Annie De Oliveira, Barbara Chavannes, Magali Steinecker, Mady Denantes, Julie Chastang, Gladys Ibanez

Open access · diamondAbstract read
In one paragraph

Article in Family medicine and community health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 36% of its field
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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

6 authors at 2 institutions in 1 country.

Annie De OliveiraDepartment of General Practice, Medicine Sorbonne University, Paris, France.
Barbara ChavannesDepartment of General Practice, Medicine Sorbonne University, Paris, France.
Magali SteineckerDepartment of General Practice, Medicine Sorbonne University, Paris, France.
Mady DenantesDepartment of General Practice, Medicine Sorbonne University, Paris, France.
Julie ChastangDepartment of General Practice, Medicine Sorbonne University, Paris, France.
Gladys IbanezDepartment of General Practice, Medicine Sorbonne University, Paris, France.ORCID 0000-0002-5592-699X
Sorbonne Université · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSeveral studies have shown the role of the primary care system in access to care and in reducing social inequalities in health. The objective of this study was to describe the practices of general practitioners (GPs) in taking into account the social environment of their patient, and the ways they adapted to social difficulties.

designQualitative study comprising interviews and focus groups.

settingFrench primary care settings.

participantsTwenty semistructured interviews and two focus groups were conducted with 33 GPs. Sessions were audio recorded, transcribed verbatim and analysed using thematic analysis. The reporting of findings was guided by consolidated criteria for reporting qualitative research.

resultThis study identified adaptations at three levels: in the individual management of patients (alert system, full involvement in prevention, better communication, prioritised additional examinations, financial facilities, help in administrative tasks), in the collective management of patients in an office (consultation without appointment, pay-for-performance indicators, medical staffs, multidisciplinary protocols, medical practice in group, medical student), and in the community management (patients description, cooperation with associations, public health sector and politics).

conclusionIn France, GPs can take into account the social determinants of health in practice through simple or more complex actions.

Indexed as

Francegeneral practicegeneral practitionershealthcare disparitiesprimary health carequalitative researchsocioeconomic factors

Identifiers

PMID32148723
PMCPMC6910763
OpenAlexW2985268460

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.