ArticleSocial science & medicine (1982)2020
"The state They're in": Unpicking fantasy paradigms of health improvement interventions as tools for addressing health inequalities.
Article in Social science & medicine (1982), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
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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.
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Who cites it
27 citing papers in PubMed.
- Addressing the causes of 'missingness' in healthcare: a co-designed suite of interventions.BMC medicine · 2026Article
- Between the clinic and the community: a qualitative study of logics of action on social determinants of health in general practices serving disadvantaged communities.BMC public health · 2026Article
- Research on dementia and inequalities in care and support - a map of the terrain and discussion of key issues.International journal for equity in health · 2026Review
- Identifying social prescribing core outcomes using a Delphi approach: findings and future directions.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2026Article
- The Role of Boundary Spanning in Building Trust: A Place-Based Study on Engaging Hardly Reached Groups in Community Healthcare Settings.Sociology of health & illness · 2025Article
- Does social prescribing address social determinants of health?Frontiers in public health · 2025Article
- Health system lessons from community practice: a qualitative study rethinking the role of social prescribing for refugee populations.Frontiers in public health · 2025Article
- Applying an equity lens to social prescribing.Journal of public health (Oxford, England) · 2024Article
- A meta-ethnography of the factors that shape link workers' experiences of social prescribing.BMC medicine · 2024Article
- Health inequalities, multimorbidity and primary care in Scotland.Future healthcare journal · 2023Article
- Implementation and impact of a social prescribing intervention: an ethnographic exploration.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- A Study to Assess the Awareness of Adults about Precancerous and Cancerous Lesions and the Associated Risk Factors.Journal of pharmacy & bioallied sciences · 2023Article
- Facilitating equitable access to hospice care in socially deprived areas: A mixed methods multiple case study.Palliative medicine · 2023Article
- Reflecting on choices and responsibility in palliative care in the context of social disadvantage.Palliative care and social practice · 2023Review
- 'He called me out of the blue': An ethnographic exploration of contrasting temporalities in a social prescribing intervention.Sociology of health & illness · 2022Article
- What does the literature mean by social prescribing? A critical review using discourse analysis.Sociology of health & illness · 2022Review
- Supporting Vulnerable Populations During the Pandemic: Stakeholders' Experiences and Perceptions of Social Prescribing in Scotland During Covid-19.Qualitative health research · 2022Article
- Factors Associated with Oral Cancerous and Precancerous Lesions in an Underserved Community: A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Challenges and Approaches to Green Social Prescribing During and in the Aftermath of COVID-19: A Qualitative Study.Frontiers in psychology · 2022Article
- Implementing social prescribing in primary care in areas of high socioeconomic deprivation: process evaluation of the 'Deep End' community Links Worker Programme.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Globally, it is recognised that the fundamental causes of iniquitous health outcomes lie within unequal distributions of wealth and power. Internationally, however, policies and interventions persist in individualising the inequalities problem and targeting individual behaviours as the main solution. This approach has been argued to represent 'Fantasy Paradigms'. This paper explores one example of such 'Fantasy' intervention from the perspective of health practitioners. Further, it explores opportunities for deepening practitioner understandings of the socio-political determination of health. Data were collected through in-depth interviews with 47 professionals involved in delivering a social prescribing programme in poor areas of Glasgow, Scotland. Data were analysed thematically across and within transcripts. Narratives highlighted different explanatory types concerning how the intervention could tackle health inequalities including: firm commitment to individualised approaches; hopeful pessimism; the social-determinants-of-health as an unpoliticised and nondeterministic backdrop to poor health; and finally, incomplete understanding of the social gradient as a population concept. Disrupted narratives of the social determination of health were also evident. This paper contributes new insights to existing debates on health inequalities discourse. These are conceptually important and identify opportunities for sharpening practitioner understanding of the social determinants of health which could in turn contribute to better, non-stigmatising primary care. It argues that re-engaging communities of practice with what is meant by determination of health is necessary and that there is a need to de-couple the policy aim of reducing health inequalities from the delivery of structurally competent and equality-focused public services.
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Registered trials
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.