ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2022
Socioeconomic differences in help seeking for colorectal cancer symptoms during COVID-19: a UK-wide qualitative interview study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 27 citations in OpenAlex.
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- How is diagnostic uncertainty communicated and managed in real world primary care settings?BMC primary care · 2024Article
- 'I Do It All Alone': The Burdens and Benefits of Being Diagnosed With, and Treated for, Colorectal Cancer During the Covid-19 Pandemic.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Inequality in uptake of bowel cancer screening by deprivation, ethnicity and smoking status: cross-sectional study in 86 850 citizens.Journal of public health (Oxford, England) · 2023Article
- The experience of patients with lung cancer during the COVID-19 pandemic and its importance for post-pandemic outpatient cancer care planning: A cross sectional study exploring the roles of age and frailty.Journal of geriatric oncology · 2023Article
- Patient experience and satisfaction with symptomatic faecal immunochemical testing: an explanatory sequential mixed-methods evaluation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Relationship between intersectionality and cancer inequalities: a scoping review protocol.BMJ open · 2023Article
- Socioeconomic differences in help seeking for colorectal cancer symptoms during COVID-19.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Author response.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Healthcare Professional and Patient Perceptions of Changes in Colorectal Cancer Care Delivery During the COVID-19 Pandemic and Impact on Health Inequalities.Cancer control : journal of the Moffitt Cancer CenterArticle
- Science mapping of COVID-19 contributions in primary health care by OECD countries: A machine learning approach.Digital healthArticle
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Authors and funding
13 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCOVID-19 has led to rapid changes in healthcare delivery, raising concern that these changes may exacerbate existing inequalities in patient outcomes.
aimTo understand how patients' help-seeking experiences in primary care for colorectal cancer symptoms during COVID-19 were affected by their socioeconomic status (SES). DESIGN AND
settingQualitative semi-structured interviews with males and females across the UK, recruited using purposive sampling by SES.
methodInterviews were carried out with 39 participants (20 higher SES; 19 lower SES) who contacted primary care about possible symptoms of colorectal cancer during COVID-19. Data were analysed using framework analysis followed by comparative thematic analysis to explore differences between groups.
resultsThree themes were identified with differences between SES groups: 1) how people decided to seek medical help through appraisal of symptoms; 2) how people navigated services; and 3) impact of COVID-19 on how patients interacted with healthcare professionals. The lower SES group expressed uncertainty appraising symptoms and navigating services (in terms of new processes resulting from COVID-19 and worries about infection). There was also potential for increased disparity in diagnosis and management, with other methods of getting in touch (for example, email or 111) taken up more readily by higher SES patients.
conclusionThe findings suggest that COVID-19 exacerbated disparities between higher and lower SES participants. This study raises awareness around challenges in help seeking in the context of the pandemic, which are likely to persist (post-COVID-19) as healthcare systems settle on new models of care (for example, digital). Recommendations are provided to reduce inequalities of care.
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