Evidence map›Paper›PMID 38162206›Full record

ArticleFuture healthcare journal2023

Health inequalities, multimorbidity and primary care in Scotland.

Stewart W Mercer, David Blane, Eddie Donaghy, David Henderson, Carey Lunan, Kieran Sweeney

Abstract read
In one paragraph

Article in Future healthcare journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Clinical empathy and relational continuity mitigate care fragmentation for patients with multiple long-term conditions: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. The bedrock of equitable healthcare.Future healthcare journal · 2023
    Article
  6. Progress in primary and integrated care.Future healthcare journal · 2023
    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.

Stewart W MercerCentre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK.
David BlaneGeneral Practice & Primary Care, School of Health & Wellbeing, University of Glasgow, Glasgow, UK.
Eddie DonaghyCentre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK.
David HendersonCentre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK.
Carey LunanCentre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK.
Kieran SweeneyCentre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Scotland has an ageing population and the widest health inequalities in Western Europe. Multiple health conditions develop ∼10-15 years earlier in deprived areas than in affluent areas. General practice is central to the effective and safe management of such complex multiple health conditions, but the inverse care law has permeated deprived communities ('Deep End' general practices) for the past 50 years. A new, radical, Scottish GP contract was introduced in April 2018, which has a vision to improve quality of care through cluster working and expansion of the multidisciplinary team (MDT), enabling GPs to deliver 'expert generalism' to patients with complex needs. It states a specific intention to address health inequalities and also to support the integration of health and social care. Here, we discuss recent evidence for whether the ambition of the new GP contract, to reduce health inequalities, is being achieved.

Indexed as

health inequalitiesintegrationmultimorbidityScottish GP contract

Identifiers

PMID38162206
PMCPMC10753226

What OpenQuestion holds

Textmetadata
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.