Evidence map›Paper›PMID 38437026›Full record

ArticleScandinavian journal of primary health care2024

Adjudications and tinkering with care for socially vulnerable patients with type 2 diabetes in general practice.

Ann Dorrit Guassora, Nina Tvistholm, Frida Greek Kofod, Sofie A Rogvi, Gitte Wind, Ulla Christensen

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scandinavian journal of primary health care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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.

Ann Dorrit GuassoraThe Research Unit and Section for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-4565-4705
Nina TvistholmDepartment of Nursing and Nutrition, University College Copenhagen, Copenhagen, Denmark.
Frida Greek KofodThe Research Unit and Section for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-0612-2012
Sofie A RogviSection of Health Services Research, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Gitte WindDepartment of Nursing and Nutrition, University College Copenhagen, Copenhagen, Denmark.
Ulla ChristensenSection of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
University of Copenhagen · DKUniversity College Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse the mechanisms at play in the adjudications made by professionals and socially vulnerable patients with type 2 diabetes about their eligibility for care. DESIGN, SETTING AND SUBJECTS: The study included 14 patients and 10 health professionals in seven general practice surgeries in deprived areas in Greater Copenhagen. The study data consist of 17 semi-structured interviews with patients and 22 with health professionals immediately after observation of 23 consultations. Our analytical approach was inspired by Systematic Text Condensation and the concept of 'candidacy' for access to health care.

resultsAdjudications of patients not being candidates for services were common, but we also found that both patients and health professionals worked to align the services to the needs of the patients. This could include using services differently than was intended by the providers or by changing routines to make it easier for patients to use the services. We discuss these processes as 'tinkering'. This usually implies that the best individual solution for the patient is aimed for, and in this study, the best solution sometimes meant not focusing on diabetes.

conclusionThe study adds to existing knowledge about access to services for socially vulnerable patients by demonstrating that both patients and professionals in general practice engage in tinkering processes to make services work.

Indexed as

Diabetes Mellitus, Type 2General PracticeFamily PracticeHealth PersonnelHumanscandidacyfamily practicegeneral practiceHealth inequitieshealth services accessibilitysocioeconomic factorstinkering

Identifiers

PMID38437026
PMCPMC11003322
OpenAlexW4392380932

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.