Evidence map›Paper›PMID 38512992›Full record

ArticleHERD2025

Sizing Up General Practice Environments for Big-Bodied Patients: An Environmental Assessment of Three Facilities in Aotearoa, New Zealand.

Sonya Morgan, Sheharazade Mihlar, Emily Wood, Eileen McKinlay, Helen Gibbs, George Parker, Lesley Gray

Abstract read
In one paragraph

Article in HERD, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Sonya MorganDepartment of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.ORCID 0000-0002-2842-0707
Sheharazade MihlarDepartment of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.ORCID 0009-0002-0084-0256
Emily WoodDepartment of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.ORCID 0009-0002-2894-9050
Eileen McKinlayUniversity of Otago, Dunedin, New Zealand.ORCID 0000-0003-3333-5723
Helen GibbsDiet Consulting, Gardens Dunedin, New Zealand.ORCID 0000-0002-5096-2502
George ParkerVictoria University of Wellington, New Zealand.ORCID 0000-0002-5749-3294
Lesley GrayDepartment of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.ORCID 0000-0001-6414-3236

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis research describes the physical environments of and equipment in Aotearoa New Zealand (NZ) general practices in relation to available standards for big-bodied people (BBP) seeking healthcare.

backgroundThe prevalence of BBP both in NZ and globally has increased over the last 30 years and is expected to increase further. As the first and most utilized point of contact for patients in NZ and many countries, it is essential that general practices provide suitable environments to cater for and meet the needs of big-bodied patients seeking healthcare.

methodsAn exploratory study utilizing an environmental investigation was undertaken in three diverse general practices. Data collection consisted of direct observation and physical measurements of practice layout and equipment. Findings were compared to the existing guidelines or standards for the healthcare of BBP.

resultsThe analysis identified most environmental facets and equipment in all three general practices did not meet published guidelines for the care of BBP.

conclusionsIn the global context of increasing and sustained prevalence of BBP, this exploratory study highlights it is crucial that general practices and similar community-based facilities review their physical environments and equipment and consider modifications to improve accessibility, inclusivity, and comfort for BBP.

Indexed as

General PracticeHealth Facility EnvironmentHumansNew Zealandbariatricbig-bodied peopleenvironmental investigationgeneral practicehealthcare environments

Identifiers

PMID38512992
PMCPMC12050380

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Registered trials

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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.