Evidence map›Paper›PMID 40500915›Full record

ArticleScandinavian journal of primary health care2026

Facilitating access to mental healthcare for patients with long-term conditions in general practice: a qualitative collective case study.

Amanda Nikolajew Rasmussen, Viola Burau, Helle Terkildsen Maindal, Healthy Mind Study Group

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Persistence and truth in research and practice.Scandinavian journal of primary health care · 2026
    Article
  2. Navigating the complexities of multimorbidity in primary health care.Scandinavian journal of primary health care · 2026
    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

4 authors.

Amanda Nikolajew RasmussenDepartment of Public Health, Aarhus University, Aarhus C, Denmark.ORCID 0000-0001-9859-553X
Viola BurauDepartment of Public Health, Aarhus University, Aarhus C, Denmark.ORCID 0000-0003-1225-6583
Helle Terkildsen MaindalDepartment of Public Health, Aarhus University, Aarhus C, Denmark.ORCID 0000-0003-0525-7254
Healthy Mind Study GroupDepartment of Public Health, Aarhus University, Aarhus C, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMental health problems among patients with type 2 diabetes (T2D) and ischemic heart disease (IHD) are common, but often undertreated. General practice is a relevant setting for addressing this complex health condition. However, research suggests that this group of patients often experience problems accessing care. This study aimed to explore how access to mental healthcare in general practice for patients with T2D and/or IHD is facilitated by processes of organizing care. DESIGN, SETTING AND

participantsThe study was designed as a qualitative collective case study in four general practices in Central Denmark Region participating in The Healthy Mind Study. Data were collected through ethnographic observations of, and qualitative interviews with patients and healthcare professionals.

resultsWe found that when healthcare professionals adapted services to specific patient needs, the patients felt welcome and accepted. Furthermore, finding a balance between letting the patient take responsibility while still providing sufficient support led to patients feeling empowered while still feeling cared for. Organizational prioritization of patients in vulnerable situations created circumstances that enabled healthcare professionals to provide better access to care and better treatment outcomes.

conclusionHealthcare professionals in general practice must think about their role in facilitating access to mental healthcare. An important part of this is that general practices prioritize patients in vulnerable situations, for example through specialized services, outreach work, structured staff supervision, and extra time. Recruitment of participants for mental healthcare interventions in general practice may benefit from using informal strategies relying on the patient-provider relationship.

Indexed as

Diabetes Mellitus, Type 2General PracticeHealth Services AccessibilityMental DisordersMental Health ServicesMyocardial IschemiaAdultAgedDenmarkFemaleHumansMaleMiddle AgedQualitative ResearchAccess to healthcarecase studygeneral practicelong-term conditionsmental health

Identifiers

PMID40500915
PMCPMC12918328

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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.