Reducing health inequalities through general practice

Gkiouleka, Anna; Wong, Geoff; Sowden, Sarah; Bambra, Clare; Siersbaek, Rikke; Manji, Sukaina; Moseley, Annie; Harmston, Rebecca; Kuhn, Isla; Ford, John

doi:10.1016/s2468-2667(23)00093-2

Cited by 16 publications

(15 citation statements)

References 109 publications

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“…Recent research has identified key principles to reduce the likelihood of health inequalities resulting from general practice, including accounting for differences within patient groups. 45 …”

Section: Discussionmentioning

confidence: 99%

Patient and caregiver characteristics associated with differential use of primary care for children and young people in the UK: a scoping review

Herbert,

Herlitz,

Woodman

et al. 2024

BMJ Open

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ObjectiveTo systematically map evidence to answer the research question:What is the relationship between the characteristics of children and young people (CYP) or their caregivers and primary care service use in the UK, taking into account underlying healthcare needs?DesignScoping review.SettingPrimary care.Eligibility criteriaEnglish-language quantitative or mixed-methods studies published between 2012 and 2022.Data sourcesMedline, Embase, Scopus and Web of Science Social Sciences Citation Index, and grey literature.Results22 eligible studies were identified, covering general practice (n=14), dental health (n=4), child mental health (MN) services (n=3) and immunisation (n=1). Only eight studies (36%) controlled for variables associated with healthcare need (eg, age, birth weight and long-term conditions). In these, evidence of horizontal inequity in primary care use was reported for CYP living in deprived areas in England, with and without complex needs. Horizontal inequity was also identified in primary care MN referrals for CYP in England identifying as mixed-race, Asian or black ethnicity, compared with their white British peers. No evidence of horizontal inequity was observed, however, in primary care use for CYP in England exposed to parental depression, or for CYP children from low-income households in Scotland. Increasing CYP’s age was associated with decreasing primary care use across included studies. No studies were found regarding CYP from Gypsy or Traveller communities, children in care, or those with disabilities or special educational needs.ConclusionsThere is evidence that socioeconomic factors impact on CYP’s primary care use, in particular age, ethnicity and deprivation. However, better quality evidence is required to evaluate horizontal inequity in use and address knowledge gaps regarding primary care use for vulnerable CYP populations and the impact of policy and practice related ‘supply side’ of primary care.

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Section: Discussionmentioning

confidence: 99%

Patient and caregiver characteristics associated with differential use of primary care for children and young people in the UK: a scoping review

Herbert,

Herlitz,

Woodman

et al. 2024

BMJ Open

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“…Primary care is believed to be a place where health inequalities can be reduced [ 1 ]. GPs are often a first and trusted point of contact for minoritised communities.…”

Section: Discussionmentioning

confidence: 99%

“…There is growing evidence of inequalities in access to and outcomes from primary care [ 1 ]. As consideration of equality, diversity and inclusion (EDI) in healthcare becomes a growing global priority, GPs and primary care researchers are uniquely placed to address the challenges of inequality experienced by many communities.…”

Section: Introductionmentioning

confidence: 99%

Series: Public engagement with research. Part 2: GPs and primary care researchers working inclusively with minoritised communities in health research to help address inequalities

Masood,

Alvarez Nishio,

Starling

et al. 2024

European Journal of General Practice

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Public engagement in health research is vital for addressing health disparities and promoting inclusivity among minoritised communities who often face barriers to accessing healthcare. Minoritised communities are groups, which have been made minorities by a dominant culture, race, ethnic group and/or social class and may experience health inequalities as a result. By incorporating diverse perspectives and lived experiences of minoritised communities, this approach aims to achieve contextually relevant research outcomes that reduce health inequalities and improve overall well-being. However, underrepresentation and lack of inclusivity challenges persist, necessitating the establishment of inclusive partnerships and grassroots participatory methodologies. To foster inclusive public engagement, it is important to overcome structural and cultural barriers, address socioeconomic challenges, and build trust with minoritised communities. This can be achieved by promoting a cultural shift that values inclusivity, providing comprehensive training to researchers, and collecting rigorous data on engagement demographics for transparency and accountability. Involving minoritised communities in decision-making through participatory research approaches enhances trust and yields successful outcomes. Additionally, allocating sufficient resources, collaborating in co-production, and prioritising the diverse needs and perspectives of stakeholders contribute to fostering inclusive public engagement in research. Overall, inclusive engagement practices particularly in primary care research have the potential to reduce health inequalities and cater to the unique requirements of minoritised communities, thereby creating more impactful outcomes and promoting equitable healthcare access.

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“…É fundamental que os profissionais de saúde estejam sensibilizados para as questões específicas enfrentadas por essa comunidade, oferecendo um ambiente seguro e inclusivo para o tratamento. Além disso, programas de conscientização devem ser implementados para educar a população LGBTQIA+ sobre a importância da detecção precoce, levando em consideração as suas experiências únicas 20,28,33,34 .…”

Section: Promoção De Conscientização E Educaçãounclassified

“…As campanhas de conscientização devem ir além da simples disseminação de informações, englobando narrativas inclusivas que reflitam a diversidade da comunidade LGBTQIA+. O uso de mídias sociais, eventos comunitários e parcerias com organizações LGBTQIA+ são estratégias eficazes para alcançar uma audiência mais ampla e disseminar mensagens pertinentes 20,28,33,34 .…”

Section: Promoção De Conscientização E Educaçãounclassified

Câncer de Mama na População LGBTQIA+

Gregorio Calas

2023

Rev. Bras. Cancerol.

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O câncer de mama é uma preocupação global de saúde pública que afeta milhões de pessoas a cada ano. No entanto, a experiência dessa doença pode ser singular para a população LGBTQIA+ que, muitas vezes, enfrenta desafios únicos relacionados à saúde. Diante da relevância do assunto e da deficiência de pesquisas e estudos sobre o câncer de mama na população LGBTQIA+, este artigo de opinião busca destacar a importância de uma abordagem inclusiva no tratamento e na prevenção do câncer de mama nessa comunidade, explorando as iniquidades existentes e propondo estratégias concretas para promover uma saúde mais equitativa, como as disparidades na saúde, os fatores de risco específicos, os desafios psicossociais, a promoção da conscientização e da educação, e a inclusão dessa população em estudos de pesquisa.

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Reducing health inequalities through general practice

Cited by 16 publications

References 109 publications

Patient and caregiver characteristics associated with differential use of primary care for children and young people in the UK: a scoping review

Patient and caregiver characteristics associated with differential use of primary care for children and young people in the UK: a scoping review

Series: Public engagement with research. Part 2: GPs and primary care researchers working inclusively with minoritised communities in health research to help address inequalities

Câncer de Mama na População LGBTQIA+

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