Primary care doctors’ understandings of and strategies to tackle health inequalities: a qualitative study

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@article{a13d3908ce6945c9a73519d7d260e115,
title = "Primary care doctors{\textquoteright} understandings of and strategies to tackle health inequalities: a qualitative study",
abstract = "Aim: To examine general practitioners{\textquoteright} knowledge of and their role in tackling health inequalities, in relation to their professional responsibilities.Background: Primary care is often seen as being in the frontline of addressing health inequalities and the social determinants of health (SDH).Methods: A qualitative study with a maximum variety sample of English General Practitioners (GPs). In-depth, semi-structured interviews were held with 13 GPs in various geographical settings; they lasted between 30 and 70 min. Interviews were audio-recorded and transcribed. The analysis involved a constant comparison process undertaken by both authors to reveal key themes.Findings: GPs{\textquoteright} understanding of health inequalities reflected numerous perspectives on the SDH and they employ various different strategies in tackling them. This study revealed that GPs{\textquoteright} strategies were changing the nature of (medical) professionalism in primary care. We locate these findings in relation to Gruen{\textquoteright}s model of professional responsibility (comprising a distinction between obligation and aspiration, and between patient advocacy, community participation and political involvement). We conclude that these GPs do not exploit the full potential of their contribution to tackling health inequalities. These findings have implication for policy and practice in other practitioners and in other health systems, as they seek to tackle health inequalities.",
keywords = "doctors, health inequalities, medical responsibility, primary care",
author = "Mark Exworthy and Victoria Morcillo",
year = "2019",
month = may
day = "21",
doi = "10.1017/S146342361800052X",
language = "English",
volume = "20",
journal = "Primary Health Care Research & Development",
issn = "1463-4236",
publisher = "Cambridge University Press",

}

RIS

TY - JOUR

T1 - Primary care doctors’ understandings of and strategies to tackle health inequalities

T2 - a qualitative study

AU - Exworthy, Mark

AU - Morcillo, Victoria

PY - 2019/5/21

Y1 - 2019/5/21

N2 - Aim: To examine general practitioners’ knowledge of and their role in tackling health inequalities, in relation to their professional responsibilities.Background: Primary care is often seen as being in the frontline of addressing health inequalities and the social determinants of health (SDH).Methods: A qualitative study with a maximum variety sample of English General Practitioners (GPs). In-depth, semi-structured interviews were held with 13 GPs in various geographical settings; they lasted between 30 and 70 min. Interviews were audio-recorded and transcribed. The analysis involved a constant comparison process undertaken by both authors to reveal key themes.Findings: GPs’ understanding of health inequalities reflected numerous perspectives on the SDH and they employ various different strategies in tackling them. This study revealed that GPs’ strategies were changing the nature of (medical) professionalism in primary care. We locate these findings in relation to Gruen’s model of professional responsibility (comprising a distinction between obligation and aspiration, and between patient advocacy, community participation and political involvement). We conclude that these GPs do not exploit the full potential of their contribution to tackling health inequalities. These findings have implication for policy and practice in other practitioners and in other health systems, as they seek to tackle health inequalities.

AB - Aim: To examine general practitioners’ knowledge of and their role in tackling health inequalities, in relation to their professional responsibilities.Background: Primary care is often seen as being in the frontline of addressing health inequalities and the social determinants of health (SDH).Methods: A qualitative study with a maximum variety sample of English General Practitioners (GPs). In-depth, semi-structured interviews were held with 13 GPs in various geographical settings; they lasted between 30 and 70 min. Interviews were audio-recorded and transcribed. The analysis involved a constant comparison process undertaken by both authors to reveal key themes.Findings: GPs’ understanding of health inequalities reflected numerous perspectives on the SDH and they employ various different strategies in tackling them. This study revealed that GPs’ strategies were changing the nature of (medical) professionalism in primary care. We locate these findings in relation to Gruen’s model of professional responsibility (comprising a distinction between obligation and aspiration, and between patient advocacy, community participation and political involvement). We conclude that these GPs do not exploit the full potential of their contribution to tackling health inequalities. These findings have implication for policy and practice in other practitioners and in other health systems, as they seek to tackle health inequalities.

KW - doctors

KW - health inequalities

KW - medical responsibility

KW - primary care

UR - http://www.scopus.com/inward/record.url?scp=85062281796&partnerID=8YFLogxK

U2 - 10.1017/S146342361800052X

DO - 10.1017/S146342361800052X

M3 - Article

VL - 20

JO - Primary Health Care Research & Development

JF - Primary Health Care Research & Development

SN - 1463-4236

M1 - e20

ER -