TY - JOUR
AU - K. Bristow
AU - S. Edwards
AU - E. Funnel
AU - L. Fisher
AU - L. Gask
AU - C. Dowrick
AU - Chew Graham
A1 - 
AB - Background. In the UK, most people with mental health problems are managed in primary care. However, many individuals in need of help are not able to access care, either because it is not available, or because the individual's interaction with care-givers deters or diverts help-seeking. Aims. To understand the experience of seeking care for distress from the perspective of potential patients from "hard-to-reach" groups. Methods. A qualitative study using semi-structured interviews, analysed using a thematic framework. Results. Access to primary care is problematic in four main areas: how distress is conceptualised by individuals, the decision to seek help, barriers to help-seeking, and navigating and negotiating services. Conclusion. There are complex reasons why people from "hard-to-reach" groups may not conceptualise their distress as a biomedical problem. In addition, there are particular barriers to accessing primary care when distress is recognised by the person and help-seeking is attempted. We suggest how primary care could be more accessible to people from "hard-to-reach" groups including the need to offer a flexible, non-biomedical response to distress.
BT - International journal of family medicine
C5 - Healthcare Disparities
CY - Egypt
DO - 10.1155/2011/490634
JF - International journal of family medicine
N2 - Background. In the UK, most people with mental health problems are managed in primary care. However, many individuals in need of help are not able to access care, either because it is not available, or because the individual's interaction with care-givers deters or diverts help-seeking. Aims. To understand the experience of seeking care for distress from the perspective of potential patients from "hard-to-reach" groups. Methods. A qualitative study using semi-structured interviews, analysed using a thematic framework. Results. Access to primary care is problematic in four main areas: how distress is conceptualised by individuals, the decision to seek help, barriers to help-seeking, and navigating and negotiating services. Conclusion. There are complex reasons why people from "hard-to-reach" groups may not conceptualise their distress as a biomedical problem. In addition, there are particular barriers to accessing primary care when distress is recognised by the person and help-seeking is attempted. We suggest how primary care could be more accessible to people from "hard-to-reach" groups including the need to offer a flexible, non-biomedical response to distress.
PP - Egypt
PY - 2011
SN - 2090-2050; 2090-2050
T1 - Help Seeking and Access to Primary Care for People from "Hard-to-Reach" Groups with Common Mental Health Problems
T2 - International journal of family medicine
TI - Help Seeking and Access to Primary Care for People from "Hard-to-Reach" Groups with Common Mental Health Problems
U1 - Healthcare Disparities
U2 - 22312546
U3 - 10.1155/2011/490634
VL - 2011
VO - 2090-2050; 2090-2050
Y1 - 2011
ER -