Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/28128
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dc.contributor.authorKovandzic, Marijaen_UK
dc.contributor.authorChew-Graham, Carolynen_UK
dc.contributor.authorReeve, Joanneen_UK
dc.contributor.authorEdwards, Suzanneen_UK
dc.contributor.authorPeters, Sarahen_UK
dc.contributor.authorEdge, Dawnen_UK
dc.contributor.authorAseem, Saadiaen_UK
dc.contributor.authorGask, Lindaen_UK
dc.contributor.authorDowrick, Christopheren_UK
dc.date.accessioned2018-11-08T15:39:17Z-
dc.date.available2018-11-08T15:39:17Z-
dc.date.issued2011-03-31en_UK
dc.identifier.urihttp://hdl.handle.net/1893/28128-
dc.description.abstractEquitable access to primary care for people with common mental health problems in the UK remains problematic. The experiences of people from hard-to-reach groups offer important insights into barriers to accessing care. In this study, we report on secondary analysis of qualitative data generated within seven previously-reported studies. Thirty-three of ninety-two available transcripts were re-analysed using a new heuristic of access, generated to frame narrative-based comparative case analysis. The remaining transcripts were used to triangulate the findings via a process of collaborative analysis between a secondary researcher, naïve to research findings of the original studies, and primary researchers involved in data generation and analysis within the original studies. This method provided a rich body of 'fine grain' insights into the ways in which problem formulation, help-seeking, use of services and perceptions of service quality are interlinked in a recursive and socially embedded matrix of inequitable access to primary mental health care. The findings indicate both extensive commonalities between experiences of people from different 'hard-to-reach groups', and considerable diversity within each group. An idiographic generalisation and aggregation of this variety of experiences points to one main common facilitator (communicated availability of acceptable mental health services) and two main common barriers (lack of effective information and multiple forms of stigma) to equitable access to primary mental health care. We conclude that there is a need to provide local care that is pluralistic, adaptive, holistic, resonant and socially conscious in order to ensure that equitable access to mental health services can become a reality.en_UK
dc.language.isoenen_UK
dc.publisherElsevieren_UK
dc.relationKovandzic M, Chew-Graham C, Reeve J, Edwards S, Peters S, Edge D, Aseem S, Gask L & Dowrick C (2011) Access to primary mental health care for hard-to-reach groups: from 'silent suffering' to 'making it work'. Social Science and Medicine, 72 (5), pp. 763-772. https://doi.org/10.1016/j.socscimed.2010.11.027en_UK
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.rights.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_UK
dc.subjectMental healthen_UK
dc.subjectHard-to-reach groupsen_UK
dc.subjectAccessen_UK
dc.subjectPrimary careen_UK
dc.subjectUKen_UK
dc.titleAccess to primary mental health care for hard-to-reach groups: from 'silent suffering' to 'making it work'en_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2999-12-31en_UK
dc.rights.embargoreason[Kovandzic_Social_Science_and_Medicine_2011.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.1016/j.socscimed.2010.11.027en_UK
dc.identifier.pmid21272968en_UK
dc.citation.jtitleSocial Science and Medicineen_UK
dc.citation.issn0277-9536en_UK
dc.citation.issn0277-9536en_UK
dc.citation.volume72en_UK
dc.citation.issue5en_UK
dc.citation.spage763en_UK
dc.citation.epage772en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderUniversity of Liverpoolen_UK
dc.author.emailmarija.kovandzic@stir.ac.uken_UK
dc.citation.date21/12/2010en_UK
dc.contributor.affiliationUniversity of Liverpoolen_UK
dc.contributor.affiliationUniversity of Manchesteren_UK
dc.contributor.affiliationUniversity of Manchesteren_UK
dc.contributor.affiliationUniversity of Liverpoolen_UK
dc.contributor.affiliationUniversity of Manchesteren_UK
dc.contributor.affiliationUniversity of Manchesteren_UK
dc.contributor.affiliationUniversity of Manchesteren_UK
dc.contributor.affiliationUniversity of Manchesteren_UK
dc.contributor.affiliationUniversity of Liverpoolen_UK
dc.identifier.isiWOS:000289911600017en_UK
dc.identifier.scopusid2-s2.0-79952005348en_UK
dc.identifier.wtid500260en_UK
dc.contributor.orcid0000-0002-0644-5233en_UK
dcterms.dateAccepted2010-12-21en_UK
dc.date.filedepositdate2018-11-06en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorKovandzic, Marija|0000-0002-0644-5233en_UK
local.rioxx.authorChew-Graham, Carolyn|en_UK
local.rioxx.authorReeve, Joanne|en_UK
local.rioxx.authorEdwards, Suzanne|en_UK
local.rioxx.authorPeters, Sarah|en_UK
local.rioxx.authorEdge, Dawn|en_UK
local.rioxx.authorAseem, Saadia|en_UK
local.rioxx.authorGask, Linda|en_UK
local.rioxx.authorDowrick, Christopher|en_UK
local.rioxx.projectProject ID unknown|University of Liverpool|http://dx.doi.org/10.13039/501100000836en_UK
local.rioxx.freetoreaddate2260-11-22en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||en_UK
local.rioxx.filenameKovandzic_Social_Science_and_Medicine_2011.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source0277-9536en_UK
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