Women’s health and primary care: time to get it right for the life course

Dixon, Sharon; McNiven, Abigail; Connolly, Anne; Hinton, Lisa

doi:10.3399/bjgp21x717713

Cited by 5 publications

(6 citation statements)

References 11 publications

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“… 22 General practice is ideally situated to support women throughout the life course. 3 Any changes will need careful evaluation to ensure that they do not contribute to already significant health inequalities. 4 , 23 …”

Section: Discussionmentioning

confidence: 99%

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Understanding primary care perspectives on supporting women’s health needs: a qualitative study

Toye,

MacLellan,

Dixon

et al. 2023

Br J Gen Pract

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Aim: To understand the perspectives and experiences of Primary Care Health Professionals (PCPs) about supporting women’s healthcare needs. Design and Setting: Interpretive qualitative research set in general practice (GP) in England. Method: PCPs working in GP settings were recruited through research and professional networks. Semi-structured interviews were conducted via phone or Microsoft Teams, audio-recorded, transcribed verbatim, and analysed through Reflexive Thematic Analysis. Results: We interviewed 46 PCPs with a range of roles working in diverse settings. We present our results within six themes: (1) being alongside a person from cradle to grave; (2) maintaining the balance between general and specialist skills; (3) generalists and specialists combined make more than the sum of their parts; (4) striving for equity in a collapsing system; (5) firefighting with limited resources; (6) the general practitioner is being cast as the villain. Conclusions: Our findings show that relationships and advocacy are valued as fundamental for women’s health in general practice and highlight adverse impacts of threats to these on staff and services. Developing specialist roles and bespoke services can foster staff well-being and could support retention. However, care is needed to ensure that service configuration changes do not result in clinician de-skilling or rendering services inaccessible. Care is needed when services evolve to ensure that core aspects of general practice are not diminished or devalued. GP teams are well placed to advocate for their patients, including commitment to seeking equitable care, and these skills and specialist knowledge should be actively recognised, valued, and nurtured.

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Section: Discussionmentioning

confidence: 99%

“…However, research tends to draw on samples from secondary care. 3 Women’s health encompasses all health care, although it is often reported in the context of the female reproductive tract. This is emblematised in general practice, which cares for women at all life-course stages.…”

Section: Introductionmentioning

confidence: 99%

Understanding primary care perspectives on supporting women’s health needs: a qualitative study

Toye,

MacLellan,

Dixon

et al. 2023

Br J Gen Pract

Self Cite

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show abstract

“…Further, development of basic and routine health tests has been shown to often fail to take into account diversity; e.g. the accuracy of pulse oximeters varies with skin pigmentation [ 72 ], and underrepresentation of women in trials or research design has led to lack of understanding of health differences and even lack of research on health issues affecting women [ 73 ]. In contrast, meeting the needs of marginalised groups can inspire new inventions that go on to impact many more people, such as electric toothbrushes originally invented for those with limited motor skills [ 74 ] but now shown to improve oral health for everyone [ 75 ].…”

Section: Question 4: How Can We Increase the Inclusivity Of Funded Re...mentioning

confidence: 99%

Five questions on improving diversity, equity and inclusion in UK bioscience research or “How can UK bioscience be changed so that those from marginalised groups can thrive?”

Cox,

Mole

2024

BBA Advances

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“…Para evitar a excessiva especificidade nos serviços e recursos em resposta a essas estratégias, é fundamental evitar a compartimentalização das vidas e corpos das mulheres. Em vez disso, a ênfase deve ser na promoção de recursos, educação e serviços direcionados à atenção primária, capacitando os médicos de família a apoiar abrangentemente as necessidades físicas, psicológicas e sociais das pacientes ao longo de suas vidas (Dixon et al, 2021).…”

Section: Abordagem Holística Da Saúde Da Mulher Na Atenção Primáriaunclassified

“…Em vez disso, insta-se os formuladores de políticas a aproveitar positivamente a sabedoria e experiência dos médicos de família e pacientes, incorporando-as em pesquisas e consultas para respaldar uma estratégia eficaz e abrangente de saúde da mulher centrada na atenção primária (Dixon et al, 2021).…”

Section: Abordagem Holística Da Saúde Da Mulher Na Atenção Primáriaunclassified

Atuação da atenção primária na saúde da mulher e na prevenção primária ao câncer de colo de útero: relato de experiência

Assis,

Sousa

2024

Rev. Bra. de Filo. e Hist.

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Objetivo: Relatar a experiência de atuação da atenção primária na prevenção do câncer de colo de útero. Material e Métodos: O relato de experiência descreveu um trabalho realizado na Unidade Básica de Saúde da Família (UBS) Inácio Luiz Mota, em Catingueira-PB, entre março e dezembro de 2023. Foi utilizado o "Arco da Problematização de Maguerez", estruturado em cinco etapas e envolvendo a participação integrada da equipe de Estratégia de Saúde da Família (ESF). A iniciativa empregou uma abordagem sistematizada e eficaz no desenvolvimento das atividades junto à ESF visando fortalecer as estratégias aplicadas para a promoção da saúde da mulher e a importância do Papanicolau como medida preventiva. Resultados: Uma estratégia eficaz de intervenção na UBS envolveu a criação de um grupo de mulheres com encontros mensais. Nestas reuniões, foram discutidos temas relevantes para a saúde feminina, e foi promovida a conscientização sobre a prevenção de doenças e importância da realização do exame de papanicolau. Ao longo do tempo, essa abordagem demonstrou impacto positivo, refletindo na melhoria dos índices do Programa Previne Brasil. Conclusão: A estratégia de criar um grupo de mulheres e realizar encontros mensais se mostrou eficaz, refletindo em melhorias nos índices do Programa Previne Brasil em 2023. Destaca-se a importância contínua do compromisso em expandir acesso, aprimorar qualidade e promover equidade na Atenção Primária à Saúde, requerendo ações coordenadas e estratégicas.

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Women’s health and primary care: time to get it right for the life course

Cited by 5 publications

References 11 publications

Understanding primary care perspectives on supporting women’s health needs: a qualitative study

Understanding primary care perspectives on supporting women’s health needs: a qualitative study

Five questions on improving diversity, equity and inclusion in UK bioscience research or “How can UK bioscience be changed so that those from marginalised groups can thrive?”

Atuação da atenção primária na saúde da mulher e na prevenção primária ao câncer de colo de útero: relato de experiência

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