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Unpaid carers’ access to and use of primary care services

Arksey, Hilary and Hirst, Michael Anthony (2005) Unpaid carers’ access to and use of primary care services. Primary Health Care Research and Development. pp. 101-116. ISSN 1477-1128

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GPs and members of the primary care team have a pivotal role in supporting unpaid carers in their caring role and helping them to maintain their own health and well-being. This paper investigates the difference that caregiving makes to individuals’ access to and use of GP and primary care services. It is based on longitudinal analysis of carers’ contacts with GPs, and a review of the literature including evaluations of measures to improve primary care-based support for carers. Men increase their consultation rates with GPs when taking on a caring role. In contrast, women who look after someone in the same household and carry heavy caring responsibilities have relatively less contact with GPs than expected. According to the literature, carers report a range of difficulties accessing primary health care. A fivefold typology is described covering barriers arising from: professional responses to the carers’ role, the way services are organised and delivered, language or culturally held beliefs and practices, carer or care recipient characteristics, and unmet information needs. Various measures to improve carers’ access to primary care have been introduced to overcome these barriers, but robust evidence of cost and utility is required to judge their acceptability and effectiveness for both carers and GPs. Although good practice guides, quality standards and evaluation tools are available to help improve primary care support for carers, further investigation of carers’ help-seeking for health care, and the factors involved, is required to underpin the prospects for developing a genuine partnership between unpaid carers and health professionals.

Item Type: Article
Copyright, Publisher and Additional Information: © 2005 Edward Arnold. This is an author produced version of a paper published in Primary Health Care Research and Development.
Keywords: access,carers,consultation panel,GP services,literature review,longitudinal data
Institution: The University of York
Academic Units: The University of York > Social Policy Research Unit (York)
Depositing User: R Pitman
Date Deposited: 11 Oct 2006
Last Modified: 10 May 2016 09:43
Published Version: http://dx.doi.org/10.1191/1463423605pc230oa
Status: Published
Refereed: Yes
URI: http://eprints.whiterose.ac.uk/id/eprint/1625

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