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What is the 'problem' that outreach work seeks to address and how might it be tackled?: seeking theory in a primary health prevention programme

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What is the 'problem' that outreach work seeks to address and how might it be tackled? seeking theory in a primary health prevention programme. / Mackenzie, Mhairi; Turner, Fiona; Platt, Stephen; Reid, Maggie; Wang, Yingying; Clark, Julia; Sridharan, Sanjeev; O'Donnell, Catherine.

In: BMC Health Services Research, Vol. 11, 350, 28.12.2011.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Mackenzie, M, Turner, F, Platt, S, Reid, M, Wang, Y, Clark, J, Sridharan, S & O'Donnell, C 2011, 'What is the 'problem' that outreach work seeks to address and how might it be tackled? seeking theory in a primary health prevention programme', BMC Health Services Research, vol. 11, 350. https://doi.org/10.1186/1472-6963-11-350

APA

Mackenzie, M., Turner, F., Platt, S., Reid, M., Wang, Y., Clark, J., Sridharan, S., & O'Donnell, C. (2011). What is the 'problem' that outreach work seeks to address and how might it be tackled? seeking theory in a primary health prevention programme. BMC Health Services Research, 11, [350]. https://doi.org/10.1186/1472-6963-11-350

Vancouver

Author

Mackenzie, Mhairi ; Turner, Fiona ; Platt, Stephen ; Reid, Maggie ; Wang, Yingying ; Clark, Julia ; Sridharan, Sanjeev ; O'Donnell, Catherine. / What is the 'problem' that outreach work seeks to address and how might it be tackled? seeking theory in a primary health prevention programme. In: BMC Health Services Research. 2011 ; Vol. 11.

Bibtex

@article{197039d252ca4b4795b204524f5310d1,
title = "What is the 'problem' that outreach work seeks to address and how might it be tackled?: seeking theory in a primary health prevention programme",
abstract = "BackgroundPreventive approaches to health are disproportionately accessed by the more affluent and recent health improvement policy advocates the use of targeted preventive primary care to reduce risk factors in poorer individuals and communities. Outreach has become part of the health service response. Outreach has a long history of engaging those who do not otherwise access services. It has, however, been described as eclectic in its purpose, clientele and mode of practice; its effectiveness is unproven.Using a primary prevention programme in the UK as a case, this paper addresses two research questions: what are the perceived problems of non-engagement that outreach aims to address; and, what specific mechanisms of outreach are hypothesised to tackle these.MethodsDrawing on a wider programme evaluation, the study undertook qualitative interviews with strategically selected health-care professionals. The analysis was thematically guided by the concept of 'candidacy' which theorises the dynamic process through which services and individuals negotiate appropriate service use.ResultsThe study identified seven types of engagement 'problem' and corresponding solutions. These 'problems' lie on a continuum of complexity in terms of the challenges they present to primary care. Reasons for non-engagement are congruent with the concept of 'candidacy' but point to ways in which it can be expanded.ConclusionsThe paper draws conclusions about the role of outreach in contributing to the implementation of inequalities focused primary prevention and identifies further research needed in the theoretical development of both outreach as an approach and candidacy as a conceptual framework.",
author = "Mhairi Mackenzie and Fiona Turner and Stephen Platt and Maggie Reid and Yingying Wang and Julia Clark and Sanjeev Sridharan and Catherine O'Donnell",
note = "This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.",
year = "2011",
month = dec,
day = "28",
doi = "10.1186/1472-6963-11-350",
language = "English",
volume = "11",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BMC",

}

RIS

TY - JOUR

T1 - What is the 'problem' that outreach work seeks to address and how might it be tackled?

T2 - seeking theory in a primary health prevention programme

AU - Mackenzie, Mhairi

AU - Turner, Fiona

AU - Platt, Stephen

AU - Reid, Maggie

AU - Wang, Yingying

AU - Clark, Julia

AU - Sridharan, Sanjeev

AU - O'Donnell, Catherine

N1 - This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

PY - 2011/12/28

Y1 - 2011/12/28

N2 - BackgroundPreventive approaches to health are disproportionately accessed by the more affluent and recent health improvement policy advocates the use of targeted preventive primary care to reduce risk factors in poorer individuals and communities. Outreach has become part of the health service response. Outreach has a long history of engaging those who do not otherwise access services. It has, however, been described as eclectic in its purpose, clientele and mode of practice; its effectiveness is unproven.Using a primary prevention programme in the UK as a case, this paper addresses two research questions: what are the perceived problems of non-engagement that outreach aims to address; and, what specific mechanisms of outreach are hypothesised to tackle these.MethodsDrawing on a wider programme evaluation, the study undertook qualitative interviews with strategically selected health-care professionals. The analysis was thematically guided by the concept of 'candidacy' which theorises the dynamic process through which services and individuals negotiate appropriate service use.ResultsThe study identified seven types of engagement 'problem' and corresponding solutions. These 'problems' lie on a continuum of complexity in terms of the challenges they present to primary care. Reasons for non-engagement are congruent with the concept of 'candidacy' but point to ways in which it can be expanded.ConclusionsThe paper draws conclusions about the role of outreach in contributing to the implementation of inequalities focused primary prevention and identifies further research needed in the theoretical development of both outreach as an approach and candidacy as a conceptual framework.

AB - BackgroundPreventive approaches to health are disproportionately accessed by the more affluent and recent health improvement policy advocates the use of targeted preventive primary care to reduce risk factors in poorer individuals and communities. Outreach has become part of the health service response. Outreach has a long history of engaging those who do not otherwise access services. It has, however, been described as eclectic in its purpose, clientele and mode of practice; its effectiveness is unproven.Using a primary prevention programme in the UK as a case, this paper addresses two research questions: what are the perceived problems of non-engagement that outreach aims to address; and, what specific mechanisms of outreach are hypothesised to tackle these.MethodsDrawing on a wider programme evaluation, the study undertook qualitative interviews with strategically selected health-care professionals. The analysis was thematically guided by the concept of 'candidacy' which theorises the dynamic process through which services and individuals negotiate appropriate service use.ResultsThe study identified seven types of engagement 'problem' and corresponding solutions. These 'problems' lie on a continuum of complexity in terms of the challenges they present to primary care. Reasons for non-engagement are congruent with the concept of 'candidacy' but point to ways in which it can be expanded.ConclusionsThe paper draws conclusions about the role of outreach in contributing to the implementation of inequalities focused primary prevention and identifies further research needed in the theoretical development of both outreach as an approach and candidacy as a conceptual framework.

U2 - 10.1186/1472-6963-11-350

DO - 10.1186/1472-6963-11-350

M3 - Journal article

VL - 11

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

M1 - 350

ER -