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Access and triage in contemporary general practice: A novel theory of digital candidacy

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  • Dakin, Francesca H.
  • Rybczynska-Bunt, Sarah
  • Rosen, Rebecca
  • Clarke, Aileen
  • Greenhalgh, Trisha

Abstract

To access contemporary healthcare, patients must find and navigate a complex socio-technical network of human and digital actors linked in multi-modal pathways. Asynchronous, digitally-mediated triage decisions have largely replaced synchronous conversations between humans. In this paper, we draw on a large qualitative dataset from a multi-site study of remote and digital technologies in general practice to understand widening inequities of access.

Suggested Citation

  • Dakin, Francesca H. & Rybczynska-Bunt, Sarah & Rosen, Rebecca & Clarke, Aileen & Greenhalgh, Trisha, 2024. "Access and triage in contemporary general practice: A novel theory of digital candidacy," Social Science & Medicine, Elsevier, vol. 349(C).
    • Handle: RePEc:eee:socmed:v:349:y:2024:i:c:s0277953624003290
    DOI: 10.1016/j.socscimed.2024.116885
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    References listed on IDEAS

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    1. Ladds, Emma & Greenhalgh, Trisha & Byng, Richard & Rybczynska-Bunt, Sarah & Kalin, Asli & Shaw, Sara, 2023. "A contemporary ontology of continuity in general practice: Capturing its multiple essences in a digital age," Social Science & Medicine, Elsevier, vol. 332(C).
    2. Greenhalgh, Trisha & Stones, Rob, 2010. "Theorising big IT programmes in healthcare: Strong structuration theory meets actor-network theory," Social Science & Medicine, Elsevier, vol. 70(9), pages 1285-1294, May.
    3. Mackintosh, Nicola & Gong, Qian (Sarah) & Hadjiconstantinou, Michelle & Verdezoto, Nervo, 2021. "Digital mediation of candidacy in maternity care: Managing boundaries between physiology and pathology," Social Science & Medicine, Elsevier, vol. 285(C).
    4. Liberati, Elisa & Richards, Natalie & Parker, Jennie & Willars, Janet & Scott, David & Boydell, Nicola & Pinfold, Vanessa & Martin, Graham & Jones, Peter B. & Dixon-Woods, Mary, 2022. "Qualitative study of candidacy and access to secondary mental health services during the COVID-19 pandemic," Social Science & Medicine, Elsevier, vol. 296(C).
    5. Wanda J. Orlikowski, 2000. "Using Technology and Constituting Structures: A Practice Lens for Studying Technology in Organizations," Organization Science, INFORMS, vol. 11(4), pages 404-428, August.
    6. Hassane Alami & Pascale Lehoux & Sara E. Shaw & Chrysanthi Papoutsi & Sarah Rybczynska-Bunt & Jean-Paul Fortin, 2022. "Virtual Care and the Inverse Care Law: Implications for Policy, Practice, Research, Public and Patients," IJERPH, MDPI, vol. 19(17), pages 1-16, August.
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