Evidence map›Paper›PMID 41136927›Full record

Trial reportBMC primary care2025

Understanding patient barriers and enablers to accessing community resources: a qualitative study to inform navigation service delivery.

Kiran Saluja, Adiba Mahbub, Alain P Gauthier, Manon Lemonde, Patrick Timony, François Durand, Simone Dahrouge

Registry-linked trialAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03451552 (Patient Navigation in Primary Care and Access to Resources in the Community - A Randomized Controlled Trial), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03451552 nacompletednot on this map

Patient Navigation in Primary Care and Access to Resources in the Community - A Randomized Controlled Trial

TypeinterventionalSponsorOttawa Hospital Research InstituteRan2018 to 2019Enrolled326ConditionsHealth Care Inequity, Patient NavigationArmsPatient Navigator
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kiran SalujaBruyère Health Research Institute, Ottawa, ON, Canada.
Adiba MahbubUniversity of Ottawa, Ottawa, ON, Canada.
Alain P GauthierLaurentian University, Sudbury, ON, Canada.
Manon LemondeOntario Tech University, Oshawa, ON, Canada.
Patrick TimonyCentre for Rural and Northern Health Research, Laurentian University, Sudbury, ON, Canada.
François DurandTelfer School of Management, University of Ottawa, Ottawa, ON, Canada.
Simone DahrougeBruyère Health Research Institute, Ottawa, ON, Canada. sdahrouge@bruyere.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals face multifaceted barriers to accessing community resources, which can significantly impact their ability to obtain necessary support and services. This study examines barriers and enablers to access community resources among primary care patients and explores the interplay between individual- and system-level factors that influence access to resources.

methodsIn this qualitative study, we conducted 32 semi-structured interviews with primary care patients who participated in a social prescribing trial that compared two navigation services: ARC (patient-centered longitudinal support) vs. Ontario-211 (free 24-hour helpline service) in two regions, Ottawa and Sudbury, in the province of Ontario, Canada. We conducted thematic data analysis with a deductive/inductive hybrid approach, employing Levesque's theoretical framework for access to health that examines the various system and individual level factors influencing access to healthcare services.

findingsAt the system level, various systemic barriers encompassing broader organisational, structural, and policy-related elements influenced patients' access to community resources (outreach, availability, location, costs and accommodations for patient needs and preferences). These factors directly interacted with various patient-level factors (awareness of needs, ability to seek support, to reach resources and to pay for those, their physical and mental health, motivation, and confidence to engage in care) to determine access.

conclusionsOur findings highlight individual- and system-level barriers and enablers for accessing community resources among socially complex primary care patients with multiple unmet needs. As governments and organizations in Canada are increasingly investing in community-based services to address adverse social determinants of health (SDH), an upstream approach that reduces both systemic and individual-level barriers to access is warranted.

trial registrationClinicalTrials.gov Identifier NCT03451552 registration date 15th Dec 2017.

Indexed as

Health Services AccessibilityPatient NavigationPrimary Health CareAdultAgedFemaleHumansInterviews as TopicMaleMiddle AgedOntarioQualitative ResearchAccessBarriersCommunity resourcesEnablersHealth needsSocial needs

Identifiers

PMID41136927
PMCPMC12551251

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.