Citizens advice in primary care: a qualitative study of the views and experiences of service users and staff.

Abstract:

OBJECTIVES:To examine the views and experiences of staff and users of Citizens Advice Bureau (CAB) services located in general practice, and to identify key factors perceived as contributing to the intervention's effectiveness. STUDY DESIGN:A qualitative study in an urban and rural primary care setting in the UK. METHODS:Semi-structured, face-to-face interviews (n = 22) with primary care and practice staff, CAB advisors and 12 service users. RESULTS:Key positive service features reported by all groups were: the confidential, non-stigmatizing and familiar environment of a general practitioner's (GP) surgery; the ability to make appointments and experienced advisor availability and continuity. Outcomes for service users were described as financial gain, managed debt, and beneficial social and mental health impacts. Perceived staff benefits were appropriate referral and better use of GP consultation time. CONCLUSION:Welfare advice in primary care has financial benefits and was perceived by participants to offer health and other benefits to patients and staff. However, while perceptions of gain from the intervention were evident, demonstration of measurable health improvement and well-being presents challenges. Further empirical work is needed in order to explore these complex cause-effect links and the cost-effectiveness of the intervention.

journal_name

Public Health

journal_title

Public health

authors

Burrows J,Baxter S,Baird W,Hirst J,Goyder E

doi

10.1016/j.puhe.2011.07.002

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

704-10

issue

10

eissn

0033-3506

issn

1476-5616

pii

S0033-3506(11)00210-1

journal_volume

125

pub_type

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