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Establishing a Deep End GP group: a scoping review.

Daniel Butler^1,2, Diarmuid O'Donovan³, Jennifer Johnston³

¹School of Medicine, Dentistry and Biomedical Sciences,, Queen's University Belfast, Belfast, UK dbutler07@qub.ac.uk.

|April 29, 2022

Summary

This summary is machine-generated.

Deep End GP groups address health inequities in deprived areas. This scoping review maps the process of establishing these groups, highlighting a multidisciplinary approach to improve care for vulnerable populations.

Keywords:

family practice general practice health inequities healthcare disparities primary health care social deprivation

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Area of Science:

General Practice
Health Equity
Public Health

Background:

General Practitioners (GPs) in deprived areas face higher mortality rates and persistent health inequities.
The 'inverse care law' highlights disparities in healthcare access and outcomes.
Deep End GP groups are grassroots initiatives aiming to reduce these health gaps.

Purpose of the Study:

To map the process of establishing Deep End GP groups using a scoping methodology.
To identify key steps and collaborative elements in creating these initiatives.

Main Methods:

A scoping review was conducted following the Arksey and O'Malley framework.
Searches included MEDLINE, Embase, Web of Science, CINAHL, and non-peer-reviewed literature.
Iterative inclusion criteria guided article extraction, review, and analysis.

Main Results:

Sixteen articles were analyzed from an initial 35.
Key steps include identifying high-need patients and practices, setting GP-led objectives, and forming collaborative steering groups.
Collaboration between academic and frontline general practice, along with multidisciplinary teams, is crucial.

Conclusions:

Deep End GP groups demonstrate progress in mitigating the health effects of systemic inequities.
Establishing these groups requires a multidisciplinary approach, starting with identifying areas of greatest need.
This review provides guidance for initiating Deep End GP groups and joining the movement.