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Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
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Related Experiment Video

Updated: Apr 7, 2026

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Remote Access to Primary Care: Theorising 'Care Navigation'.

Gemma Hughes1, Sarah Rybczynska-Bunt2, Sarah O'Rourke2

  • 1School of Business, University of Leicester, Leicester, UK.

Sociology of Health & Illness
|April 6, 2026
PubMed
Summary
This summary is machine-generated.

Care navigation, a human-led support system, can bridge digital divides in primary care access. It transforms from simple signposting to distributed sociotechnical practices, enhancing connections for vulnerable populations.

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Area of Science:

  • Sociology of Health and Illness
  • Digital Health
  • Primary Care Management

Background:

  • Digital technology in healthcare can exacerbate inequalities, particularly for individuals with complex health and social needs.
  • Remote access models in primary care require effective strategies to ensure equitable patient engagement.
  • Care navigation is proposed as a human-centered intervention to mitigate access barriers.

Purpose of the Study:

  • To investigate the practice of care navigation within United Kingdom primary care settings.
  • To understand how care navigation addresses challenges in remote access for vulnerable patient groups.
  • To explore the role of care navigation in connecting patients to primary care infrastructure.

Main Methods:

  • Qualitative study utilizing empirical data from general practices in 2023.
  • Analysis of interviews with 18 care navigators.
  • Application of social navigation and infrastructure concepts for data interpretation.

Main Results:

  • Care navigation extends beyond a simple signposting role to encompass distributed sociotechnical practices.
  • Individuals working outside traditional health services play a crucial role in care navigation.
  • Care navigators act as vital 'nodes' facilitating connections within the primary care network for those facing access difficulties.
  • The study specifically focused on vulnerable populations including the homeless, refugees, asylum-seekers, and older adults needing social care.

Conclusions:

  • Care navigation is a multifaceted practice essential for overcoming primary care access barriers, especially for underserved populations.
  • Relational work by care navigators is key to connecting patients with the necessary primary care infrastructure.
  • Rethinking care navigation as distributed sociotechnical practices can improve equitable access in the era of digital health.