%PDF-1.6
%
1 0 obj
<>
endobj
2 0 obj
<>stream
John A. Ford, Rachel Turley, Tom Porter, Tom Shakespeare, Geoff Wong, Andy P. Jones, Nick Steel
Access to primary care for socio-economically disadvantaged older people in rural areas: A qualitative study
www.plosone.org
www.plosone.org
endstream
endobj
3 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 12 0 R/Contents 13 0 R/TrimBox[0 0 612 792]>>
endobj
12 0 obj
[14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R]
endobj
14 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref001)>>
endobj
15 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref003)>>
endobj
16 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref004)>>
endobj
17 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref005)>>
endobj
18 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref006)>>
endobj
19 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref007)>>
endobj
20 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref008)>>
endobj
21 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref009)>>
endobj
22 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref010)>>
endobj
23 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref011)>>
endobj
24 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref012)>>
endobj
25 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref013)>>
endobj
26 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref012)>>
endobj
27 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref014)>>
endobj
28 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref015)>>
endobj
29 0 obj
<>/Border[0 0 0]/A 30 0 R>>
endobj
30 0 obj
<>
endobj
13 0 obj
[31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R]
endobj
31 0 obj
<>stream
q
0.45 0.36 0.35 0.01 k
0 w
575.9997 680.2299 m
199.9998 680.2299 l
199.9998 680.73 l
575.9997 680.73 l
f*
0.83 0.64 0.02 0 k
272.2961 585.0142 m
277.0583 585.0142 l
h
f*
282.2173 585.0142 m
286.9795 585.0142 l
h
f*
558.5386 572.0315 m
563.3008 572.0315 l
h
f*
466.0157 520.0441 m
470.778 520.0441 l
h
f*
475.2 520.0441 m
479.9622 520.0441 l
h
f*
379.8425 494.022 m
384.6047 494.022 l
h
f*
389.0268 494.022 m
393.789 494.022 l
h
f*
358.3559 481.0394 m
363.1181 481.0394 l
h
f*
337.7197 455.0173 m
347.2441 455.0173 l
h
f*
203.4142 377.0646 m
212.9386 377.0646 l
h
f*
217.3606 377.0646 m
226.885 377.0646 l
h
f*
401.8394 338.0598 m
411.3638 338.0598 l
h
f*
251.4898 325.0205 m
261.0142 325.0205 l
h
f*
424.1764 260.0504 m
433.7008 260.0504 l
h
f*
479.5654 81.9213 m
489.0898 81.9213 l
h
f*
0 g
1 j
1 J
9.5 0 0 9.5 200.0125 707.7543 cm
BT
/F5 1 Tf
1 TL
-0.0042 Tc
0 0 Td
(social)Tj
2.7391 0 Td
(contract)Tj
/F0 1 Tf
3.7417 0 Td
(and)Tj
1.8679 0 Td
(models)Tj
3.4075 0 Td
(of)Tj
1.0444 0 Td
(care)Tj
2.1483 0 Td
(that)Tj
1.8679 0 Td
(form)Tj
2.208 0 Td
(the)Tj
1.5934 0 Td
(basis)Tj
2.5303 0 Td
(of)Tj
1.0443 0 Td
(how)Tj
2.035 0 Td
(many)Tj
2.6437 0 Td
(older)Tj
2.4109 0 Td
(people)Tj
3.1748 0 Td
(interact)Tj
-34.4572 -1.474 Td
(with)Tj
1.9752 0 Td
(the)Tj
1.5934 0 Td
(service.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 629.1212 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Introduction)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 612.1133 cm
BT
/F6 1 Tf
1 TL
-0.004 Tc
0 0 Td
(As)Tj
1.2642 0 Td
(people)Tj
2.8516 0 Td
(age,)Tj
1.7688 0 Td
(the)Tj
1.474 0 Td
(need)Tj
2.143 0 Td
(for)Tj
1.3833 0 Td
(access)Tj
2.6476 0 Td
(to)Tj
1.0261 0 Td
(health)Tj
2.6759 0 Td
(care)Tj
1.8708 0 Td
(increases.)Tj
4.0592 0 Td
(Preventative)Tj
5.1761 0 Td
(measures,)Tj
4.1669 0 Td
(such)Tj
2.0636 0 Td
(as)Tj
-34.5711 -1.2982 Td
(screening,)Tj
4.2746 0 Td
(health)Tj
2.6815 0 Td
(checks)Tj
2.8743 0 Td
(and)Tj
1.7292 0 Td
(chronic)Tj
3.2881 0 Td
(disease)Tj
3.0161 0 Td
(monitoring,)Tj
5.0456 0 Td
(leave)Tj
2.2054 0 Td
(older)Tj
2.296 0 Td
(people)Tj
2.8516 0 Td
(requiring)Tj
3.9685 0 Td
(even)Tj
-34.2309 -1.3039 Td
(more)Tj
2.3414 0 Td
(health)Tj
2.6758 0 Td
(care)Tj
1.8709 0 Td
([)Tj
0.83 0.64 0.02 0 k
(1)Tj
0 g
()Tj
0.83 0.64 0.02 0 k
(3)Tj
0 g
(].)Tj
2.5965 0 Td
(Some)Tj
2.4435 0 Td
(policies)Tj
3.2314 0 Td
(to)Tj
1.0262 0 Td
(improve)Tj
3.5829 0 Td
(access,)Tj
2.8687 0 Td
(aimed)Tj
2.6929 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.4684 0 Td
(whole)Tj
2.6135 0 Td
(population,)Tj
4.8132 0 Td
(have)Tj
-35.1777 -1.2983 Td
(been)Tj
2.1203 0 Td
(criticised)Tj
3.8494 0 Td
(because)Tj
3.3222 0 Td
(they)Tj
1.9218 0 Td
(are)Tj
1.4514 0 Td
(not)Tj
1.576 0 Td
(sufficiently)Tj
4.6091 0 Td
(targeted)Tj
3.4639 0 Td
(at)Tj
0.9525 0 Td
(those)Tj
2.3357 0 Td
(with)Tj
2.0013 0 Td
(highest)Tj
3.0897 0 Td
(health)Tj
2.6759 0 Td
(need)Tj
2.143 0 Td
([)Tj
0.83 0.64 0.02 0 k
(4)Tj
0 g
(].)Tj
-35.5122 -1.2983 Td
(Such)Tj
2.1713 0 Td
(policies)Tj
3.2371 0 Td
(may)Tj
1.9276 0 Td
(increase)Tj
3.4696 0 Td
(health)Tj
2.6758 0 Td
(care)Tj
1.8766 0 Td
(use)Tj
1.5307 0 Td
(by)Tj
1.1792 0 Td
(the)Tj
1.474 0 Td
(worried)Tj
3.3675 0 Td
(well,)Tj
2.0466 0 Td
(increasing)Tj
4.3313 0 Td
(pressure)Tj
3.5773 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4683 0 Td
(sys-)Tj
-35.6085 -1.3039 Td
(tem)Tj
1.7574 0 Td
(and)Tj
1.7348 0 Td
(counterproductively)Tj
8.3395 0 Td
(reducing)Tj
3.77 0 Td
(access)Tj
2.6476 0 Td
(to)Tj
1.0261 0 Td
(those)Tj
2.3358 0 Td
(most)Tj
2.211 0 Td
(in)Tj
1.0318 0 Td
(need.)Tj
2.3697 0 Td
(Previous)Tj
3.6907 0 Td
(research)Tj
3.5546 0 Td
(has)Tj
-34.469 -1.2982 Td
(found)Tj
2.6191 0 Td
(that)Tj
1.7745 0 Td
(older)Tj
2.2961 0 Td
(people,)Tj
3.084 0 Td
(those)Tj
2.3358 0 Td
(in)Tj
1.0375 0 Td
(rural)Tj
2.1713 0 Td
(areas,)Tj
2.4661 0 Td
(and)Tj
1.7291 0 Td
(socio-economically)Tj
7.937 0 Td
(disadvantaged)Tj
5.9244 0 Td
(groups)Tj
2.9706 0 Td
(are)Tj
-36.3455 -1.2983 Td
(at)Tj
0.9524 0 Td
(particular)Tj
4.1102 0 Td
(risk)Tj
1.7178 0 Td
(of)Tj
1.0148 0 Td
(poor)Tj
2.1203 0 Td
(access)Tj
2.6475 0 Td
(and)Tj
1.7291 0 Td
(often)Tj
2.2848 0 Td
(have)Tj
2.0579 0 Td
(higher)Tj
2.8063 0 Td
(health)Tj
2.6759 0 Td
(need)Tj
2.1429 0 Td
([)Tj
0.83 0.64 0.02 0 k
(5)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.2586 0 Td
(6)Tj
0 g
(].)Tj
1.2643 0 Td
(By)Tj
1.2529 0 Td
(triangulating)Tj
5.3914 0 Td
(rou-)Tj
-35.4271 -1.2983 Td
(tine)Tj
1.7574 0 Td
(data)Tj
1.9106 0 Td
(sources,)Tj
3.4242 0 Td
(we)Tj
1.3266 0 Td
(estimate)Tj
3.5433 0 Td
(that)Tj
1.7801 0 Td
(there)Tj
2.2621 0 Td
(are)Tj
1.4513 0 Td
(about)Tj
2.4945 0 Td
(316,000)Tj
3.2995 0 Td
(socio-economically)Tj
7.9369 0 Td
(disadvantaged)Tj
-31.1865 -1.3039 Td
(older)Tj
2.296 0 Td
(people)Tj
2.8516 0 Td
(living)Tj
2.4718 0 Td
(in)Tj
1.0318 0 Td
(rural)Tj
2.1714 0 Td
(areas)Tj
2.245 0 Td
(of)Tj
1.0148 0 Td
(England)Tj
3.5603 0 Td
([)Tj
0.83 0.64 0.02 0 k
(7)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.2585 0 Td
(8)Tj
0 g
(].)Tj
-17.705 -1.2983 Td
(As)Tj
1.2699 0 Td
(part)Tj
1.8368 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
0.6576 0 Td
(programme)Tj
4.9493 0 Td
(of)Tj
1.0148 0 Td
(research)Tj
3.5546 0 Td
([)Tj
0.83 0.64 0.02 0 k
(9)Tj
0 g
(],)Tj
1.5988 0 Td
(we)Tj
1.3266 0 Td
(undertook)Tj
4.4277 0 Td
(a)Tj
0.6576 0 Td
(realist)Tj
2.6192 0 Td
(review)Tj
2.8459 0 Td
(looking)Tj
3.2542 0 Td
(at)Tj
0.9524 0 Td
(how)Tj
1.9389 0 Td
(socio-)Tj
-35.1153 -1.2982 Td
(economically)Tj
5.5218 0 Td
(disadvantaged)Tj
5.9187 0 Td
(older)Tj
2.2961 0 Td
(people)Tj
2.8573 0 Td
(in)Tj
1.0374 0 Td
(rural)Tj
2.1657 0 Td
(areas)Tj
2.245 0 Td
(access)Tj
2.6476 0 Td
(primary)Tj
3.4582 0 Td
(care)Tj
1.8709 0 Td
(and)Tj
1.7291 0 Td
(found)Tj
2.6192 0 Td
(a)Tj
0.6519 0 Td
(lack)Tj
-35.0189 -1.3039 Td
(of)Tj
1.0147 0 Td
(research)Tj
3.5547 0 Td
(for)Tj
1.3889 0 Td
(this)Tj
1.6725 0 Td
(specific)Tj
3.1918 0 Td
(group)Tj
2.6078 0 Td
([)Tj
0.83 0.64 0.02 0 k
(10)Tj
0 g
(].)Tj
2.075 0 Td
(By)Tj
1.2529 0 Td
(synthesising)Tj
5.108 0 Td
(studies)Tj
2.982 0 Td
(with)Tj
2.0012 0 Td
(data)Tj
1.9106 0 Td
(relating)Tj
3.2768 0 Td
(to)Tj
1.0261 0 Td
(any)Tj
1.6555 0 Td
(key)Tj
-34.7185 -1.2983 Td
(characteristic)Tj
5.5445 0 Td
(of)Tj
1.0148 0 Td
(this)Tj
1.6724 0 Td
(group)Tj
2.6079 0 Td
(\(older,)Tj
2.8629 0 Td
(socio-economically)Tj
7.937 0 Td
(disadvantaged)Tj
5.9244 0 Td
(people)Tj
2.8516 0 Td
(or)Tj
1.0998 0 Td
(rural)Tj
2.1714 0 Td
(resi-)Tj
-33.6867 -1.2983 Td
(dents\),)Tj
2.9423 0 Td
(we)Tj
1.3266 0 Td
(proposed)Tj
3.9515 0 Td
(a)Tj
0.6576 0 Td
(range)Tj
2.4605 0 Td
(of)Tj
1.0148 0 Td
(personal,)Tj
3.8551 0 Td
(community)Tj
4.8869 0 Td
(and)Tj
1.7291 0 Td
(health)Tj
2.6759 0 Td
(care)Tj
1.8765 0 Td
(barriers.)Tj
3.5489 0 Td
(These)Tj
2.5682 0 Td
(occurred)Tj
-33.4939 -1.3039 Td
(across)Tj
2.6758 0 Td
(the)Tj
1.4684 0 Td
(patient)Tj
3.0104 0 Td
(pathwayfrom)Tj
6.4799 0 Td
(being)Tj
2.4321 0 Td
(able)Tj
1.8255 0 Td
(to)Tj
1.0262 0 Td
(identify)Tj
3.2995 0 Td
(a)Tj
0.6519 0 Td
(health)Tj
2.6759 0 Td
(problem,)Tj
3.8381 0 Td
(to)Tj
1.0261 0 Td
(obtaining)Tj
4.0592 0 Td
(an)Tj
-34.469 -1.2982 Td
(appointment)Tj
5.3971 0 Td
(and)Tj
1.7291 0 Td
(getting)Tj
2.9877 0 Td
(to)Tj
1.0261 0 Td
(it.)Tj
1.0092 0 Td
(Other)Tj
2.5908 0 Td
(systematic)Tj
4.3597 0 Td
(reviews,)Tj
3.4299 0 Td
(looking)Tj
3.2598 0 Td
(at)Tj
0.9524 0 Td
(access)Tj
2.6419 0 Td
(to)Tj
1.0261 0 Td
(primary)Tj
3.4583 0 Td
(care)Tj
1.8708 0 Td
(in)Tj
-35.7389 -1.2983 Td
(general,)Tj
3.3561 0 Td
(have)Tj
2.058 0 Td
(identified)Tj
4.0592 0 Td
(similar)Tj
2.9877 0 Td
(barriers)Tj
3.3278 0 Td
(such)Tj
2.058 0 Td
(as)Tj
1.0148 0 Td
(distance,)Tj
3.7303 0 Td
(waiting)Tj
3.1862 0 Td
(times,)Tj
2.6135 0 Td
(cost)Tj
1.8085 0 Td
(and)Tj
1.7291 0 Td
(social)Tj
2.4605 0 Td
(support)Tj
-34.3897 -1.2983 Td
([)Tj
0.83 0.64 0.02 0 k
(11)Tj
0 g
(,)Tj
0.83 0.64 0.02 0 k
1.7347 0 Td
(12)Tj
0 g
(].)Tj
-0.5385 -1.3039 Td
(The)Tj
1.7858 0 Td
(evidence)Tj
3.7133 0 Td
(base)Tj
1.9446 0 Td
(looking)Tj
3.2541 0 Td
(at)Tj
0.9525 0 Td
(interventions)Tj
5.5388 0 Td
(to)Tj
1.0262 0 Td
(overcome)Tj
4.1499 0 Td
(these)Tj
2.2563 0 Td
(barriers)Tj
3.3222 0 Td
(is)Tj
0.8504 0 Td
(even)Tj
2.0693 0 Td
(more)Tj
2.3414 0 Td
(limited.)Tj
-34.401 -1.2983 Td
(Two)Tj
2.0182 0 Td
(major)Tj
2.6135 0 Td
(systematic)Tj
4.3597 0 Td
(reviews,)Tj
3.4299 0 Td
(looking)Tj
3.2598 0 Td
(at)Tj
0.9524 0 Td
(ways)Tj
2.1487 0 Td
(to)Tj
1.0261 0 Td
(improve)Tj
3.583 0 Td
(access)Tj
2.6475 0 Td
(to)Tj
1.0205 0 Td
(primary)Tj
3.4583 0 Td
(care)Tj
1.8708 0 Td
(in)Tj
1.0375 0 Td
(the)Tj
1.4683 0 Td
(gen-)Tj
-34.8942 -1.2982 Td
(eral)Tj
1.6951 0 Td
(population,)Tj
4.8132 0 Td
(advocate)Tj
3.7247 0 Td
(context-specific)Tj
6.5026 0 Td
(models)Tj
3.1067 0 Td
([)Tj
0.83 0.64 0.02 0 k
(13)Tj
0 g
(])Tj
1.8539 0 Td
(targeted)Tj
3.4582 0 Td
(at)Tj
0.9525 0 Td
(different)Tj
3.6566 0 Td
(levels)Tj
2.3755 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(health)Tj
-34.6221 -1.3039 Td
(care)Tj
1.8708 0 Td
(system)Tj
2.9367 0 Td
([)Tj
0.83 0.64 0.02 0 k
(12)Tj
0 g
(].)Tj
2.0806 0 Td
(Whilst)Tj
2.8856 0 Td
(these)Tj
2.2507 0 Td
(are)Tj
1.4514 0 Td
(useful)Tj
2.5908 0 Td
(general)Tj
3.1351 0 Td
(recommendations,)Tj
7.7272 0 Td
(they)Tj
1.9219 0 Td
(do)Tj
1.2529 0 Td
(not)Tj
1.5761 0 Td
(provide)Tj
-31.6798 -1.2983 Td
(detailed)Tj
3.3675 0 Td
(practical)Tj
3.634 0 Td
(guidance)Tj
3.8381 0 Td
(for)Tj
1.3833 0 Td
(commissioners)Tj
6.2588 0 Td
(and)Tj
1.7291 0 Td
(policy)Tj
2.6363 0 Td
(makers)Tj
3.1294 0 Td
(or)Tj
1.0941 0 Td
(for)Tj
1.389 0 Td
(specific)Tj
3.1918 0 Td
(population)Tj
-31.6514 -1.2983 Td
(groups;)Tj
3.1917 0 Td
(partly)Tj
2.5455 0 Td
(due)Tj
1.6951 0 Td
(to)Tj
1.0262 0 Td
(a)Tj
0.6576 0 Td
(limited)Tj
3.0671 0 Td
(evidence)Tj
3.7133 0 Td
(base.)Tj
2.1714 0 Td
(A)Tj
0.9014 0 Td
(more)Tj
2.3414 0 Td
(focused)Tj
3.2768 0 Td
(understanding)Tj
6.0718 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(barriers)Tj
-33.1424 -1.3039 Td
(faced)Tj
2.313 0 Td
(by)Tj
1.1849 0 Td
(this)Tj
1.6724 0 Td
(group)Tj
2.6079 0 Td
(is)Tj
0.8504 0 Td
(needed)Tj
3.0954 0 Td
(to)Tj
1.0261 0 Td
(help)Tj
1.9332 0 Td
(develop)Tj
3.3165 0 Td
(and)Tj
1.7348 0 Td
(implement)Tj
4.5808 0 Td
(these)Tj
2.2564 0 Td
(targeted,)Tj
3.685 0 Td
(context-specific)Tj
-30.2568 -1.2983 Td
(interventions)Tj
5.5388 0 Td
(and)Tj
1.7291 0 Td
(policies.)Tj
3.4583 0 Td
(The)Tj
1.7801 0 Td
(perspective)Tj
4.6998 0 Td
(of)Tj
1.0148 0 Td
(health)Tj
2.6816 0 Td
(professionals)Tj
5.4085 0 Td
(is)Tj
0.8504 0 Td
(important)Tj
4.2802 0 Td
(because)Tj
3.3222 0 Td
(the)Tj
-34.7638 -1.2982 Td
(quality)Tj
2.9536 0 Td
(of)Tj
1.0148 0 Td
(services)Tj
3.3052 0 Td
(ultimately)Tj
4.2349 0 Td
(depends)Tj
3.549 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.474 0 Td
(local)Tj
2.0749 0 Td
(team)Tj
2.194 0 Td
([)Tj
0.83 0.64 0.02 0 k
(14)Tj
0 g
(].)Tj
2.075 0 Td
(In)Tj
1.1112 0 Td
(the)Tj
1.4683 0 Td
(United)Tj
3.0217 0 Td
(Kingdom)Tj
4.0308 0 Td
(National)Tj
-33.783 -1.3039 Td
(Health)Tj
2.9083 0 Td
(Service,)Tj
3.2768 0 Td
(this)Tj
1.6668 0 Td
(local)Tj
2.0692 0 Td
(team)Tj
2.1884 0 Td
(is)Tj
0.8447 0 Td
(made)Tj
2.4151 0 Td
(of)Tj
1.0091 0 Td
(primary)Tj
3.4469 0 Td
(care)Tj
1.8652 0 Td
(staff)Tj
1.8822 0 Td
(within)Tj
2.8063 0 Td
(a)Tj
0.6463 0 Td
(General)Tj
3.3789 0 Td
(Practice)Tj
3.4129 0 Td
(\(GP\))Tj
2.1656 0 Td
(sur-)Tj
-35.9827 -1.2983 Td
(gery)Tj
1.9275 0 Td
(and)Tj
1.7235 0 Td
(allied)Tj
2.3584 0 Td
(community)Tj
4.8812 0 Td
(health)Tj
2.6759 0 Td
(professionals)Tj
5.4028 0 Td
(who)Tj
1.9389 0 Td
(work)Tj
2.2733 0 Td
(with)Tj
1.9899 0 Td
(the)Tj
1.4627 0 Td
(GP)Tj
1.491 0 Td
(surgery)Tj
3.1861 0 Td
(staff.)Tj
2.109 0 Td
(Therefore,)Tj
-33.4202 -1.2983 Td
(our)Tj
1.627 0 Td
(aim)Tj
1.7405 0 Td
(is)Tj
0.8447 0 Td
(to)Tj
1.0261 0 Td
(qualitatively)Tj
5.0797 0 Td
(explore)Tj
3.1748 0 Td
(barriers)Tj
3.3278 0 Td
(to)Tj
1.0205 0 Td
(primary)Tj
3.4582 0 Td
(care)Tj
1.8709 0 Td
(for)Tj
1.389 0 Td
(socio-economically)Tj
7.9369 0 Td
(disadvan-)Tj
-32.4961 -1.2982 Td
(taged)Tj
2.3697 0 Td
(older)Tj
2.296 0 Td
(people)Tj
2.8517 0 Td
(in)Tj
1.0375 0 Td
(rural)Tj
2.1713 0 Td
(areas)Tj
2.2393 0 Td
(by)Tj
1.1849 0 Td
(both)Tj
2.058 0 Td
(identifying)Tj
4.575 0 Td
(the)Tj
1.474 0 Td
(barriers)Tj
3.3222 0 Td
(and)Tj
1.7348 0 Td
(understanding)Tj
6.0661 0 Td
(how)Tj
1.9389 0 Td
(these)Tj
-35.3194 -1.3039 Td
(barriers)Tj
3.3278 0 Td
(affect)Tj
2.3698 0 Td
(access.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 170.022 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Methods)Tj
/F11 1 Tf
0 -1.5023 Td
(Sample)Tj
3.2787 0 Td
(and)Tj
1.7906 0 Td
(recruitment)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 134.9858 cm
BT
/F6 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Interviews)Tj
4.3936 0 Td
(were)Tj
2.1203 0 Td
(undertaken)Tj
4.8189 0 Td
(with)Tj
1.9956 0 Td
(older)Tj
2.296 0 Td
(people)Tj
2.8573 0 Td
(and)Tj
1.7291 0 Td
(focus)Tj
2.3301 0 Td
(groups)Tj
2.965 0 Td
(with)Tj
2.0013 0 Td
(health)Tj
2.6759 0 Td
(professionals.)Tj
5.6352 0 Td
(Eth-)Tj
-35.8183 -1.2982 Td
(ical)Tj
1.5873 0 Td
(approval)Tj
3.7021 0 Td
(was)Tj
1.7007 0 Td
(obtained)Tj
3.7304 0 Td
(from)Tj
2.211 0 Td
(the)Tj
1.4684 0 Td
(University)Tj
4.3993 0 Td
(of)Tj
1.0148 0 Td
(East)Tj
1.8822 0 Td
(Anglia)Tj
2.8686 0 Td
(Faculty)Tj
3.1295 0 Td
(of)Tj
1.0148 0 Td
(Medicine)Tj
3.9968 0 Td
(and)Tj
1.7291 0 Td
(Health)Tj
-34.435 -1.2983 Td
(Sciences)Tj
3.5659 0 Td
(Research)Tj
3.8041 0 Td
(Ethics)Tj
2.6702 0 Td
(Committee)Tj
4.7395 0 Td
(\(reference)Tj
4.2576 0 Td
(2014201543\))Tj
5.8337 0 Td
(before)Tj
2.7382 0 Td
(the)Tj
1.4684 0 Td
(research)Tj
3.5546 0 Td
(began)Tj
2.6022 0 Td
(and)Tj
-35.2344 -1.3039 Td
(for)Tj
1.3832 0 Td
(each)Tj
2.0296 0 Td
(protocol)Tj
3.6 0 Td
(amendment.)Tj
5.2894 0 Td
(Written)Tj
3.3902 0 Td
(informed)Tj
3.9742 0 Td
(consent)Tj
3.3279 0 Td
(was)Tj
1.7007 0 Td
(obtained)Tj
3.7304 0 Td
(prior)Tj
2.2564 0 Td
(to)Tj
1.0261 0 Td
(any)Tj
1.6554 0 Td
(data)Tj
1.9162 0 Td
(col-)Tj
-35.2797 -1.2983 Td
(lection.)Tj
3.1577 0 Td
(Findings)Tj
3.7361 0 Td
(are)Tj
1.4456 0 Td
(reported)Tj
3.6624 0 Td
(in)Tj
1.0318 0 Td
(accordance)Tj
4.7395 0 Td
(with)Tj
1.9955 0 Td
(COREQ)Tj
3.566 0 Td
(guidelines)Tj
4.2803 0 Td
([)Tj
0.83 0.64 0.02 0 k
(15)Tj
0 g
(].)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 107.1496 23.6976 re
W* n
q
107.0929 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 497.1968 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Access)Tj
3.3945 0 Td
(to)Tj
1.0417 0 Td
(primary)Tj
3.5008 0 Td
(care)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
81.5811 34.9228 m
237.8835 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(ONE)Tj
2.3669 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8198 0 Td
(1/journal.po)Tj
5.1236 0 Td
(ne.01939)Tj
4.089 0 Td
(52)Tj
0 g
2.0906 0 Td
(March)Tj
2.9622 0 Td
(6,)Tj
1.0418 0 Td
(2018)Tj
34.9018 0 Td
(2)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
32 0 obj
<>stream
endstream
endobj
33 0 obj
<>stream
endstream
endobj
34 0 obj
<>stream
endstream
endobj
35 0 obj
<>stream
endstream
endobj
36 0 obj
<>stream
endstream
endobj
37 0 obj
<>stream
endstream
endobj
38 0 obj
<>stream
endstream
endobj
39 0 obj
<>stream
endstream
endobj
40 0 obj
<>stream
endstream
endobj
41 0 obj
<>stream
endstream
endobj
42 0 obj
<>stream
endstream
endobj
43 0 obj
<>stream
endstream
endobj
44 0 obj
<>stream
endstream
endobj
45 0 obj
<>stream
endstream
endobj
46 0 obj
<>stream
endstream
endobj
47 0 obj
<>stream
endstream
endobj
48 0 obj
<>stream
BT
66.402 0 Td
(14)Tj
ET
Q
endstream
endobj
49 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 50 0 R/Contents 51 0 R/TrimBox[0 0 612 792]>>
endobj
50 0 obj
[52 0 R 53 0 R]
endobj
52 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref016)>>
endobj
53 0 obj
<>/Border[0 0 0]/A 54 0 R>>
endobj
54 0 obj
<>
endobj
51 0 obj
[55 0 R 56 0 R 57 0 R]
endobj
55 0 obj
<>stream
q
0.83 0.64 0.02 0 k
203.5276 641.3102 m
213.3354 641.3102 l
h
f*
0 g
1 j
1 J
0 w
10 0 0 10 211.9748 707.4141 cm
BT
/F6 1 Tf
1 TL
-0.004 Tc
0 0 Td
(P)Tj
0.01 Tc
(articipants)Tj
5.1533 0 Td
(who)Tj
1.9842 0 Td
(lived)Tj
2.2054 0 Td
(in)Tj
1.0658 0 Td
(a)Tj
0.669 0 Td
(rural)Tj
2.2393 0 Td
(area,)Tj
2.177 0 Td
(were)Tj
2.1827 0 Td
(over)Tj
2.0296 0 Td
(65)Tj
1.2019 0 Td
(years)Tj
2.33 0 Td
(old)Tj
1.5421 0 Td
(and)Tj
1.7744 0 Td
(relied)Tj
2.5625 0 Td
(on)Tj
1.304 0 Td
(financial)Tj
3.804 0 Td
(sup-)Tj
-35.4214 -1.3039 Td
(port,)Tj
2.2053 0 Td
(such)Tj
2.1203 0 Td
(as)Tj
1.0431 0 Td
(means-tested)Tj
5.6523 0 Td
(pension)Tj
3.4922 0 Td
(credit,)Tj
2.8573 0 Td
(housing)Tj
3.5206 0 Td
(benefit)Tj
3.0728 0 Td
(or)Tj
1.1282 0 Td
(council)Tj
3.2598 0 Td
(tax)Tj
1.4627 0 Td
(support,)Tj
3.6566 0 Td
(were)Tj
-33.4712 -1.2982 Td
(recruited)Tj
3.9798 0 Td
(for)Tj
1.4286 0 Td
(semi-structured)Tj
6.7804 0 Td
(interviews.)Tj
4.6998 0 Td
(We)Tj
1.6328 0 Td
(specifically)Tj
4.7452 0 Td
(did)Tj
1.5817 0 Td
(not)Tj
1.6157 0 Td
(use)Tj
1.5761 0 Td
(the)Tj
1.508 0 Td
(term)Tj
2.1883 0 Td
(benefits)Tj
4.2633 0 Td
(in)Tj
-35.9997 -1.2983 Td
(recruitment)Tj
5.1476 0 Td
(material)Tj
3.6227 0 Td
(because)Tj
3.4185 0 Td
(of)Tj
1.0432 0 Td
(socio-cultural)Tj
5.9073 0 Td
(connotations.)Tj
5.8734 0 Td
(Rurality)Tj
3.5546 0 Td
(was)Tj
1.7405 0 Td
(defined,)Tj
3.5659 0 Td
(using)Tj
-33.8737 -1.2983 Td
(the)Tj
1.508 0 Td
(Office)Tj
2.7439 0 Td
(for)Tj
1.4286 0 Td
(National)Tj
3.8041 0 Td
(Statistics)Tj
3.8438 0 Td
(definition,)Tj
4.541 0 Td
(as)Tj
1.0432 0 Td
(settlements)Tj
4.8755 0 Td
(with)Tj
2.0523 0 Td
(less)Tj
1.6668 0 Td
(than)Tj
2.0863 0 Td
(10,000)Tj
2.9083 0 Td
(residents)Tj
-32.5018 -1.3039 Td
([)Tj
0.83 0.64 0.02 0 k
(16)Tj
0 g
(].)Tj
2.1429 0 Td
(Those)Tj
2.7213 0 Td
(in)Tj
1.0658 0 Td
(residential)Tj
4.5411 0 Td
(care)Tj
1.9275 0 Td
(or)Tj
1.1282 0 Td
(unable)Tj
2.9877 0 Td
(to)Tj
1.0545 0 Td
(consent)Tj
3.4299 0 Td
(were)Tj
2.177 0 Td
(excluded.)Tj
4.1385 0 Td
(We)Tj
1.6328 0 Td
(purposively)Tj
5.0229 0 Td
(decided)Tj
-33.9701 -1.2982 Td
(to)Tj
1.0545 0 Td
(recruit)Tj
2.999 0 Td
(participants)Tj
5.125 0 Td
(through)Tj
3.5432 0 Td
(the)Tj
1.5081 0 Td
(community)Tj
5.0173 0 Td
(rather)Tj
2.7269 0 Td
(than)Tj
2.0863 0 Td
(primary)Tj
3.5546 0 Td
(care)Tj
1.9275 0 Td
(organisations)Tj
5.7713 0 Td
(to)Tj
-35.3137 -1.2983 Td
(avoid)Tj
2.4774 0 Td
(any)Tj
1.7008 0 Td
(perception)Tj
4.6544 0 Td
(that)Tj
1.8369 0 Td
(the)Tj
1.5137 0 Td
(research)Tj
3.668 0 Td
(was)Tj
1.7404 0 Td
(directly)Tj
3.3449 0 Td
(associated)Tj
4.3937 0 Td
(with)Tj
2.0522 0 Td
(their)Tj
2.177 0 Td
(GP)Tj
1.5251 0 Td
(surgery.)Tj
3.5319 0 Td
(Our)Tj
-34.6164 -1.3039 Td
(sampling)Tj
3.9911 0 Td
(framework)Tj
4.7395 0 Td
(aimed)Tj
2.7609 0 Td
(at)Tj
0.9808 0 Td
(avoiding)Tj
3.8041 0 Td
(oversampling)Tj
5.7996 0 Td
(of)Tj
1.0432 0 Td
(women)Tj
3.2768 0 Td
(\(criterion:)Tj
4.4163 0 Td
(include)Tj
3.2825 0 Td
(at)Tj
0.9808 0 Td
(least)Tj
-35.0756 -1.2983 Td
(three)Tj
2.3357 0 Td
(men\),)Tj
2.6418 0 Td
(younger)Tj
3.617 0 Td
(participants)Tj
5.125 0 Td
(\(criterion:)Tj
4.4164 0 Td
(include)Tj
3.2825 0 Td
(at)Tj
0.9808 0 Td
(least)Tj
2.0522 0 Td
(two)Tj
1.7518 0 Td
(participants)Tj
5.125 0 Td
(over)Tj
2.0353 0 Td
(80)Tj
1.1962 0 Td
(years)Tj
-34.5597 -1.2983 Td
(old\))Tj
1.8935 0 Td
(and)Tj
1.7744 0 Td
(people)Tj
2.9367 0 Td
(from)Tj
2.2621 0 Td
(the)Tj
1.5136 0 Td
(same)Tj
2.3131 0 Td
(practice)Tj
3.4923 0 Td
(\(criterion:)Tj
4.4163 0 Td
(include)Tj
3.2825 0 Td
(participants)Tj
5.125 0 Td
(from)Tj
2.2621 0 Td
(four)Tj
1.9672 0 Td
(different)Tj
-33.2388 -1.3039 Td
(GP)Tj
1.5193 0 Td
(surgeries\).)Tj
4.5127 0 Td
(Recruitment)Tj
5.3972 0 Td
(and)Tj
1.7744 0 Td
(data)Tj
1.9673 0 Td
(collection)Tj
4.2519 0 Td
(took)Tj
2.0806 0 Td
(place)Tj
2.3358 0 Td
(between)Tj
3.6283 0 Td
(August)Tj
3.1691 0 Td
(2015)Tj
2.177 0 Td
(and)Tj
1.7745 0 Td
(Janu-)Tj
-34.5881 -1.2982 Td
(ary)Tj
1.5193 0 Td
(2016.)Tj
-0.004 Tc
-0.3231 -1.2983 Td
(The)Tj
1.7858 0 Td
(recruitment)Tj
4.9946 0 Td
(strategy)Tj
3.3222 0 Td
(evolved)Tj
3.2598 0 Td
(throughout)Tj
4.7792 0 Td
(the)Tj
1.4683 0 Td
(research)Tj
3.5546 0 Td
(because)Tj
3.3222 0 Td
(of)Tj
1.0148 0 Td
(low)Tj
1.6554 0 Td
(participation.)Tj
5.5956 0 Td
(In)Tj
-35.9487 -1.3039 Td
(the)Tj
1.4683 0 Td
(first)Tj
1.8085 0 Td
(round)Tj
2.6985 0 Td
(of)Tj
1.0148 0 Td
(recruitment,)Tj
5.2214 0 Td
(three)Tj
2.262 0 Td
(electoral)Tj
3.5944 0 Td
(wards)Tj
2.5965 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
1.4684 0 Td
(English)Tj
3.2088 0 Td
(rural)Tj
2.1656 0 Td
(county)Tj
2.9821 0 Td
(of)Tj
1.0148 0 Td
(Norfolk,)Tj
-32.5415 -1.2983 Td
(given)Tj
2.3754 0 Td
(its)Tj
1.1508 0 Td
(large)Tj
2.16 0 Td
(population)Tj
4.5864 0 Td
(size)Tj
1.6895 0 Td
(and)Tj
1.7291 0 Td
(geographic)Tj
4.6204 0 Td
(area,)Tj
2.109 0 Td
(were)Tj
2.1203 0 Td
(selected)Tj
3.3505 0 Td
(based)Tj
2.4718 0 Td
(on)Tj
1.2756 0 Td
(rurality,)Tj
3.4129 0 Td
(household)Tj
-33.0517 -1.2982 Td
(deprivation)Tj
4.8358 0 Td
(and)Tj
1.7291 0 Td
(pension)Tj
3.3959 0 Td
(credit)Tj
2.5285 0 Td
(claimants.)Tj
4.2803 0 Td
(Posters)Tj
3.1011 0 Td
(and/or)Tj
2.9367 0 Td
(invitations)Tj
4.473 0 Td
(were)Tj
2.1203 0 Td
(displayed)Tj
3.9798 0 Td
(in)Tj
1.0375 0 Td
(post)Tj
-34.418 -1.2983 Td
(offices,)Tj
3.0046 0 Td
(churches,)Tj
4.0309 0 Td
(shops,)Tj
2.7156 0 Td
(social)Tj
2.4604 0 Td
(clubs)Tj
2.2847 0 Td
(and)Tj
1.7291 0 Td
(parish)Tj
2.6986 0 Td
(newsletters,)Tj
4.8869 0 Td
(and)Tj
1.7291 0 Td
(this)Tj
1.6725 0 Td
(led)Tj
1.4173 0 Td
(to)Tj
1.0261 0 Td
(recruitment)Tj
4.9946 0 Td
(of)Tj
1.0148 0 Td
(one)Tj
-35.6652 -1.3039 Td
(participant.)Tj
4.8188 0 Td
(For)Tj
1.6271 0 Td
(the)Tj
1.4683 0 Td
(second)Tj
3.0161 0 Td
(round)Tj
2.6985 0 Td
(of)Tj
1.0148 0 Td
(recruitment,)Tj
5.2214 0 Td
(we)Tj
1.3266 0 Td
(introduced)Tj
4.6431 0 Td
(a)Tj
0.652 0 Td
(20)Tj
1.6498 0 Td
(shopping)Tj
3.9287 0 Td
(voucher,)Tj
-32.0652 -1.2983 Td
(increased)Tj
3.9968 0 Td
(the)Tj
1.474 0 Td
(number)Tj
3.4129 0 Td
(of)Tj
1.0148 0 Td
(electoral)Tj
3.5943 0 Td
(wards,)Tj
2.8233 0 Td
(amended)Tj
3.9287 0 Td
(the)Tj
1.4684 0 Td
(invitations)Tj
4.473 0 Td
(and)Tj
1.7292 0 Td
(hand)Tj
2.2563 0 Td
(delivered)Tj
3.8835 0 Td
(approxi-)Tj
-34.0552 -1.2983 Td
(mately)Tj
2.8969 0 Td
(300)Tj
1.6441 0 Td
(invitations;)Tj
4.6998 0 Td
(leading)Tj
3.1295 0 Td
(to)Tj
1.0261 0 Td
(four)Tj
1.9162 0 Td
(additional)Tj
4.2746 0 Td
(participants.)Tj
5.1817 0 Td
(For)Tj
1.6271 0 Td
(the)Tj
1.4683 0 Td
(third)Tj
2.2167 0 Td
(round,)Tj
2.9253 0 Td
(the)Tj
1.4684 0 Td
(lead)Tj
-34.4747 -1.3039 Td
(researcher)Tj
4.3483 0 Td
(\(JAF\))Tj
2.4434 0 Td
(was)Tj
1.7008 0 Td
(interviewed)Tj
4.9096 0 Td
(on)Tj
1.2755 0 Td
(local)Tj
2.075 0 Td
(radio)Tj
2.3244 0 Td
(and)Tj
1.7348 0 Td
(discussed)Tj
3.9968 0 Td
(the)Tj
1.4683 0 Td
(research)Tj
3.5603 0 Td
(at)Tj
0.9525 0 Td
(local)Tj
2.0749 0 Td
(Age)Tj
1.7915 0 Td
(UK)Tj
-34.6561 -1.2982 Td
(and)Tj
1.7291 0 Td
(older)Tj
2.296 0 Td
(people's)Tj
3.4299 0 Td
(forums;)Tj
3.3222 0 Td
(leading)Tj
3.1294 0 Td
(to)Tj
1.0262 0 Td
(an)Tj
1.2018 0 Td
(additional)Tj
4.2803 0 Td
(two)Tj
1.7065 0 Td
(participants.)Tj
5.1817 0 Td
(In)Tj
1.1111 0 Td
(the)Tj
1.4684 0 Td
(fourth)Tj
2.7439 0 Td
(round,)Tj
2.9253 0 Td
(over)Tj
-35.5518 -1.2983 Td
(four)Tj
1.9105 0 Td
(weeks)Tj
2.6078 0 Td
(across)Tj
2.6816 0 Td
(six)Tj
1.3096 0 Td
(pharmacies,)Tj
5.0286 0 Td
(about)Tj
2.4945 0 Td
(300)Tj
1.6441 0 Td
(invitations)Tj
4.473 0 Td
(were)Tj
2.1203 0 Td
(placed)Tj
2.795 0 Td
(in)Tj
1.0318 0 Td
(the)Tj
1.474 0 Td
(pharmacy)Tj
4.2009 0 Td
(bags)Tj
1.9842 0 Td
(of)Tj
-35.7559 -1.3039 Td
(patients)Tj
3.3675 0 Td
(over)Tj
1.9785 0 Td
(65)Tj
1.1679 0 Td
(years)Tj
2.2677 0 Td
(old)Tj
1.4967 0 Td
(and)Tj
1.7291 0 Td
(having)Tj
2.9197 0 Td
(their)Tj
2.109 0 Td
(medications)Tj
5.0966 0 Td
(delivered;)Tj
4.1102 0 Td
(this)Tj
1.6725 0 Td
(generated)Tj
4.1385 0 Td
(a)Tj
0.652 0 Td
(further)Tj
-32.7059 -1.2983 Td
(eight)Tj
2.1996 0 Td
(participants)Tj
4.9606 0 Td
(at)Tj
0.9524 0 Td
(which)Tj
2.6476 0 Td
(data)Tj
1.9162 0 Td
(saturation)Tj
4.2633 0 Td
(was)Tj
1.7007 0 Td
(reached.)Tj
-17.4442 -1.2983 Td
(For)Tj
1.627 0 Td
(four)Tj
1.9162 0 Td
(focus)Tj
2.3244 0 Td
(groups,)Tj
3.1975 0 Td
(rural)Tj
2.1713 0 Td
(health)Tj
2.6759 0 Td
(professionals)Tj
5.4141 0 Td
(were)Tj
2.1203 0 Td
(recruited)Tj
3.8551 0 Td
(through)Tj
3.4469 0 Td
(the)Tj
1.4684 0 Td
(NIHR)Tj
2.6872 0 Td
(Clinical)Tj
-34.1005 -1.2982 Td
(Research)Tj
3.804 0 Td
(Network)Tj
3.736 0 Td
(\(CRN\).)Tj
3.1465 0 Td
(The)Tj
1.7858 0 Td
(CRN)Tj
2.2394 0 Td
(invited)Tj
3.0047 0 Td
(general)Tj
3.1351 0 Td
(practitioners)Tj
5.3064 0 Td
(\(GPs\))Tj
2.5398 0 Td
(and)Tj
1.7291 0 Td
(practice)Tj
3.3789 0 Td
(mangers)Tj
-33.8057 -1.3039 Td
(from)Tj
2.2053 0 Td
(research-active)Tj
6.2078 0 Td
(practices)Tj
3.7361 0 Td
(in)Tj
1.0374 0 Td
(Norfolk)Tj
3.3732 0 Td
(and)Tj
1.7292 0 Td
(the)Tj
1.4683 0 Td
(research)Tj
3.5603 0 Td
(lead)Tj
1.8482 0 Td
(of)Tj
1.0148 0 Td
(Norfolk)Tj
3.3732 0 Td
(Community)Tj
5.125 0 Td
(Health)Tj
-34.6788 -1.2983 Td
(Care)Tj
2.1089 0 Td
(to)Tj
1.0261 0 Td
(identify)Tj
3.2939 0 Td
(community)Tj
4.8869 0 Td
(health)Tj
2.6815 0 Td
(professionals.)Tj
5.6353 0 Td
(Health)Tj
2.9196 0 Td
(professionals,)Tj
5.6353 0 Td
(or)Tj
1.0998 0 Td
(their)Tj
2.109 0 Td
(employing)Tj
-31.3963 -1.2983 Td
(organisations,)Tj
5.8166 0 Td
(were)Tj
2.1203 0 Td
(reimbursed)Tj
4.8189 0 Td
(for)Tj
1.3889 0 Td
(their)Tj
2.1033 0 Td
(time)Tj
2.0296 0 Td
(and)Tj
1.7291 0 Td
(travel.)Tj
2.6759 0 Td
(None)Tj
2.4378 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(participants)Tj
4.955 0 Td
(were)Tj
2.1259 0 Td
(known)Tj
-34.6844 -1.3039 Td
(to)Tj
1.0262 0 Td
(the)Tj
1.4682 0 Td
(research)Tj
3.5546 0 Td
(team)Tj
2.194 0 Td
(prior)Tj
2.2564 0 Td
(to)Tj
1.0261 0 Td
(participation,)Tj
5.5956 0 Td
(except)Tj
2.7723 0 Td
(for)Tj
1.3833 0 Td
(one)Tj
1.7007 0 Td
(GP)Tj
1.4967 0 Td
(who)Tj
1.9332 0 Td
(was)Tj
1.7008 0 Td
(employed)Tj
4.1386 0 Td
(part-time)Tj
4.0025 0 Td
(at)Tj
-36.2492 -1.2982 Td
(the)Tj
1.4683 0 Td
(University)Tj
4.405 0 Td
(of)Tj
1.0148 0 Td
(East)Tj
1.8822 0 Td
(Anglia.)Tj
3.0897 0 Td
(No)Tj
1.4627 0 Td
(participants)Tj
4.9549 0 Td
(who)Tj
1.9389 0 Td
(contacted)Tj
4.1045 0 Td
(the)Tj
1.4741 0 Td
(research)Tj
3.5546 0 Td
(team)Tj
2.194 0 Td
(subsequently)Tj
-31.5437 -1.2983 Td
(refused)Tj
3.1407 0 Td
(to)Tj
1.0261 0 Td
(participate)Tj
4.4731 0 Td
(or)Tj
1.0941 0 Td
(withdrew.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 242.9858 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Data)Tj
2.2441 0 Td
(collection)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 225.9779 cm
BT
/F6 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Participants)Tj
5.0002 0 Td
(chose)Tj
2.4605 0 Td
(to)Tj
1.0261 0 Td
(be)Tj
1.1509 0 Td
(interviewed)Tj
4.9096 0 Td
(at)Tj
0.9524 0 Td
(home)Tj
2.4945 0 Td
(\(n)Tj
1.1111 0 Td
(=)Tj
0.7994 0 Td
(12\))Tj
1.5137 0 Td
(or)Tj
1.0942 0 Td
(the)Tj
1.474 0 Td
(University)Tj
4.3993 0 Td
(of)Tj
1.0148 0 Td
(East)Tj
1.8822 0 Td
(Anglia)Tj
2.8686 0 Td
(\(n)Tj
1.1056 0 Td
(=)Tj
0.7993 0 Td
(3\))Tj
-36.0564 -1.2982 Td
(while)Tj
2.3697 0 Td
(the)Tj
1.4683 0 Td
(focus)Tj
2.3244 0 Td
(groups)Tj
2.9707 0 Td
(were)Tj
2.1203 0 Td
(held)Tj
1.9502 0 Td
(at)Tj
0.9525 0 Td
(the)Tj
1.4683 0 Td
(university.)Tj
4.4164 0 Td
(All)Tj
1.4003 0 Td
(focus)Tj
2.3244 0 Td
(groups)Tj
2.9707 0 Td
(and)Tj
1.7291 0 Td
(interviews)Tj
4.32 0 Td
(followed)Tj
-32.7853 -1.2983 Td
(individual)Tj
4.2859 0 Td
(topic)Tj
2.2337 0 Td
(guides)Tj
2.7949 0 Td
(\(see)Tj
1.7632 0 Td
(supplementary)Tj
6.1681 0 Td
(online)Tj
2.761 0 Td
(material\).)Tj
4.0761 0 Td
(Interviews)Tj
4.3937 0 Td
(lasted)Tj
2.5115 0 Td
(about)Tj
2.4945 0 Td
(one)Tj
1.6951 0 Td
(hour,)Tj
-35.1777 -1.3039 Td
(and)Tj
1.7291 0 Td
(focus)Tj
2.3244 0 Td
(groups)Tj
2.9707 0 Td
(two.)Tj
1.9332 0 Td
(Interviews)Tj
4.3936 0 Td
(and)Tj
1.7292 0 Td
(focus)Tj
2.33 0 Td
(groups)Tj
2.9707 0 Td
(were)Tj
2.1203 0 Td
(audio-recorded)Tj
6.412 0 Td
(and)Tj
1.7291 0 Td
(transcribed)Tj
4.7508 0 Td
(ver-)Tj
-35.3931 -1.2983 Td
(batim)Tj
2.5454 0 Td
(by)Tj
1.1793 0 Td
(an)Tj
1.2018 0 Td
(experienced)Tj
5.0343 0 Td
(transcriber)Tj
4.5978 0 Td
(at)Tj
0.9524 0 Td
(the)Tj
1.474 0 Td
(University)Tj
4.3994 0 Td
(of)Tj
1.0148 0 Td
(East)Tj
1.8822 0 Td
(Anglia.)Tj
3.0897 0 Td
(Field)Tj
2.2167 0 Td
(notes)Tj
2.3584 0 Td
(were)Tj
2.1203 0 Td
(audio-)Tj
-34.0665 -1.2982 Td
(recorded)Tj
3.7927 0 Td
(immediately)Tj
5.2044 0 Td
(after)Tj
2.0352 0 Td
(the)Tj
1.4684 0 Td
(interviews)Tj
4.3199 0 Td
(and)Tj
1.7292 0 Td
(focus)Tj
2.33 0 Td
(groups)Tj
2.965 0 Td
(and)Tj
1.7348 0 Td
(subsequently)Tj
5.4028 0 Td
(transcribed.)Tj
4.9776 0 Td
(No)Tj
-35.96 -1.2983 Td
(interviews)Tj
4.3199 0 Td
(were)Tj
2.1203 0 Td
(repeated.)Tj
-5.244 -1.3039 Td
(The)Tj
1.7858 0 Td
(interviews)Tj
4.32 0 Td
(and)Tj
1.7291 0 Td
(focus)Tj
2.3244 0 Td
(groups)Tj
2.9707 0 Td
(were)Tj
2.1259 0 Td
(conducted)Tj
4.4277 0 Td
(by)Tj
1.1792 0 Td
(a)Tj
0.652 0 Td
(single)Tj
2.5341 0 Td
(male)Tj
2.143 0 Td
(researcher)Tj
4.3483 0 Td
(trained)Tj
3.0898 0 Td
(in)Tj
-34.8262 -1.2983 Td
(qualitative)Tj
4.3766 0 Td
(methods)Tj
3.685 0 Td
(\(JAF,)Tj
2.3244 0 Td
(qualifications)Tj
5.6013 0 Td
(MBChB)Tj
3.4582 0 Td
(MSc\))Tj
2.3527 0 Td
(whilst)Tj
2.6079 0 Td
(a)Tj
0.652 0 Td
(second)Tj
3.0103 0 Td
(qualitative)Tj
4.3767 0 Td
(researcher)Tj
-32.4451 -1.2982 Td
(\(TP\))Tj
2.0692 0 Td
(observed)Tj
3.7928 0 Td
(two)Tj
1.7121 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(focus)Tj
2.3301 0 Td
(groups.)Tj
3.1918 0 Td
(JAF)Tj
1.7631 0 Td
(is)Tj
0.8504 0 Td
(a)Tj
0.652 0 Td
(public)Tj
2.7099 0 Td
(health)Tj
2.6758 0 Td
(doctor,)Tj
3.0785 0 Td
(undertaking)Tj
5.1306 0 Td
(a)Tj
0.652 0 Td
(PhD,)Tj
2.2677 0 Td
(but)Tj
-35.3591 -1.304 Td
(introduced)Tj
4.6431 0 Td
(himself)Tj
3.1521 0 Td
(as)Tj
1.0148 0 Td
(a)Tj
0.6519 0 Td
(researcher)Tj
4.354 0 Td
(looking)Tj
3.2542 0 Td
(at)Tj
0.9524 0 Td
(access)Tj
2.6476 0 Td
(to)Tj
1.0261 0 Td
(primary)Tj
3.4526 0 Td
(care,)Tj
2.0976 0 Td
(not)Tj
1.576 0 Td
(revealing)Tj
3.8551 0 Td
(his)Tj
1.372 0 Td
(clinical)Tj
-34.0495 -1.2982 Td
(background)Tj
5.0286 0 Td
(to)Tj
1.0261 0 Td
(participants)Tj
4.9549 0 Td
(unless)Tj
2.6873 0 Td
(specifically)Tj
4.5751 0 Td
(asked,)Tj
2.6872 0 Td
(which)Tj
2.6475 0 Td
(happened)Tj
4.1386 0 Td
(in)Tj
1.0375 0 Td
(one)Tj
1.7007 0 Td
(interview.)Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 107.1496 23.6976 re
W* n
q
107.0929 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 497.1968 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Access)Tj
3.3945 0 Td
(to)Tj
1.0417 0 Td
(primary)Tj
3.5008 0 Td
(care)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
81.5811 34.9228 m
237.8835 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(ONE)Tj
2.3669 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8198 0 Td
(1/journal.po)Tj
5.1236 0 Td
(ne.01939)Tj
4.089 0 Td
(52)Tj
0 g
2.0906 0 Td
(March)Tj
2.9622 0 Td
(6,)Tj
1.0418 0 Td
(2018)Tj
34.9018 0 Td
(3)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
56 0 obj
<>stream
endstream
endobj
57 0 obj
<>stream
BT
66.402 0 Td
(14)Tj
ET
Q
endstream
endobj
58 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 61 0 R/Contents 62 0 R/TrimBox[0 0 612 792]>>
endobj
61 0 obj
[63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R]
endobj
63 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref017)>>
endobj
64 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref018)>>
endobj
65 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref010)>>
endobj
66 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.ref019)>>
endobj
67 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.t001)>>
endobj
68 0 obj
<>/Border[0 0 0]/Dest(Rpone.0193952.g001)>>
endobj
69 0 obj
<>/Border[0 0 0]/A 70 0 R>>
endobj
70 0 obj
<>
endobj
62 0 obj
[71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R]
endobj
71 0 obj
<>stream
q
0.83 0.64 0.02 0 k
203.4142 674.9858 m
212.9386 674.9858 l
h
f*
398.6646 583.9937 m
408.189 583.9937 l
h
f*
277.7953 571.011 m
287.263 571.011 l
h
f*
275.1874 558.0283 m
284.7118 558.0283 l
h
f*
200.0126 312.9449 m
229.1528 312.9449 l
h
f*
259.6535 312.9449 m
279.2693 312.9449 l
h
f*
0 g
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 706.0535 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Data)Tj
2.2441 0 Td
(analysis)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 689.1023 cm
BT
/F6 1 Tf
1 TL
-0.004 Tc
0 0 Td
(We)Tj
1.61 0 Td
(analysed)Tj
3.6453 0 Td
(the)Tj
1.4741 0 Td
(data)Tj
1.9105 0 Td
(using)Tj
2.3924 0 Td
(thematic)Tj
3.7077 0 Td
(analysis,)Tj
3.5546 0 Td
(based)Tj
2.4718 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.4684 0 Td
(steps)Tj
2.1826 0 Td
(outlined)Tj
3.566 0 Td
(by)Tj
1.1849 0 Td
(Braun)Tj
2.6815 0 Td
(and)Tj
1.7291 0 Td
(Clarke)Tj
-34.8545 -1.3039 Td
([)Tj
0.83 0.64 0.02 0 k
(17)Tj
0 g
(].)Tj
2.0749 0 Td
(Briefly,)Tj
3.0784 0 Td
(this)Tj
1.6724 0 Td
(started)Tj
2.9367 0 Td
(with)Tj
1.9956 0 Td
(familiarisation)Tj
6.0321 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4683 0 Td
(data)Tj
1.9105 0 Td
(through)Tj
3.447 0 Td
(repeatedly)Tj
4.3426 0 Td
(listening)Tj
3.6453 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
-34.6448 -1.2982 Td
(interviews)Tj
4.3199 0 Td
(and)Tj
1.7291 0 Td
(focus)Tj
2.3244 0 Td
(groups)Tj
2.9707 0 Td
(and)Tj
1.7292 0 Td
(reading)Tj
3.2598 0 Td
(the)Tj
1.4683 0 Td
(transcripts)Tj
4.4731 0 Td
(\(JAF)Tj
2.1032 0 Td
(and)Tj
1.7292 0 Td
(RT\).)Tj
2.0182 0 Td
(Codes)Tj
2.6986 0 Td
(were)Tj
2.126 0 Td
(generated)Tj
-32.9497 -1.2983 Td
(by)Tj
1.1792 0 Td
(identifying)Tj
4.575 0 Td
(and)Tj
1.7348 0 Td
(labelling)Tj
3.6 0 Td
(key)Tj
1.5987 0 Td
(sections)Tj
3.4073 0 Td
(of)Tj
1.0148 0 Td
(text)Tj
1.7064 0 Td
(which)Tj
2.6476 0 Td
(contained)Tj
4.2009 0 Td
(data)Tj
1.9105 0 Td
(on)Tj
1.2756 0 Td
(access)Tj
2.6475 0 Td
(to)Tj
1.0262 0 Td
(primary)Tj
-32.5245 -1.3039 Td
(care)Tj
1.8708 0 Td
(by)Tj
1.1792 0 Td
(two)Tj
1.7121 0 Td
(researchers)Tj
4.7112 0 Td
(independently)Tj
5.9754 0 Td
(\(JAF)Tj
2.1033 0 Td
(and)Tj
1.7291 0 Td
(RT\).)Tj
2.0182 0 Td
(Similar)Tj
3.1011 0 Td
(codes)Tj
2.4605 0 Td
(were)Tj
2.126 0 Td
(then)Tj
2.0182 0 Td
(independently)Tj
-31.0051 -1.2983 Td
(grouped)Tj
3.5602 0 Td
(to)Tj
1.0262 0 Td
(form)Tj
2.2053 0 Td
(initial)Tj
2.5455 0 Td
(candidate)Tj
4.1046 0 Td
(themes)Tj
3.0727 0 Td
(by)Tj
1.1849 0 Td
(the)Tj
1.4683 0 Td
(same)Tj
2.2564 0 Td
(two)Tj
1.7121 0 Td
(researchers)Tj
4.7111 0 Td
(\(JAF)Tj
2.1033 0 Td
(and)Tj
1.7292 0 Td
(RT\).)Tj
2.0182 0 Td
(Themes)Tj
-33.698 -1.2982 Td
(were)Tj
2.1203 0 Td
(refined)Tj
3.0727 0 Td
(iteratively)Tj
4.1556 0 Td
(through)Tj
3.4469 0 Td
(repeated)Tj
3.6396 0 Td
(discussions)Tj
4.7339 0 Td
(of)Tj
1.0147 0 Td
(the)Tj
1.4684 0 Td
(data)Tj
1.9105 0 Td
(between)Tj
3.532 0 Td
(the)Tj
1.4683 0 Td
(two)Tj
1.7121 0 Td
(coding)Tj
-32.275 -1.304 Td
(researchers,)Tj
4.9379 0 Td
(the)Tj
1.4683 0 Td
(wider)Tj
2.4945 0 Td
(research)Tj
3.5546 0 Td
(team,)Tj
2.4208 0 Td
(colleagues)Tj
4.2746 0 Td
(within)Tj
2.8176 0 Td
(the)Tj
1.4684 0 Td
(department,)Tj
5.108 0 Td
(and)Tj
1.7291 0 Td
(two)Tj
1.7121 0 Td
(patient)Tj
3.0047 0 Td
(repre-)Tj
-34.9906 -1.2982 Td
(sentatives.)Tj
4.3143 0 Td
(QRS)Tj
2.0636 0 Td
(NVivo)Tj
2.8799 0 Td
(was)Tj
1.7008 0 Td
(used)Tj
2.058 0 Td
(to)Tj
1.0261 0 Td
(code)Tj
2.1033 0 Td
(the)Tj
1.4683 0 Td
(data)Tj
1.9106 0 Td
([)Tj
0.83 0.64 0.02 0 k
(18)Tj
0 g
(].)Tj
2.0806 0 Td
(JAF)Tj
1.7575 0 Td
(has)Tj
1.542 0 Td
(previously)Tj
4.354 0 Td
(undertaken)Tj
4.8188 0 Td
(a)Tj
0.652 0 Td
(realist)Tj
-34.7298 -1.2983 Td
(review)Tj
2.8402 0 Td
(in)Tj
1.0375 0 Td
(this)Tj
1.6725 0 Td
(area)Tj
1.8878 0 Td
([)Tj
0.83 0.64 0.02 0 k
(10)Tj
0 g
(])Tj
1.8482 0 Td
(and)Tj
1.7291 0 Td
(had)Tj
1.7121 0 Td
(substantial)Tj
4.5014 0 Td
(knowledge)Tj
4.5411 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.474 0 Td
(topic;)Tj
2.4548 0 Td
(therefore)Tj
3.8551 0 Td
(a)Tj
0.6519 0 Td
(constant)Tj
3.6397 0 Td
(com-)Tj
-34.8602 -1.2983 Td
(parison)Tj
3.2258 0 Td
(approach)Tj
3.9514 0 Td
([)Tj
0.83 0.64 0.02 0 k
(19)Tj
0 g
(])Tj
1.8482 0 Td
(was)Tj
1.7008 0 Td
(used)Tj
2.0636 0 Td
(to)Tj
1.0205 0 Td
(avoid)Tj
2.4151 0 Td
(confirmation)Tj
5.4991 0 Td
(bias.)Tj
-20.5283 -1.3039 Td
(To)Tj
1.3379 0 Td
(ensure)Tj
2.88 0 Td
(rigour)Tj
2.7269 0 Td
(and)Tj
1.7291 0 Td
(trustworthiness,)Tj
6.6557 0 Td
(we)Tj
1.3266 0 Td
(implemented)Tj
5.5332 0 Td
(the)Tj
1.4684 0 Td
(following)Tj
3.9798 0 Td
(measures:)Tj
4.1669 0 Td
(1\))Tj
1.0375 0 Td
(coding)Tj
-34.0382 -1.2982 Td
(and)Tj
1.7291 0 Td
(generation)Tj
4.507 0 Td
(of)Tj
1.0148 0 Td
(initial)Tj
2.5455 0 Td
(themes)Tj
3.0784 0 Td
(was)Tj
1.6951 0 Td
(undertaken)Tj
4.8246 0 Td
(independently)Tj
5.9754 0 Td
(by)Tj
1.1792 0 Td
(two)Tj
1.7121 0 Td
(members)Tj
3.9401 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
-33.2161 -1.2983 Td
(research)Tj
3.5546 0 Td
(team)Tj
2.194 0 Td
(\(JAF)Tj
2.1033 0 Td
(and)Tj
1.7291 0 Td
(RT\),)Tj
2.0182 0 Td
(2\))Tj
1.0375 0 Td
(transcriptions)Tj
5.794 0 Td
(were)Tj
2.1203 0 Td
(checked)Tj
3.4696 0 Td
(for)Tj
1.3833 0 Td
(accuracy)Tj
3.7133 0 Td
(by)Tj
1.1793 0 Td
(the)Tj
1.474 0 Td
(researcher)Tj
-31.7705 -1.3039 Td
(undertaking)Tj
5.125 0 Td
(the)Tj
1.474 0 Td
(interviews)Tj
4.3199 0 Td
(\(JAF\))Tj
2.4378 0 Td
(and)Tj
1.7291 0 Td
(3\))Tj
1.0375 0 Td
(themes)Tj
3.0727 0 Td
(were)Tj
2.126 0 Td
(interrogated)Tj
5.1534 0 Td
(by)Tj
1.1848 0 Td
(the)Tj
1.4684 0 Td
(research)Tj
3.5546 0 Td
(team)Tj
2.194 0 Td
(and)Tj
-34.8772 -1.2983 Td
(patient)Tj
3.0047 0 Td
(representatives.)Tj
6.4232 0 Td
(We)Tj
1.6101 0 Td
(did)Tj
1.542 0 Td
(not)Tj
1.5761 0 Td
(undertake)Tj
4.2689 0 Td
(member)Tj
3.583 0 Td
(checking,)Tj
4.0252 0 Td
(so)Tj
1.0828 0 Td
(as)Tj
1.0148 0 Td
(to)Tj
1.0261 0 Td
(leave)Tj
2.2054 0 Td
(the)Tj
1.4683 0 Td
(data)Tj
1.9162 0 Td
(as)Tj
1.0148 0 Td
(it)Tj
-35.7616 -1.2982 Td
(was)Tj
1.6951 0 Td
(captured)Tj
3.7473 0 Td
(during)Tj
2.9254 0 Td
(the)Tj
1.4683 0 Td
(interview.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 448.044 cm
BT
/F2 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Findings)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 200.0125 431.0362 cm
BT
/F6 1 Tf
1 TL
-0.004 Tc
0 0 Td
(In)Tj
1.1055 0 Td
(total)Tj
2.0069 0 Td
(fifteen)Tj
2.7552 0 Td
(participants,)Tj
5.1817 0 Td
(six)Tj
1.3153 0 Td
(men)Tj
2.0126 0 Td
(and)Tj
1.7291 0 Td
(nine)Tj
2.0069 0 Td
(women,)Tj
3.4299 0 Td
(were)Tj
2.1203 0 Td
(interviewed)Tj
4.9096 0 Td
(with)Tj
2.0012 0 Td
(an)Tj
1.2019 0 Td
(average)Tj
3.2258 0 Td
(age)Tj
1.5421 0 Td
(of)Tj
-36.544 -1.2982 Td
(78)Tj
1.1678 0 Td
(and)Tj
1.7348 0 Td
(a)Tj
0.652 0 Td
(range)Tj
2.4604 0 Td
(from)Tj
2.2054 0 Td
(67)Tj
1.1735 0 Td
(to)Tj
1.0261 0 Td
(87)Tj
1.1679 0 Td
(years)Tj
2.2677 0 Td
(old.)Tj
1.7235 0 Td
(Six)Tj
1.4286 0 Td
(of)Tj
1.0148 0 Td
(these)Tj
2.2564 0 Td
(participants)Tj
4.9549 0 Td
(were)Tj
2.126 0 Td
(over)Tj
1.9729 0 Td
(the)Tj
1.474 0 Td
(age)Tj
1.542 0 Td
(of)Tj
1.0148 0 Td
(80.)Tj
1.3947 0 Td
(All)Tj
-34.7582 -1.3039 Td
(participants)Tj
4.9549 0 Td
(lived)Tj
2.143 0 Td
(in)Tj
1.0318 0 Td
(Norfolk)Tj
3.3732 0 Td
(and)Tj
1.7291 0 Td
(were)Tj
2.126 0 Td
(registered)Tj
4.1499 0 Td
(at)Tj
0.9524 0 Td
(ten)Tj
1.491 0 Td
(different)Tj
3.6567 0 Td
(GP)Tj
1.4967 0 Td
(surgeries.)Tj
-25.9085 -1.2983 Td
(Each)Tj
2.1713 0 Td
(of)Tj
1.0091 0 Td
(the)Tj
1.4684 0 Td
(four)Tj
1.9048 0 Td
(focus)Tj
2.3244 0 Td
(groups)Tj
2.965 0 Td
(had)Tj
1.7008 0 Td
(between)Tj
3.5263 0 Td
(three)Tj
2.2564 0 Td
(and)Tj
1.7291 0 Td
(five)Tj
1.6441 0 Td
(participants.)Tj
5.1817 0 Td
(There)Tj
2.5738 0 Td
(were)Tj
2.1146 0 Td
(16)Tj
1.1679 0 Td
(partic-)Tj
-34.9339 -1.2983 Td
(ipants)Tj
2.6475 0 Td
(in)Tj
1.0318 0 Td
(total:)Tj
2.228 0 Td
(three)Tj
2.2677 0 Td
(GPs,)Tj
2.0806 0 Td
(four)Tj
1.9106 0 Td
(practice)Tj
3.3788 0 Td
(managers,)Tj
4.303 0 Td
(five)Tj
1.6554 0 Td
(senior)Tj
2.6986 0 Td
(community)Tj
4.8869 0 Td
(nurses,)Tj
3.0387 0 Td
(three)Tj
2.2621 0 Td
(district)Tj
-34.3897 -1.2982 Td
(nurses)Tj
2.8119 0 Td
(and)Tj
1.7291 0 Td
(one)Tj
1.7008 0 Td
(community)Tj
4.8869 0 Td
(physiotherapist.)Tj
6.5763 0 Td
(Two)Tj
2.024 0 Td
(focus)Tj
2.3244 0 Td
(groups)Tj
2.9706 0 Td
(included)Tj
3.7134 0 Td
(only)Tj
1.9786 0 Td
(GPs)Tj
1.8538 0 Td
(and)Tj
1.7291 0 Td
(practice)Tj
-34.2989 -1.3039 Td
(managers,)Tj
4.3029 0 Td
(and)Tj
1.7291 0 Td
(two)Tj
1.7065 0 Td
(community)Tj
4.8869 0 Td
(nurses)Tj
2.8176 0 Td
(and)Tj
1.7291 0 Td
(the)Tj
1.4684 0 Td
(physiotherapist.)Tj
-17.4443 -1.2983 Td
(The)Tj
1.7858 0 Td
(perspectives)Tj
5.0626 0 Td
(of)Tj
1.0148 0 Td
(older)Tj
2.2961 0 Td
(people)Tj
2.8516 0 Td
(and)Tj
1.7291 0 Td
(health)Tj
2.6816 0 Td
(professionals)Tj
5.4085 0 Td
(are)Tj
1.4513 0 Td
(presented,)Tj
4.3426 0 Td
(with)Tj
1.9956 0 Td
(participant)Tj
-31.8158 -1.2983 Td
(quotes)Tj
2.8402 0 Td
(to)Tj
1.0262 0 Td
(illustrate)Tj
3.6963 0 Td
(each)Tj
2.0296 0 Td
(sub-theme.)Tj
4.6828 0 Td
(The)Tj
1.7802 0 Td
(demographics)Tj
5.8677 0 Td
(of)Tj
1.0148 0 Td
(interview)Tj
3.9571 0 Td
(participants)Tj
4.9606 0 Td
(are)Tj
1.4457 0 Td
(shown)Tj
2.8516 0 Td
(in)Tj
0.83 0.64 0.02 0 k
-36.1528 -1.3039 Td
(Table)Tj
2.4377 0 Td
(1)Tj
0 g
(,)Tj
0.9241 0 Td
(whilst)Tj
0.83 0.64 0.02 0 k
2.6022 0 Td
(Fig)Tj
1.4797 0 Td
(1)Tj
0 g
0.6973 0 Td
(shows)Tj
2.6589 0 Td
(a)Tj
0.6576 0 Td
(diagrammatic)Tj
5.7827 0 Td
(overview)Tj
3.804 0 Td
(of)Tj
1.0148 0 Td
(the)Tj
1.4684 0 Td
(findings.)Tj
ET
Q
q
1 j
1 J
0 w
11.9999 0 0 11.9999 200.0125 281.0267 cm
BT
/F11 1 Tf
1 TL
-0.0033 Tc
0 0 Td
(Older)Tj
2.6504 0 Td
(people's)Tj
3.5953 0 Td
(perspective)Tj
ET
Q
q
1 j
1 J
0 w
10 0 0 10 211.9748 264.0188 cm
BT
/F11 1 Tf
1 TL
-0.004 Tc
0 0 Td
(Social)Tj
2.6928 0 Td
(contract.)Tj
/F6 1 Tf
4.5128 0 Td
(Older)Tj
2.5398 0 Td
(people's)Tj
3.4299 0 Td
(experience)Tj
4.5071 0 Td
(can)Tj
1.627 0 Td
(be)Tj
1.1509 0 Td
(understood)Tj
4.8189 0 Td
(within)Tj
2.8119 0 Td
(the)Tj
1.4683 0 Td
(context)Tj
3.1862 0 Td
(of)Tj
1.0148 0 Td
(a)Tj
-34.9566 -1.3039 Td
(patient)Tj
2.999 0 Td
(perceived)Tj
4.0478 0 Td
(set)Tj
1.2926 0 Td
(of)Tj
1.0091 0 Td
(unwritten)Tj
4.1783 0 Td
(rules)Tj
2.143 0 Td
(or)Tj
/F12 1 Tf
1.0941 0 Td
[()-3()4()1()4()11()]TJ
2.3698 0 Td
[()7()11()22()7( )20()6()-4()]TJ
/F6 1 Tf
(.)Tj
3.617 0 Td
(These)Tj
2.5568 0 Td
(social)Tj
2.4548 0 Td
(norms)Tj
2.8176 0 Td
(are)Tj
1.4457 0 Td
(based)Tj
2.4661 0 Td
(on)Tj
1.2642 0 Td
(reci-)Tj
-35.7559 -1.2982 Td
(procityolder)Tj
5.6522 0 Td
(people)Tj
2.8516 0 Td
(were)Tj
2.126 0 Td
(careful)Tj
2.931 0 Td
(not)Tj
1.576 0 Td
(to)Tj
1.0262 0 Td
()Tj
/F12 1 Tf
[(\n)4()12()10()6()2( )]TJ
/F6 1 Tf
()Tj
3.5036 0 Td
(or)Tj
1.0942 0 Td
(waste)Tj
2.4207 0 Td
(the)Tj
1.474 0 Td
(doctor's)Tj
3.4299 0 Td
(time,)Tj
2.2507 0 Td
(on)Tj
1.2756 0 Td
(the)Tj
1.474 0 Td
(under-)Tj
-33.0857 -1.2983 Td
(standing)Tj
3.6679 0 Td
(that)Tj
1.7802 0 Td
(their)Tj
2.109 0 Td
(GP)Tj
1.491 0 Td
(surgery)Tj
3.1974 0 Td
(\(doctors,)Tj
3.7814 0 Td
(nurses)Tj
2.812 0 Td
(and)Tj
1.7291 0 Td
(receptionists\))Tj
5.6296 0 Td
(make)Tj
2.3924 0 Td
(special)Tj
2.8913 0 Td
(provision)Tj
4.0252 0 Td
(for)Tj
-35.5065 -1.3039 Td
(them)Tj
2.2903 0 Td
(when)Tj
2.4038 0 Td
(unwell.)Tj
3.1181 0 Td
(Special)Tj
3.0103 0 Td
(provision)Tj
4.0195 0 Td
(meant)Tj
2.744 0 Td
(goodwill,)Tj
3.8947 0 Td
(such)Tj
2.0637 0 Td
(as)Tj
1.0148 0 Td
(being)Tj
2.4264 0 Td
(flexible)Tj
3.0897 0 Td
(about)Tj
2.4945 0 Td
(rigid)Tj
-32.5698 -1.2983 Td
(appointment)Tj
5.3971 0 Td
(systems)Tj
3.2995 0 Td
(or)Tj
1.0998 0 Td
(home)Tj
2.4945 0 Td
(visits.)Tj
2.4548 0 Td
(Participants)Tj
5.0003 0 Td
(saw)Tj
1.7007 0 Td
(this)Tj
1.6725 0 Td
(in)Tj
1.0374 0 Td
(the)Tj
1.4684 0 Td
(context)Tj
3.1861 0 Td
(of)Tj
1.0148 0 Td
(their)Tj
2.109 0 Td
(whole)Tj
2.6078 0 Td
(life,)Tj
-34.5427 -1.2982 Td
(insomuch)Tj
4.2009 0 Td
(as)Tj
1.0148 0 Td
(they)Tj
1.9218 0 Td
(expected)Tj
3.7247 0 Td
(the)Tj
1.4684 0 Td
(receptionists)Tj
5.2894 0 Td
(and)Tj
1.7291 0 Td
(GPs)Tj
1.8539 0 Td
(to)Tj
1.0261 0 Td
(be)Tj
1.1508 0 Td
(aware)Tj
2.5682 0 Td
(that)Tj
1.7802 0 Td
(during)Tj
2.9253 0 Td
(their)Tj
2.109 0 Td
(lifetime)Tj
-32.7626 -1.2983 Td
(they)Tj
1.9218 0 Td
(were)Tj
2.126 0 Td
(not)Tj
1.5704 0 Td
(someone)Tj
3.8097 0 Td
(who)Tj
1.9389 0 Td
(inappropriately)Tj
6.3949 0 Td
(used)Tj
2.0636 0 Td
(the)Tj
1.4684 0 Td
(service.)Tj
3.1691 0 Td
(For)Tj
1.6271 0 Td
(example,)Tj
3.7757 0 Td
(this)Tj
1.6724 0 Td
(participant)Tj
-31.538 -1.3039 Td
(describes)Tj
3.8834 0 Td
(how,)Tj
2.1656 0 Td
(because)Tj
3.3165 0 Td
(she)Tj
1.5364 0 Td
(is)Tj
0.8447 0 Td
(careful)Tj
2.9367 0 Td
(not)Tj
1.5704 0 Td
(to)Tj
1.0261 0 Td
(ask)Tj
1.5137 0 Td
(for)Tj
1.3833 0 Td
(help)Tj
1.9389 0 Td
(unnecessarily,)Tj
5.8337 0 Td
(the)Tj
1.4683 0 Td
(GP)Tj
1.4967 0 Td
(does)Tj
2.0409 0 Td
(not)Tj
1.5704 0 Td
(ques-)Tj
-34.5257 -1.2983 Td
(tion)Tj
1.8424 0 Td
(when)Tj
2.4038 0 Td
(she)Tj
1.5307 0 Td
(requests)Tj
3.4923 0 Td
(a)Tj
0.6519 0 Td
(home)Tj
2.5002 0 Td
(visit:)Tj
-11.2251 -2.5001 Td
(I)Tj
0.9524 0 Td
(don't)Tj
2.3187 0 Td
(come)Tj
2.3924 0 Td
(to)Tj
1.0262 0 Td
(a)Tj
0.6519 0 Td
(doctor)Tj
2.8573 0 Td
(unless)Tj
2.6873 0 Td
(I'm)Tj
1.593 0 Td
(ill.)Tj
1.2076 0 Td
(When)Tj
2.6872 0 Td
(I)Tj
0.5556 0 Td
(say)Tj
1.474 0 Td
(there's)Tj
2.8403 0 Td
(something)Tj
4.4334 0 Td
(wrong)Tj
2.8006 0 Td
(with)Tj
1.9955 0 Td
(me)Tj
1.4627 0 Td
([the)Tj
-33.9361 -1.2983 Td
(GP])Tj
1.8368 0 Td
(knows)Tj
2.8176 0 Td
(I)Tj
0.5613 0 Td
(don't)Tj
2.313 0 Td
(go)Tj
1.1962 0 Td
(there)Tj
2.2621 0 Td
(time)Tj
2.0296 0 Td
(wasting)Tj
3.2768 0 Td
([because])Tj
/F13 1 Tf
0 Tc
(.)Tj
4.2122 0 Td
(.)Tj
0.4366 0 Td
(.)Tj
/F6 1 Tf
-0.004 Tc
0.4932 0 Td
(I)Tj
0.5556 0 Td
(only)Tj
1.9786 0 Td
(go)Tj
1.1905 0 Td
(if)Tj
0.7767 0 Td
(I'm)Tj
1.5931 0 Td
(really)Tj
2.3981 0 Td
(not)Tj
1.5703 0 Td
(feeling)Tj
-31.4983 -1.3039 Td
(well)Tj
/F13 1 Tf
0 Tc
(.)Tj
2.0352 0 Td
(.)Tj
0.4365 0 Td
(.)Tj
/F6 1 Tf
-0.004 Tc
0.4876 0 Td
(He's)Tj
1.9899 0 Td
(never)Tj
2.4378 0 Td
(queried)Tj
3.2712 0 Td
(if)Tj
0.7766 0 Td
(we've)Tj
2.4208 0 Td
(wanted)Tj
3.1351 0 Td
(a)Tj
0.652 0 Td
(call)Tj
1.5704 0 Td
(out,)Tj
1.7801 0 Td
(never)Tj
2.4378 0 Td
(been,)Tj
2.3527 0 Td
(oh,)Tj
1.8709 0 Td
(can't)Tj
2.1373 0 Td
(you)Tj
1.7121 0 Td
(come)Tj
2.3924 0 Td
(to)Tj
1.0262 0 Td
(the)Tj
-34.9226 -1.2983 Td
(surgery.)Tj
4.2065 0 Td
(\(Pt)Tj
1.4174 0 Td
(13,)Tj
1.3946 0 Td
(75)Tj
1.1735 0 Td
(year)Tj
1.9049 0 Td
(old)Tj
1.5023 0 Td
(female\))Tj
ET
Q
q
1 j
1 J
0 w
576 737.1 m
36 737.1 l
36 737.6 l
576 737.6 l
f*
36 741.2598 107.1496 23.6976 re
W* n
q
107.0929 0 0 23.6409 36 741.3165 cm
q
/I0 Do
Q
Q
Q
q
0 0 612 792 re
W* n
1 j
1 J
0 w
7.9999 0 0 7.9999 497.1968 745.7952 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(Access)Tj
3.3945 0 Td
(to)Tj
1.0417 0 Td
(primary)Tj
3.5008 0 Td
(care)Tj
ET
Q
q
1 j
1 J
0 w
36 48.0002 m
576 48.0002 l
576 47.5002 l
36 47.5002 l
f*
0.83 0.64 0.02 0 k
81.5811 34.9228 m
237.8835 34.9228 l
h
f*
0 g
7.9999 0 0 7.9999 36 36 cm
BT
/F0 1 Tf
1 TL
-0.005 Tc
0 0 Td
(PLOS)Tj
2.8559 0 Td
(ONE)Tj
2.3669 0 Td
(|)Tj
0.83 0.64 0.02 0 k
0.4748 0 Td
(https://doi.or)Tj
5.4142 0 Td
(g/10.137)Tj
3.8198 0 Td
(1/journal.po)Tj
5.1236 0 Td
(ne.01939)Tj
4.089 0 Td
(52)Tj
0 g
2.0906 0 Td
(March)Tj
2.9622 0 Td
(6,)Tj
1.0418 0 Td
(2018)Tj
34.9018 0 Td
(4)Tj
0.7654 0 Td
(/)Tj
ET
endstream
endobj
72 0 obj
<>stream
endstream
endobj
73 0 obj
<>stream
endstream
endobj
74 0 obj
<>stream
endstream
endobj
75 0 obj
<>stream
endstream
endobj
76 0 obj
<>stream
endstream
endobj
77 0 obj
<>stream
endstream
endobj
78 0 obj
<>stream
endstream
endobj
79 0 obj
<>stream
endstream
endobj
80 0 obj
<>stream
BT
66.402 0 Td
(14)Tj
ET
Q
endstream
endobj
81 0 obj
<>/XObject<>>>/CropBox[0 0 612 792]/MediaBox[0 0 612 792]/Parent 11 0 R/Annots 84 0 R/Contents 85 0 R/TrimBox[0 0 612 792]>>
endobj
83 0 obj
<>stream
xynSiJ=R2K**CX('Ts:cZ{uZ$ H@/Zy7GIt7Pfk0UwyW\qE=d/ H@$ H@$ H@fT|[nb-6s6lkYgӬ'uӟnF-SԹ{ֻi6 S[o?&;S2˓vᨣ۟0}LG7x5\efSNyk\pYguj?P"M){&L`Jp<)OOo[Q@f)K/cМMH@$ H@$ H?BuVy얤4T{E2|;8g}vO~9ϟ'fwsC%qw.?f|8ӅtWrI'wxc/K>:8src+7!oW
ʋܘkJRK-ՉC=6ۄZ7pF$>~+fY$ H@$ H@O rˇ>!rC6tSzHb~o}[y6=jKMg?Y]^{'Or9ƍGCmazXI/.eN3<`I&ci|@7@#=ہ=#2 y
c3!dϭLDH3K77NΙpVe H@$ H@$D%pA=[gzh'=[s뮻nF]D?N#ܥl3Se 5Gs|Ws_p
ɐݒ@PHJ;L3xviK̇qA.'ѥ;Fj@`qu],/r0L7H"P$ H@$ H@$%MmZ?DZwn<~KVƃKqPLtiDh}9#23p1ܶǏ,^s9t35RiK> 42^"Gc]饗x>:F(UW]p%tmQq?:}$ H@$ H@$ (1:o]=',+8wm
6Exsfd.{N]
sƜY~δdo^VN3'=\:R;r!41S.ѥp]js0aB6.C KeoF묳ok'/_jaOֺ~Gy_$ H@$ H@$w%wi`tk{֏.%I2^9A`$1ڠhѰ.x&e;/g 6Gf"YizIs -:3m'vejevг2ގ;X_OvdF '>F[fG18;F\hG_WhF6H@$ H@$ H`.%K}:ѥ}OX`<