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Table 1 The stages of candidacy

From: Exploring socioeconomic inequities in access to palliative and end-of-life care in the UK: a narrative synthesis

Stages of candidacy

Description

Identification of candidacy

The process by which people recognise their symptoms need medical attention or intervention.

Navigation

The work people have to do in order to use services.

Permeability of services

Describes how permeable a service is. A permeable service is one that is easy to use and does not involve gatekeeping, for example through referral procedures. Also requires cultural alignment between users and services.

Appearances at health services

The way in which people appear to service providers and how they assert a claim to candidacy for medical attention.

Adjudication

The professional judgements made about candidacy and the influence these have on the ongoing care of patients.

Offers and resistance

The pattern to which offers are made by professionals and resisted by patients.

Operating conditions and the local production of candidacy

The locally specific influences on interactions between professionals and patients.