Marginalised young people’s healthcare journeys: Professionals’ perspectives

Introduction: The pursuit of social justice includes a commitment to health equity for marginalised young people. Health professionals are central to marginalised young people’s engagement and access to health care and their navigation of health systems. They are also uniquely positioned to shed ins...

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Veröffentlicht in:Health education journal 2018-10, Vol.77 (6), p.692-704
Hauptverfasser: Robards, Fiona, Kang, Melissa, Tolley, Kate, Hawke, Catherine, Sanci, Lena, Usherwood, Tim
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container_end_page 704
container_issue 6
container_start_page 692
container_title Health education journal
container_volume 77
creator Robards, Fiona
Kang, Melissa
Tolley, Kate
Hawke, Catherine
Sanci, Lena
Usherwood, Tim
description Introduction: The pursuit of social justice includes a commitment to health equity for marginalised young people. Health professionals are central to marginalised young people’s engagement and access to health care and their navigation of health systems. They are also uniquely positioned to shed insight into structures and inefficiencies within the health system, including the role of technology, and to advocate for system change. Methods: This qualitative cross-sectional study employed in-depth semi-structured interviews with 22 health service managers and experienced clinicians to better understand service providers’ perspectives. The sampling frame comprised professionals from different sectors and levels of the health system. Analysis used Grounded Theory methods. Results: Three major themes were identified in the data: (1) intersectionalities – understanding the complexity of multiple disadvantage; (2) health system fragmentation – leading to inefficiencies, inertia and advocacy; and (3) services needing to be ‘turned on their head’ – rethinking service delivery and models of care. Conclusion: A better understanding of marginalised young people’s healthcare experiences, including the complexities of multiple disadvantage, and how this contributes to health inequalities could lead to more welcoming and respectful services. Services can reconceptualise their roles by reaching out to young people, both physically and online, to make the navigation of the health system easier. Marginalised young people’s healthcare journeys can be supported by advocates that help them navigate the health system.
doi_str_mv 10.1177/0017896917752965
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source Applied Social Sciences Index & Abstracts (ASSIA); Access via SAGE
subjects Access to Health Care
Advocacy
Disadvantaged Youth
Grounded theory
Health care
Health care access
Health disparities
Health Personnel
Health Services
Identification methods
Interviews
Medical personnel
Navigation
Power Structure
Sampling
Segmentation
Semi Structured Interviews
Social exclusion
Social justice
Technology
Teenagers
Young adults
Youth
title Marginalised young people’s healthcare journeys: Professionals’ perspectives
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