Marginalised young people’s healthcare journeys: Professionals’ perspectives

Robards, F; Kang, M; Tolley, K; Hawke, C; Sanci, L; Usherwood, T

Marginalised young people’s healthcare journeys: Professionals’ perspectives

Robards, F Kang, M

Tolley, K Hawke, C Sanci, L Usherwood, T

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Publication Type:: Journal Article
Citation:: Health Education Journal, 2018, 77 (6), pp. 692 - 704
Issue Date:: 2018-10-01

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Field	Value	Language
dc.contributor.author	Robards, F	en_US
dc.contributor.author	Kang, M https://orcid.org/0000-0002-9438-2518	en_US
dc.contributor.author	Tolley, K	en_US
dc.contributor.author	Hawke, C	en_US
dc.contributor.author	Sanci, L	en_US
dc.contributor.author	Usherwood, T	en_US
dc.date.issued	2018-10-01	en_US
dc.identifier.citation	Health Education Journal, 2018, 77 (6), pp. 692 - 704	en_US
dc.identifier.issn	0017-8969	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129285
dc.description.abstract	© The Author(s) 2018. 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.	en_US
dc.relation.ispartof	Health Education Journal	en_US
dc.relation.isbasedon	10.1177/0017896917752965	en_US
dc.subject.classification	Public Health	en_US
dc.title	Marginalised young people’s healthcare journeys: Professionals’ perspectives	en_US
dc.type	Journal Article
utslib.citation.volume	6	en_US
utslib.citation.volume	77	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1302 Curriculum and Pedagogy	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	6	en_US
pubs.publication-status	Published	en_US
pubs.volume	77	en_US

Abstract:

© The Author(s) 2018. 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.

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http://hdl.handle.net/10453/129285