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Exploring levers and barriers to accessing primary care for marginalised groups and identifying their priorities for primary care provision: a participatory learning and action research study

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dc.contributor.author O'Donnell, Patrick
dc.contributor.author Tierney, Edel
dc.contributor.author O'Carroll, Austin
dc.contributor.author Nurse, Diane
dc.contributor.author MacFarlane, Anne E.
dc.date.accessioned 2017-08-24T15:33:40Z
dc.date.available 2017-08-24T15:33:40Z
dc.date.issued 2016
dc.identifier.uri http://hdl.handle.net/10344/6028
dc.description peer-reviewed en_US
dc.description.abstract Background: The involvement of patients and the public in healthcare has grown significantly in recent decades and is documented in health policy documents internationally. Many benefits of involving these groups in primary care planning have been reported. However, these benefits are rarely felt by those considered marginalised in society and they are often excluded from participating in the process of planning primary care. It has been recommended to employ suitable approaches, such as co-operative and participatory initiatives, to enable marginalised groups to highlight their priorities for care.Methods: This Participatory Learning and Action (PLA) research study involved 21 members of various marginalised groups who contributed their views about access to primary care. Using a series of PLA techniques for data generation and co-analysis, we explored barriers and facilitators to primary healthcare access from the perspective of migrants, Irish Travellers, homeless people, drug users, sex workers and people living in deprivation, and identified their priorities for action with regard to primary care provision.Results: Four overarching themes were identified: the home environment, the effects of the 'two-tier' healthcare system on engagement, healthcare encounters, and the complex health needs of many in those groups. The study demonstrates that there are many complicated personal and structural barriers to accessing primary healthcare for marginalised groups. There were shared and differential experiences across the groups. Participants also expressed shared priorities for action in the planning and running of primary care services.Conclusions: Members of marginalised groups have shared priorities for action to improve their access to primary care. If steps are taken to address these, there is scope to impact on more than one marginalised group and to address the existing health inequities. en_US
dc.language.iso eng en_US
dc.publisher BioMed Central en_US
dc.relation.ispartofseries International Journal for Equity in Health;15: 197
dc.subject primary healthcare en_US
dc.subject marginalised groups en_US
dc.subject access en_US
dc.subject participatory research en_US
dc.subject equity en_US
dc.title Exploring levers and barriers to accessing primary care for marginalised groups and identifying their priorities for primary care provision: a participatory learning and action research study en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2017-08-24T15:28:48Z
dc.description.version PUBLISHED
dc.identifier.doi 10.1186/s12939-016-0487-5
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2698460
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle International Journal For Equity In Health
dc.description.status peer-reviewed


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