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Measuring social exclusion in healthcare settings: a scoping review

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dc.contributor.author O'Donnell, Patrick
dc.contributor.author O'Donovan, Diarmuid
dc.contributor.author Elmusharaf, Khalifa
dc.date.accessioned 2018-02-06T12:46:20Z
dc.date.available 2018-02-06T12:46:20Z
dc.date.issued 2018
dc.identifier.uri http://hdl.handle.net/10344/6528
dc.description peer-reviewed en_US
dc.description.abstract Background: Social exclusion is a concept that has been widely debated in recent years; a particular focus of the discussion has been its significance in relation to health. The meanings of the phrase “social exclusion”, and the closely associated term “social inclusion”, are contested in the literature. Both of these concepts are important in relation to health and the area of primary healthcare in particular. Thus, several tools for the measurement of social exclusion or social inclusion status in health care settings have been developed. Methods: A scoping review of the peer-reviewed and grey literature was conducted to examine tools developed since 2000 that measure social exclusion or social inclusion. We focused on those measurement tools developed for use with individual patients in healthcare settings. Efforts were made to obtain a copy of each of the original tools, and all relevant background literature. All tools retrieved were compared in tables, and the specific domains that were included in each measure were tabulated. Results: Twenty-two measurement tools were included in the final scoping review. The majority of these had been specifically developed for the measurement of social inclusion or social exclusion, but a small number were created for the measurement of other closely aligned concepts. The majority of the tools included were constructed for engaging with patients in mental health settings. The tools varied greatly in their design, the scoring systems and the ways they were administered. The domains covered by these tools varied widely and some of the tools were quite narrow in the areas of focus. A review of the definitions of both social inclusion and social exclusion also revealed the variations among the explanations of these complex concepts. Conclusions: There are several definitions of both social inclusion and social exclusion in use and they differ greatly in scope. While there are many tools that have been developed for measuring these concepts in healthcare settings, these do not have a primary healthcare focus. There is a need for the development of a tool for measuring social inclusion or social exclusion in primary healthcare settings. en_US
dc.language.iso eng en_US
dc.publisher BioMed Central en_US
dc.relation.ispartofseries International Journal for Equity in Health;17:15
dc.relation.uri http://dx.doi.org/10.1186/s12939-018-0732-1
dc.subject social exclusion en_US
dc.subject social inclusion en_US
dc.subject health inequality en_US
dc.subject equity en_US
dc.subject poverty en_US
dc.subject measure en_US
dc.subject instrument en_US
dc.title Measuring social exclusion in healthcare settings: a scoping review 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.identifier.doi 10.1186/s12939-018-0732-1
dc.contributor.sponsor University of Limerick Graduate Entry Medical School en_US
dc.contributor.sponsor Health Service Executive Social Inclusion Division en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2737612


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