Access 3 project protocol: young people and health system navigation in the digital age: a multifaceted, mixed methods study.
Access 3 project protocol: young people and health system navigation in the digital age: a multifaceted, mixed methods study.
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DOI：
10.1136/bmjopen-2017-017047
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发表时间：
2017-08-07
期刊：
影响因子：
2.9
通讯作者：
Usherwood T
中科院分区：
文献类型：
--
作者：
Kang M;Robards F;Sanci L;Steinbeck K;Jan S;Hawke C;Kong M;Usherwood T
将数字技术融入年轻人的日常生活已经变得越来越普遍。目前尚不清楚技术是否以及如何影响医疗保健的障碍和促进者，以及年轻人是否和如何在面对面和虚拟医疗之间导航。为了提供政策和实践所必需的新知识，我们设计了一项研究，旨在探索数字时代卫生系统的访问和导航。研究的目标是：(1)描述年轻人在澳大利亚新南威尔士州(新南威尔士州)使用和使用医疗系统的经历；(2)确定年轻人在医疗保健方面的障碍和促进者，以及这些障碍和促进者在不同群体之间的差异；(3)描述医疗系统的低效，特别是对被边缘化的年轻人；(4)为研究数据提供与政策相关的知识翻译。这项混合方法研究包括四个部分，包括：(1)对居住在澳大利亚新南威尔士州(12-24岁)的年轻人进行横断面调查；(2)对被边缘化的年轻人(定义为：认同为土著和/或托雷斯海峡岛民；经历无家可归；认同为性取向和/或性别多样化；具有难民或弱势移民背景；和/或居住在新南威尔士州农村或偏远地区)的次级样本进行纵向、定性研究；(3)采访专业人士；(4)知识转化论坛。寻求并批准了道德方面的批准。数据收集工作于2016年3月开始，将持续到2017年6月。这项研究将收集关于年轻人和卫生服务当代经历的实践和政策相关情报，特别关注五个不同的被边缘化青年群体，记录他们随着时间的推移的经历。Access 3将探索卫生系统所有级别的导航，确定数字技术是否融入其中，如果是的话，将如何将调查结果转化为与政策相关的建议。
The integration of digital technology into everyday lives of young people has become widespread. It is not known whether and how technology influences barriers and facilitators to healthcare, and whether and how young people navigate between face-to-face and virtual healthcare. To provide new knowledge essential to policy and practice, we designed a study that would explore health system access and navigation in the digital age. The study objectives are to: (1) describe experiences of young people accessing and navigating the health system in New South Wales (NSW), Australia; (2) identify barriers and facilitators to healthcare for young people and how these vary between groups; (3) describe health system inefficiencies, particularly for young people who are marginalised; (4) provide policy-relevant knowledge translation of the research data. This mixed methods study has four parts, including: (1) a cross-sectional survey of young people (12–24 years) residing in NSW, Australia; (2) a longitudinal, qualitative study of a subsample of marginalised young people (defined as young people who: identify as Aboriginal and/or Torres Strait Islander; are experiencing homelessness; identify as sexuality and/or gender diverse; are of refugee or vulnerable migrant background; and/or live in rural or remote NSW); (3) interviews with professionals; (4) a knowledge translation forum. Ethics approvals were sought and granted. Data collection commenced in March 2016 and will continue until June 2017. This study will gather practice and policy-relevant intelligence about contemporary experiences of young people and health services, with a unique focus on five different groups of marginalised young people, documenting their experiences over time. Access 3 will explore navigation around all levels of the health system, determine whether digital technology is integrated into this, and if so how, and will translate findings into policy-relevant recommendations.
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DOI：
10.1016/s0140-6736(16)00579-1
发表时间：
2016-06-11
期刊：
Lancet (London, England)
影响因子：
--
作者：
Patton GC;Sawyer SM;Santelli JS;Ross DA;Afifi R;Allen NB;Arora M;Azzopardi P;Baldwin W;Bonell C;Kakuma R;Kennedy E;Mahon J;McGovern T;Mokdad AH;Patel V;Petroni S;Reavley N;Taiwo K;Waldfogel J;Wickremarathne D;Barroso C;Bhutta Z;Fatusi AO;Mattoo A;Diers J;Fang J;Ferguson J;Ssewamala F;Viner RM
通讯作者：
Viner RM
影响因子：
1.7
作者：
Sawyer, Susan M.;Proimos, Jenny;Towns, Susan J.
通讯作者：
Towns, Susan J.
影响因子：
1.6
作者：
Dawson, Angela;Jackson, Debra
通讯作者：
Jackson, Debra
影响因子：
3.7
作者：
Sanci L;Chondros P;Sawyer S;Pirkis J;Ozer E;Hegarty K;Yang F;Grabsch B;Shiell A;Cahill H;Ambresin AE;Patterson E;Patton G
通讯作者：
Patton G
DOI：
10.1186/1748-5908-7-50
发表时间：
2012-05-31
期刊：
Implementation science : IS
影响因子：
--
作者：
Grimshaw JM;Eccles MP;Lavis JN;Hill SJ;Squires JE
通讯作者：
Squires JE