Show simple item record

dc.contributor.authorO'Donnell, Patrick
dc.contributor.authorTierney, Edel
dc.contributor.authorO'Carroll, Austin
dc.contributor.authorNurse, Diane
dc.contributor.authorMacFarlane, Anne
dc.identifier.citationO’Donnell, Patrick, Tierney, Edel, O’Carroll, Austin, Nurse, Diane, & MacFarlane, Anne. (2016). 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. International Journal for Equity in Health, 15(1), 197. doi: 10.1186/s12939-016-0487-5en_IE
dc.description.abstractBackground 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_IE
dc.description.sponsorshipFunding for this research was obtained from the Irish Health Service Executive Social Inclusion Division.en_IE
dc.publisherBioMed Centralen_IE
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Ireland
dc.subjectPrimary healthcareen_IE
dc.subjectMarginalised groupsen_IE
dc.subjectParticipatory researchen_IE
dc.subjectPatient and public involvement (PPI)en_IE
dc.subjectVulnerable groupsen_IE
dc.subjectHard to reachen_IE
dc.titleExploring levers and barriers to accessing primary care for marginalised groups and identifying their priorities for primary care provision: a participatory learning and action research studyen_IE
dc.local.contactEdel Tierney. 3608 Email:

Files in this item


This item appears in the following Collection(s)

Show simple item record

Attribution-NonCommercial-NoDerivs 3.0 Ireland
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 Ireland