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Understanding access to healthcare for gender diverse young people

A critical review of the literature

Bibliographic Data

ID15098437
AuthorsCharlotte Lovejoy (0000-0002-6702-6569, The University of Queensland, corresponding author), Lisa Fitzgerald (0000-0002-0252-2246, The University of Queensland), Allyson Mutch (0000-0002-8741-2862, The University of Queensland)
Year2023
Volume25
Issue1
Pages18-32
Publication date2023-01-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2021.2017486
PMID35000558
OpenAlexW4205613613
LanguageEN
Citations received9
References cited51

Gender diverse young people face well-documented physical, mental and sexual health disparities compared to the general population. Differential access to healthcare is a key driver of these inequities and literature highlights high unmet healthcare need among members of this group. Healthcare access has been described through a model that defines five dimensions of health services: approachability; acceptability; availability and accommodation; affordability; and appropriateness; and five abilities of health service consumers that interact with these dimensions: the abilities to perceive, seek, reach, pay and engage. This comprehensive literature review examined barriers to and facilitators of healthcare access among gender diverse young people using the lens provided by this model as it relates to dimensions of access at the health service level and/or the abilities of health service users. We advocate expansion of this model to incorporate demand- and supply-side barriers and facilitators of access, and important structural factors including the gender binary health system framework, intersectionality and stigma. Findings highlight the need for improvements to healthcare provider education and the participatory redesign of health services with a focus on intersectionality, individually-tailored service provision and healthcare that is responsive to the unique needs of gender diverse young people

Business · Environmental health · Health care · Health equity · Intersectionality · Mental health · Political science · Population · Psychiatry · Public relations · Service provider · Sociology · Adolescent and Pediatric Healthcare · Gender Studies · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology · Marketing

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Unique citing works9
Citations per year3
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 9

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