Adolescents’ perspectives and experiences of accessing general practitioner services: A systematic review

IF 1.3 4区医学 Q3 NURSING

Journal of Child Health Care Pub Date : 2024-04-17 DOI:10.1177/13674935241239837

Stephanie M Lawrence, Mohamad M Saab, Eileen Savage, Josephine Hegarty, Serena FitzGerald

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引用次数: 0

Abstract

Adolescents face issues regarding physical health, mental health, sexual health, drug and alcohol problems, stress, and peer pressure. Little is known about adolescents’ help-seeking behaviours in relation to health concerns. The general practitioner (GP) is usually the first point of contact for adolescents. The aim of this systematic review was to identify, describe, and summarize evidence on barriers and enablers experienced by adolescents when accessing GP-led primary care services. Systematic searches using four electronic databases (PsycINFO, MEDLINE, CINAHL, and SocINDEX) were conducted and the quality of the included studies was appraised. Six studies were included in this review. Findings indicate that barriers to GP access relate to trust, confidentiality, privacy, and communication. Adolescents also reported barriers such as transport, cost, and lack of information. Adolescents reported enablers being services that are sensitive to their needs, healthcare professionals who understand them, and services that are flexible regarding out of hours access. Listening to and acting on the voice of adolescents is important to developing youth-friendly services.

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青少年对全科医生服务的看法和体验：系统回顾

青少年面临着身体健康、心理健康、性健康、毒品和酒精问题、压力以及同伴压力等问题。人们对青少年就健康问题寻求帮助的行为知之甚少。全科医生（GP）通常是青少年的第一联系人。本系统性综述旨在识别、描述和总结有关青少年在获得全科医生主导的初级医疗服务时遇到的障碍和有利因素的证据。我们使用四个电子数据库（PsycINFO、MEDLINE、CINAHL 和 SocINDEX）进行了系统性检索，并对纳入研究的质量进行了评估。本综述共纳入六项研究。研究结果表明，全科医生就诊的障碍与信任、保密、隐私和沟通有关。青少年还报告了交通、费用和缺乏信息等障碍。青少年报告的有利因素包括对他们的需求有敏感认识的服务、理解他们的医疗保健专业人员，以及在非工作时间提供的灵活服务。倾听青少年的心声并根据他们的心声采取行动，对于发展青少年友好型服务非常重要。

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来源期刊

Journal of Child Health Care NURSING-PEDIATRICS

CiteScore

4.10

自引率

15.80%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.