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Exploring Whether and How People Experiencing High Deprivation Access Diagnostic Services: A Qualitative Systematic
Christine Vincent1, Lee-Ann Fenge1, Sam Porter1
1Department of Social Sciences and Social Work, Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
Understanding diagnostic service use for deprived populations in the UK is complex. Beliefs, emotions, and practical factors interact, influencing decisions to access healthcare, highlighting the need for tailored interventions.
Area of Science:
- Health Services Research
- Social Determinants of Health
- Health Inequalities
Background:
- Diagnostic health inequalities persist in the United Kingdom.
- Understanding barriers to diagnostic service access for deprived populations is crucial.
Purpose of the Study:
- To investigate the determinants of diagnostic service use among individuals experiencing high deprivation in the UK.
- To identify factors influencing access to diagnostic services for vulnerable populations.
Main Methods:
- A systematic review of three databases (EBSCO, Web of Science, SCOPUS) was conducted.
- Included studies focused on direct participant perspectives regarding barriers and facilitators to diagnostic access for highly deprived individuals in the UK.
Main Results:
- 18 studies were included, revealing 15 sub-themes grouped into Beliefs and Behaviours, Emotional/Psychological Factors, and Practical Factors.
- A conceptual model illustrates the iterative interplay between these factors influencing the decision to access diagnostic services.
Conclusions:
- Decision-making for diagnostic service use among deprived populations is complex and influenced by interacting factors.
- The developed conceptual model can inform policy and practice for designing targeted interventions to improve access.
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