umu.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Challenges and strategies for sustaining youth-friendly health services: a qualitative study from the perspective of professionals at youth clinics in northern Sweden
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.ORCID-id: 0000-0001-7087-1467
Vise andre og tillknytning
2016 (engelsk)Inngår i: Reproductive Health, ISSN 1742-4755, E-ISSN 1742-4755, Vol. 13, artikkel-id 147Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Youth-friendly health-care services - those that are accessible, acceptable, equitable, appropriate and effective for different youth subpopulations - are beneficial for youth health, but not easy to implement and sustain. Sweden is among the few countries where youth-friendly health-care services have been integrated within the public health system and sustained for a long time. This study explores the challenges and strategies in providing sustainable youth-friendly health-care services, from the perspective of professionals working in youth clinics in northern Sweden.

METHODS: Eleven semi-structured interviews with various health-care professionals working in youth clinics in northern Sweden were conducted. The interviews were transcribed verbatim, and analysed using thematic analysis in relation to the World Health Organization domains of youth friendliness.

RESULTS: Four themes emerged from the analysis of the data: 1) 'Meeting youths on their own terms - the key to ensuring a holistic and youth-centred care' was related to the acceptability and appropriateness of the services; 2) 'Organizational challenges and strategies in keeping professionals' expertise on youth updated' referred to the domain of effectiveness; 3) 'Youth clinics are accessible for those who know and can reach them' was related to the domains of accessibility and equity, and 4) 'The challenge of combining strong directions and flexibility in diverse local realities' focused on the struggle to sustain the youth clinics organization and their goals within the broader health system.

CONCLUSIONS: Professionals working in youth clinics are perceived as motivated, interested and knowledgeable about youth, and the clinics ensure confidentiality and a youth-centred and holistic approach. Challenges remain, especially in terms of ensuring equitable access to different youth subpopulations, improving monitoring routines and ensuring training and competence for all professionals, independently of the location and characteristics of the clinic. Youth clinics are perceived as an indisputable part of the Swedish health system, but organizational challenges are also pointed out in terms of weak clear directives and leadership, heavy workload, local/regional diversity and unequitable distribution of resources.

sted, utgiver, år, opplag, sider
2016. Vol. 13, artikkel-id 147
Emneord [en]
Youth-friendly health-care services, Youth clinics, Thematic analysis, Health professionals, Youth health
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-129784DOI: 10.1186/s12978-016-0261-6ISI: 000390956000001PubMedID: 28003025OAI: oai:DiVA.org:umu-129784DiVA, id: diva2:1062839
Tilgjengelig fra: 2017-01-09 Laget: 2017-01-09 Sist oppdatert: 2018-06-09bibliografisk kontrollert

Open Access i DiVA

fulltext(1056 kB)241 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 1056 kBChecksum SHA-512
817ca9160a4c423d9bd8a25df6a87321514fd6dd1ffbfd1e93989c7724327aee6be132fb59fb35548008c410163066822e8d0f6aaa0157826715f4d56ace6229
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMed

Personposter BETA

Christianson, MonicaHurtig, Anna-KarinWiklund, MariaWaenerlund, Anna-KarinGoicolea, Isabel

Søk i DiVA

Av forfatter/redaktør
Christianson, MonicaHurtig, Anna-KarinWiklund, MariaWaenerlund, Anna-KarinGoicolea, Isabel
Av organisasjonen
I samme tidsskrift
Reproductive Health

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 241 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 8154 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf