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Table 5 Priorities for action across the participant groups

From: 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

Priority Issue

Identified by

Specific solutions suggested to address the priority

Home

• Travellers

• Homeless & Sex workers

• Need satisfactory accommodation for any effective primary care engagement to happen

• Supports afforded by stable accommodation needed to continue

Two-tier system

• Young mothers

• Migrants

• Need for flexibility around eligibility and referral criteria for primary care services

• Increased availability of information on entitlements and ways to engage with primary care

Healthcare encounters

• Migrants

• Travellers

• Migrants & Drug users

• All groups

• Better communication in primary care, including availability of trained interpreters

• Better communication in primary care; awareness of general literacy and health literacy of patients

• Educating professionals on communication skills and empathy

• Understanding adversity faced by patients

• Show more empathy with the patient

Complex health needs

• Young mothers

• Travellers

• All groups

• Improved knowledge of and availability of community mental health services

• Promotion of tolerance and awareness of prejudice

• Supports to access primary care including engaging peer advocates or key workers; modelled on the Traveller group advocacy role