Lawrence Stephanie M, Saab Mohamad M, Savage Eileen, Hegarty Josephine, FitzGerald Serena
Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.
J Child Health Care. 2024 Apr 17:13674935241239837. doi: 10.1177/13674935241239837.
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.
青少年面临着与身体健康、心理健康、性健康、毒品和酒精问题、压力及同伴压力相关的诸多问题。对于青少年在健康问题上的求助行为，我们知之甚少。全科医生（GP）通常是青少年的首个接触对象。本系统评价的目的是识别、描述并总结青少年在获取由全科医生主导的初级保健服务时所经历的障碍和促进因素的相关证据。我们使用四个电子数据库（心理学文摘数据库、医学索引数据库、护理学与健康领域数据库及社会科学索引数据库）进行了系统检索，并对纳入研究的质量进行了评估。本评价纳入了六项研究。研究结果表明，获取全科医生服务的障碍涉及信任、保密、隐私及沟通。青少年还报告了诸如交通、费用及信息缺乏等障碍。青少年报告称，促进因素包括对其需求敏感的服务、理解他们的医护人员以及在非工作时间就诊方面较为灵活的服务。倾听青少年的声音并据此采取行动对于发展青少年友好型服务至关重要。
