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Category Archives: Service entry
Challenging micro-aggressions against people living homeless through acts of acceptance
In my present project I began with research showing that homeless and other very disadvantaged people have poorer health and use fewer health services. I considered this in the context of the Social Determinants of Health (Marmot & Wilkinson), that … Continue reading
Health system entry change required
I’ve been exploring system change at the local level in health service entry and delivery. For example there is an issue with the algorithms used in call centres. They use a bio-medical triage logic that puts the most acute people … Continue reading
A victory of rule rigidity and risk management over compassion and common sense
Last week there was a 92 year lady on the ward who was unable to stand but wanted to go home where she lived alone. I was requested to do a Guardianship application even though she was cognitively sound. I … Continue reading
Posted in Empowerment, Ethical issues, Service entry
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‘System participants’ inform local action on hard to reach services
Equity of access to health services is a key goal for primary health care internationally and in Australia (WHO, 1978). The systems used to gain entry to health services can impede or facilitate access, engagement and health outcomes. Equity of … Continue reading
Inadvertently locking out the most needy from health services
In 1971 Tudor Hart believed that the people who most needed health services were the least likely to receive them, and that turns out to be true. His ‘Inverse Care Law’ is valid today. Since then Marmot and Wilkinson have … Continue reading
‘Desire trails’ and Health Service entry systems
In town planning the ‘desire trail’ is the track across the park made by people making their own way in the absence of, or in spite of, made pathways. After a point we tend simply to use the most obviously … Continue reading
Posted in Service entry
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Social Work in Health 