Evidence map›Paper›PMID 28003025›Full record

ArticleReproductive health2016

Challenges and strategies for sustaining youth-friendly health services - a qualitative study from the perspective of professionals at youth clinics in northern Sweden.

Suzanne Thomée, Desiré Malm, Monica Christianson, Anna-Karin Hurtig, Maria Wiklund, Anna-Karin Waenerlund, Isabel Goicolea

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
11.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

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  15. How to make mental health services more youth-friendly? A Delphi study involving young adults, parents and professionals.Health expectations : an international journal of public participation in health care and health policy · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Suzanne ThoméeUnit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, SE-90187, Sweden.
Desiré MalmUnit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, SE-90187, Sweden.
Monica ChristiansonDepartment of Nursing, Umeå University, Umeå, Sweden.
Anna-Karin HurtigUnit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, SE-90187, Sweden.
Maria WiklundDepartment of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
Anna-Karin WaenerlundUnit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, SE-90187, Sweden.
Isabel GoicoleaUnit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, SE-90187, Sweden. isabel.goicolea@umu.se.ORCID http://orcid.org/0000-0002-8114-4705
Umeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundYouth-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.

methodsEleven 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.

resultsFour 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.

conclusionsProfessionals 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.

Indexed as

Adolescent Health ServicesHealth PersonnelHealth ServicesAdolescentAdultAttitude of Health PersonnelClinical CompetenceHealth Services AccessibilityHumansMiddle AgedSwedenYoung AdultHealth professionalsThematic analysisYouth clinicsYouth-friendly health-care servicesYouth health

Identifiers

PMID28003025
PMCPMC5178097
OpenAlexW2562058854

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.