Evidence map›Paper›PMID 40830438›Full record

ArticleBMC primary care2025

Exploring healthcare providers' perspectives on the factors that facilitate primary health care access among Aboriginal and Torres Strait Islander young people: a qualitative study in Southeast Queensland.

Stephen Harfield, Judith A Dean, Peter Azzopardi, Gita D Mishra, James Ward

Abstract read
In one paragraph

Article in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

5 authors.

Stephen HarfieldUQ Poche Centre for Indigenous Health, University of Queensland, St Lucia, Australia. s.harfield@uq.edu.au.
Judith A DeanUQ Poche Centre for Indigenous Health, University of Queensland, St Lucia, Australia.
Peter AzzopardiAdolescent Health and Wellbeing, The Kids Research Institute Australia, Adelaide, Australia.
Gita D MishraSchool of Public Health, University of Queensland, Brisbane, Australia.
James WardUQ Poche Centre for Indigenous Health, University of Queensland, St Lucia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAboriginal and Torres Strait Islander young people aged 15-24 years of age often encounter challenges accessing and utilising primary health care (PHC). Providing health care responsive to the needs of Aboriginal and Torres Strait Islander young people requires the active involvement of healthcare providers (HCPs), who play a central role in healthcare delivery. This study explored perspectives of HCPs working in urban Aboriginal and Torres Strait Islander Community-Controlled Health Organisations (ATSICCHOs) on the factors that facilitate Aboriginal and Torres Strait young people accessing and utilising PHC services.

methodsThirteen research yarns were conducted with HCPs in urban southeast Queensland (SEQ), Australia. Inductive thematic analysis was used to identify factors facilitating health care access and utilisation and were mapped to a social-ecological framework model.

resultsThree overarching strength-based themes that facilitate access to health care were common across research yarns: (1) The ATSICCHO model of care addresses the needs of Aboriginal and Torres Strait Islander young people; (2) Family and community play a key role in facilitating Aboriginal and Torres Strait Islander young people's access to healthcare services; and (3) The characteristics of Aboriginal and Torres Strait Islander young people that support health-seeking behaviour. Specific factors identified included targeted programs and initiatives specifically for Aboriginal and Torres Strait Islander young people; equitable access to holistic, comprehensive and culturally safe PHC; characteristics and skills of the ATSICCHO workforce that support young people's engagement and access; and young people's motivation to be healthy and to seek care. Barriers contrasting these themes were also identified.

conclusionHCPs from urban ATSICCHOs provide a unique perspective on the healthcare experience of Aboriginal and Torres Strait Islander young people and the factors that facilitate and/or challenge their access to PHC services. Improving PHC access among Aboriginal and Torres Strait Islander young people should focus on multilevel strategies across all three levels of the social-ecological model, with a particular focus on increasing opportunities for equitable access to PHC services for young people, enhancing target programs and initiatives for young people, and supporting the knowledge, skills and capacity of HCPs to delivery appropriate, culturally safe and holistic care.

Indexed as

Attitude of Health PersonnelHealth PersonnelHealth Services AccessibilityHealth Services, IndigenousPrimary Health CareAdolescentAustralian Aboriginal and Torres Strait Islander PeoplesFemaleHumansMaleQualitative ResearchQueenslandYoung AdultAboriginal and Torres Strait IslanderAdolescentsAustraliaEnablersHealthcare providersIndigenousPrimary carePrimary healthcareYoung people

Identifiers

PMID40830438
PMCPMC12362961

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.