Co-production of a research and advocacy agenda for Inclusion Health

作者: Alistair Story , Andrew Hayward , Serena Luchenski , Chantal Edge , Niccola Hutchinson-Pascal

DOI: 10.1016/S0140-6736(19)32865-X

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摘要: Abstract Background Inclusion Health aims to address and prevent the health harms of extreme inequity faced by excluded groups, including those affected homelessness, drug addiction, imprisonment, sex work. Engagement workshops with these groups have shown discordance between published research what they think is important. We aimed involve wider service, policy, charity, academic community who work them co-develop advocacy priorities. Methods Using a co-production approach, we held 1-day event in London, UK, that involved inclusive, participatory, consensus-building activities. facilitated on preventing exclusion, improving services for escaping exclusion. recorded participants’ views as observations, field notes, ranked-lists problems suggested solutions. Professional artists captured frustrations hopes future drawing visual representation. conducted rapid thematic analysis discussions day triangulated sources information develop Findings Approximately 100 people attended, at least 20 experience The other participants represented National Service, various charity organisations, national, regional, local government representatives, several institutions. Emerging priorities included following: tackling upstream causes exclusion (political determinants, poverty, traumatic childhoods); addressing public professional ignorance, indifference, stigma creating inclusion-focused messages; making more accessible integrated through infrastructure (eg, national registries services); putting heart research, service development, decision making, development training recruitment co-design; better routes out Interpretation Despite challenges finding common language, effectively developed an agenda aligned perceived needs them. Funding agencies should deliver this improve lives University College London Grand Challenges.

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