# name
Novel health systems service design checklist to improve
                healthcare access for marginalised, underserved communities in
                Europe.

# metadata.dc.description.abstract[].value
BACKGROUND content: Marginalised communities such as homeless people, people who use drugs (PWUD), lesbian, gay, bisexual, transgender and intersex people (LGBTI), prisoners, sex workers and undocumented migrants are at high risk of poor health and yet face substantial barriers in accessing health and support services. The Nobody Left Outside (NLO) Service Design Checklist aims to promote a collaborative, evidence-based approach to service design and monitoring based on equity, non-discrimination and community               engagement. METHODS content: The Checklist was a collaborative project involving nine community advocacy organisations, with a focus on homeless people, PWUD, LGBTI people, prisoners, sex workers, and undocumented migrants. The Checklist was devised via a literature review; two NLO platform meetings; a multistakeholder policy workshop and an associated published concept paper; two conference                presentations; and stakeholder consultation via a European              Commission-led Thematic Network (including webinar). RESULTS content: "The NLO Checklist has six sections in line with the WHO Health Systems Framework. These are: (1) service delivery, comprising design stage (6 items), services provided (2 items), accessibility and adaptation (16 items), peer support (2 items); (2) health workforce (12 items); (3) health information systems (7 items); (4) medical products                and technologies (1 item); (5) financing (3 items); and (6)                leadership and governance (7 items). It promotes the             implementation of integrated (colocated or linked) healthcare                services that are community based and people centred. These                should provide a continuum of needs-based health promotion,                disease prevention, diagnosis, treatment and management,                together with housing, legal and social support services, in                alignment with the goals of universal health coverage and the                WHO frameworks on integrated, people-centred healthcare."CONCLUSIONS content: The Checklist is offered as a practical tool to help overcome inequalities in access to health and support services. Policymakers, public health bodies, healthcare authorities, practitioner bodies, peer support workers and non-governmental  organisations can use it when developing, updating or monitoring services for target groups. It may also assist civil society in                wider advocacy efforts to improve access for underserved                communities.

# metadata.dc.relation.isformatof[].value
Reproducció del document publicat a: http://dx.doi.org/
                10.1136/bmjopen-2019-035621

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
Novel health systems service design checklist to improve
                healthcare access for marginalised, underserved communities in
                Europe.