“There is people like us and there is people like them, and we are not like them.” Understating social exclusion – a qualitative study

Social exclusion is a complex concept that is relevant in terms of the health of vulnerable groups. Attempts have been made in the past to measure it, both at the population and the individual level. The aim of this research was to engage with a broad range of relevant stakeholders in Ireland in ord...

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Autores principales: O’Donnell, Patrick, Moran, Lisa, Geelen, Stefan, O’Donovan, Diarmuid, van den Muijsenbergh, Maria, Elmusharaf, Khalifa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8219157/
https://www.ncbi.nlm.nih.gov/pubmed/34157040
http://dx.doi.org/10.1371/journal.pone.0253575
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author O’Donnell, Patrick
Moran, Lisa
Geelen, Stefan
O’Donovan, Diarmuid
van den Muijsenbergh, Maria
Elmusharaf, Khalifa
author_facet O’Donnell, Patrick
Moran, Lisa
Geelen, Stefan
O’Donovan, Diarmuid
van den Muijsenbergh, Maria
Elmusharaf, Khalifa
author_sort O’Donnell, Patrick
collection PubMed
description Social exclusion is a complex concept that is relevant in terms of the health of vulnerable groups. Attempts have been made in the past to measure it, both at the population and the individual level. The aim of this research was to engage with a broad range of relevant stakeholders in Ireland in order to learn how they defined and conceptualised social exclusion. Semi-structured interviews were carried out with 24 participants selected using maximum variation sampling. One quarter of the interviewees were experts by experience. Participants included academic experts, the heads of organisations working nationally with socially excluded groups, politicians, clinicians, support workers and health service managers all with experience of working with socially excluded groups. The resulting definition of social exclusion was “the experience of lack of opportunity, or the inability to make use of available opportunities, thereby preventing full participation in society.” From this, we developed a new model of the concept comprising three elements; Opportunities, Influencing factors and Social outcomes. Opportunities are the fundamental needs that are required to be met for a person to begin leaving social exclusion. Influencing factors are a mixture of the personal characteristics and more complex problems such as the intergenerational effects of disadvantage. Social outcomes include a person being accepted by wider society, and subsequently being able to participate. The conceptual framework we developed can contribute to a better understanding of the concept of social exclusion. The traditional policy focus on improving the needs of excluded people at the Opportunities level must continue, but must be complemented by tackling the problems at the levels of the Influencing factors and Social outcomes also. In terms of changes to practice, the measurement of the social exclusion status of people engaging with primary care and other services would be an important start in order to better understand the magnitude of the work required.
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spelling pubmed-82191572021-07-07 “There is people like us and there is people like them, and we are not like them.” Understating social exclusion – a qualitative study O’Donnell, Patrick Moran, Lisa Geelen, Stefan O’Donovan, Diarmuid van den Muijsenbergh, Maria Elmusharaf, Khalifa PLoS One Research Article Social exclusion is a complex concept that is relevant in terms of the health of vulnerable groups. Attempts have been made in the past to measure it, both at the population and the individual level. The aim of this research was to engage with a broad range of relevant stakeholders in Ireland in order to learn how they defined and conceptualised social exclusion. Semi-structured interviews were carried out with 24 participants selected using maximum variation sampling. One quarter of the interviewees were experts by experience. Participants included academic experts, the heads of organisations working nationally with socially excluded groups, politicians, clinicians, support workers and health service managers all with experience of working with socially excluded groups. The resulting definition of social exclusion was “the experience of lack of opportunity, or the inability to make use of available opportunities, thereby preventing full participation in society.” From this, we developed a new model of the concept comprising three elements; Opportunities, Influencing factors and Social outcomes. Opportunities are the fundamental needs that are required to be met for a person to begin leaving social exclusion. Influencing factors are a mixture of the personal characteristics and more complex problems such as the intergenerational effects of disadvantage. Social outcomes include a person being accepted by wider society, and subsequently being able to participate. The conceptual framework we developed can contribute to a better understanding of the concept of social exclusion. The traditional policy focus on improving the needs of excluded people at the Opportunities level must continue, but must be complemented by tackling the problems at the levels of the Influencing factors and Social outcomes also. In terms of changes to practice, the measurement of the social exclusion status of people engaging with primary care and other services would be an important start in order to better understand the magnitude of the work required. Public Library of Science 2021-06-22 /pmc/articles/PMC8219157/ /pubmed/34157040 http://dx.doi.org/10.1371/journal.pone.0253575 Text en © 2021 O’Donnell et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
O’Donnell, Patrick
Moran, Lisa
Geelen, Stefan
O’Donovan, Diarmuid
van den Muijsenbergh, Maria
Elmusharaf, Khalifa
“There is people like us and there is people like them, and we are not like them.” Understating social exclusion – a qualitative study
title “There is people like us and there is people like them, and we are not like them.” Understating social exclusion – a qualitative study
title_full “There is people like us and there is people like them, and we are not like them.” Understating social exclusion – a qualitative study
title_fullStr “There is people like us and there is people like them, and we are not like them.” Understating social exclusion – a qualitative study
title_full_unstemmed “There is people like us and there is people like them, and we are not like them.” Understating social exclusion – a qualitative study
title_short “There is people like us and there is people like them, and we are not like them.” Understating social exclusion – a qualitative study
title_sort “there is people like us and there is people like them, and we are not like them.” understating social exclusion – a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8219157/
https://www.ncbi.nlm.nih.gov/pubmed/34157040
http://dx.doi.org/10.1371/journal.pone.0253575
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