Youth-friendly primary-care services: how are we doing and what more needs to be done?
Abstract
For developmental as well as epidemiological reasons, young people need youth-friendly models of primary care. Over the past two decades, much has been written about barriers faced by young people in accessing health care. Worldwide, initiatives are emerging that attempt to remove these barriers and help reach young people with the health services they need. In this paper, we present key models of youth-friendly health provision and review the evidence for the effect of such models on young people's health. Unfortunately, little evidence is available, since many of these initiatives have not been appropriately assessed. Appropriate controlled assessments of the effect of youth-friendly health-service models on young people's health outcomes should be the focus of future research agendas. Enough is known to recommend that a priority for the future is to ensure that each country, state, and locality has a policy and support to encourage provision of innovative and well assessed youth-friendly services.
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Existing face-to-face services pose significant barriers for young people largely due to access, availability, and high costs, as well as reluctance due to stigma and embarrassment.
“In addition, existing face-to-face services pose significant barriers for young people [10-16] largely due to access, availability, and high costs of these services [17], as well as the reluctance of young people to seek professional help due to stigma and embarrassment [18-20].”
From Do online mental health services improve help-seeking for young people? A systematic review (2014) · cites this paper as [10]
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- Authors
- Tylee, A., Haller, D. M., Graham, T., Churchill, R., & Sanci, L. A.
- Affiliations
- University Hospital of Geneva (CH)
- King's College London (GB)
- The University of Melbourne (AU)
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2007-05
- Volume
- 369
- Issue
- 9572
- Pages
- 1565-1573
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2162511897
- Cited by
- 622
- References
- 77
- Citations by year
- 2026: 15 · 2025: 19 · 2024: 22 · 2023: 24 · 2022: 30 · 2021: 39 · 2020: 43 · 2019: 38 · 2018: 27 · 2017: 61 · 2016: 49 · 2015: 49 · 2014: 35 · 2013: 43 · 2012: 51
- FWCI
- 4.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Keywords
- youth-friendly health services, primary care, youth, barriers to health care access, health care models, health outcomes, health policy, research gaps
- MeSH terms
- Adolescent, Psychology, Adolescent, Adult, Child, Female, Humans, Male, Primary Health Care, Health Behavior, Adolescent Health Services
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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