STIG_05LeadingAddressing Stigma and Discrimination
Proactively Identify and Address Candidacy Barriers
Summary
Review practice systems to ensure that all patients feel entitled to and welcomed in primary care.
Supporting information
Candidacy' describes how patients judge themselves as legitimate users of healthcare. Marginalised groups often feel undeserving or unwelcome due to past experiences and systemic barriers. Proactive efforts promote inclusion.
Approaches to implementation:
- Map the patient journey and practice environment, identifying potential candidacy barriers
- Consult marginalised patients about when they feel unwelcome
- Review language in all communications for inclusivity
- Train staff to actively welcome and affirm all patients
- Create visible signs of inclusion throughout practice
- Address specific barriers for stigmatised groups
- Monitor missingness patterns as indicator of candidacy issues
- Share learning about promoting candidacy
Key benefits: Transforms practice culture to actively include those who feel least deserving of care, addressing a fundamental driver of health inequalities.