L2 Concerns Detail Editor
Concern #410 | Erosion of Trust and Avoidance of the Health System
Title
Erosion of Trust and Avoidance of the Health System
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Description
Because of repeated experiences and widely publicised scandals, many Black and poor communities see healthcare – especially hospital maternity care – as dangerous; people delay or avoid seeking help, only attending in extremis, which increases severity, cost and mortality.
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Origin
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Desired Outcome
Communities experience healthcare as safe, respectful and responsive, so they seek care early and appropriately, with strong relationships between local providers and residents.
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What Could Go Wrong
The cycle of ‘we only go to hospital when we’re dying’ continues; misinformation and conspiracy narratives fill the trust vacuum; professionals feel attacked and emotionally withdraw, further lowering care quality.
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Current Situation
Surveys and qualitative reports show many Black women and people of colour fear maternity and hospital care; historical abuses and contemporary disparities reinforce those fears; some avoid care unless absolutely necessary.
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Strategy Narrative (JSON)
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Proposed Strategy
Use PHC to identify and showcase positive as well as negative cases, building examples of good care; co-design community liaison and doula or community-midwife schemes; ensure rapid, visible follow-up, apology and learning when harm occurs instead of institutional defensiveness.
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Action Strategy (JSON List)
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Cause
Longstanding patterns of discrimination, neglect and harm, lack of accountability, poor communication and structural poverty that make any interaction with the system risky and costly.
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Event
A person from a marginalised community hears and experiences repeated cases where people like them are dismissed or harmed, and decides to avoid healthcare unless absolutely forced to use it.
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Consequence
Late diagnosis, more emergencies, higher-cost care, worse outcomes and a growing belief that healthcare is for others, not for people like them.
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Notes
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