Table 4 Workshop policy recommendations

Theme 1: Technology solutions

Streamlined portal: promotion through social media marketing, helping young people navigate efficiently and effectively, combining all websites and general health information

10

Apps to locate general practitioners and allied health professionals via postcode that filter by cost, hours, rating, bulk billing, LGBTQI-friendly, map and travel info

9

Optimize traffic to government websites through marketing e.g. paid media on Facebook and Google search

8

Health online pathways (primary care networks): flowchart/platform-specialized advice for this group, local/referral pathways, promotion with youth workers and practices, consumer flowchart for the young person

8

Broadening access to general practitioners: via technology e.g. YouTube education videos, common consultation, app chat

5

Online directory of services for young people including key information (e.g. bulk billing) and youth ratings

5

Infrastructures: access, quality, cost with cross-sector partnerships e.g. telcos

4

Cultural change through (1) empowerment of young people through access to information and education, (2) youth-friendly services: campaigns (stickers), websites (cost, hours of transport, bulk billing, minimum standards, service mapping), and (3) government valuing youth health, funding, equity in access to services across state

4

Theme 2: Integrated care and investment to improve capacity

Establish youth medical assessment team (in local health districts) that parallels geriatric services: nurse practitioner tasked with navigation, salaried medical officer

14

Shared care model: Headspace-accredited youth-friendly general practitioners, percolative health systems

10

Emergency department: 24/7 targeted structures that link back to youth medical assessment team

5

Integrated care: primary healthcare, general practice and hospital sectors “primary healthcare team”, pool funding, commit to the time to do this

4

Capacity: service- and systems-level investment to deliver better and integrated services

3

Cross-sectoral work: training, planning, internal and external to health

3

Theme 3: Medicare structures

15+ youth check: incentive for general practitioners and young people, digital pre-screen (red flags), long consultation item navigation universal access funnel, low need, high need, very high need

15

Change in Medicare model: item number for youth health assessment, youth-accredited general practitioners

14

Medicare item numbers for youth health: making the case for appropriately funding youth-integrated services, young people learning how to navigate health

9

Theme 4: Workforce capacity-building

Trained youth worker: advocacy, facilitator, navigating, training and education to practices and professionals

17

Build capacity of youth workforce (health, Aboriginal medical service, justice, education) to embed health literacy in core business

7

Ongoing professional development for all health providers: youth-friendly services training, especially for marginalized young people (multiple prejudices), current, up-to-date to our climate

4

Training, education and resources with continuing professional development points for health professionals (including cultural and gender sensitivity) and key references like youth services and schools to promote engagement at first contact with health services

4

Capabilities: knowledge and skills for young people, professionals, parents, educators and policy-makers

3

Theme 5: Youth participation

Young people at the heart of decision-making—“Nothing for us without us”

17

User-centred approach to research, design, implementation and evaluation (youth participation and professionals)

4

Theme 6: Quality systems

Best-practice youth health indicators included in standard accreditation systems e.g. general practice/primary care accreditation, public health system accreditation

15