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Table · dataset · 2026

Systemic alienation, equity and justice bottlenecks: a causal loop analysis of marginalisation in public service operations

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<p>Public healthcare providers routinely fail racialised and minoritised populations, producing not only systemic alienation, but also inequitable and unjust service operations outcomes.

Description

Framed as a management challenge with mapped interactions in Scotland, we identify a dominant vicious cycle in which insufficient professional cultural competence degrades the service ecosystem, eroding equitable access and creating systemic bottlenecks.

Two further reinforcing loops deter service use: <i>Data Fear</i>, driven by surveillance anxiety, and <i>Community Stigma</i>, rooted in reputational harm. Both function as demand-suppression mechanisms, separating need from observed use in ways conventional capacity planning cannot detect. To disrupt these three interlocking cycles, we propose a phased implementation strategy anchored by a community-led <i>Software-as-a-Service</i> reverse-training artefact embedding continuous professional development.

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Equity and justice should be treated as measurable dimensions of service quality, on a par with reliability and responsiveness, rather than peripheral ethical concerns.</p>

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Provenance · 1 source records, 17 field assertions
SourceKeyLast seenRaw
figshareoai:figshare.com:article/339545349 d agoJSON v1
FieldAssertionExtractorEvidence
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concepts[field].local:field:social-sciencemapping · figshare comconnector:figshare_com@1.0.0
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