Table · dataset · 2026
Systemic alienation, equity and justice bottlenecks: a causal loop analysis of marginalisation in public service operations
Listed in figshare
<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>
Links
Where it is published
- DOI doi.org/10.6084/m9.figshare.33954534.v1 ↗
DOI / persistent id · from figshare com
Catalogue records · 1
- OAI-PMH record api.figshare.com/v2/oai?verb=GetRecord&metadataPrefix=oai_dc&identifier=oai%3Af… ↗
metadata API · from figshare com
Topics
Provenance · 1 source records, 17 field assertions
| Source | Key | Last seen | Raw |
|---|---|---|---|
| figshare | oai:figshare.com:article/33954534 | 9 d ago | JSON v1 |
| Field | Assertion | Extractor | Evidence |
|---|---|---|---|
| access_level | source · figshare com | connector:figshare_com@1.0.0 | |
| concepts[field].anzsrc:field:440710 | mapping · figshare com | vocabulary-mapper@1.0.0 | keywords['Science Policy'] |
| concepts[field].local:field:astronomy | mapping · figshare com | connector:figshare_com@1.0.0 | |
| concepts[field].local:field:chemistry | mapping · figshare com | connector:figshare_com@1.0.0 | |
| concepts[field].local:field:computer-science-ai | mapping · figshare com | connector:figshare_com@1.0.0 | |
| concepts[field].local:field:earth-environmental | mapping · figshare com | connector:figshare_com@1.0.0 | |
| concepts[field].local:field:economics-finance | mapping · figshare com | connector:figshare_com@1.0.0 | |
| concepts[field].local:field:engineering | mapping · figshare com | connector:figshare_com@1.0.0 | |
| concepts[field].local:field:humanities | mapping · figshare com | connector:figshare_com@1.0.0 | |
| concepts[field].local:field:life-sciences | mapping · figshare com | connector:figshare_com@1.0.0 | |
| concepts[field].local:field:medicine-health | mapping · figshare com | connector:figshare_com@1.0.0 | |
| concepts[field].local:field:ocean-atmospheric | mapping · figshare com | connector:figshare_com@1.0.0 | |
| concepts[field].local:field:social-science | mapping · figshare com | connector:figshare_com@1.0.0 | |
| description | source · figshare com | connector:figshare_com@1.0.0 | /metadata/dc/description |
| license | source · figshare com | connector:figshare_com@1.0.0 | /metadata/dc/rights |
| publication_date | source · figshare com | connector:figshare_com@1.0.0 | |
| title | source · figshare com | connector:figshare_com@1.0.0 | /metadata/dc/title |