Strengths, challenges, and gaps in linkage to primary care among hospitalized individuals who are homeless in Vancouver, British Columbia
Bibliographic Data
| ID | 20408736 |
|---|---|
| Authors | Alec C M Yu (0000-0002-6384-6826, University of British Columbia, corresponding author), Anne Gadermann (0000-0001-6947-1052, University of British Columbia), Anita Palepu (0000-0002-7881-4800, University of British Columbia) |
| Year | 2020 |
| Volume | 29 |
| Issue | 2 |
| Pages | 84-94 |
| Publication date | 2020-07-02 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Social Distress and the Homeless (JOURNAL) |
| Journal identifiers | ISSN: 1053-0789 • E-ISSN: 1573-658X |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10530789.2019.1648730 |
| OpenAlex | W2966637960 |
| Language | EN |
| Citations received | 1 |
| References cited | 34 |
Individuals who are homeless in the Canadian city of Vancouver, British Columbia have an increasing burden of chronic medical conditions, resulting in rising use of hospital services. Although continued efforts have been made to improve accessibility, barriers to primary care linkage and utilization still exist. Our study explored the strengths, barriers, and gaps in how inpatients who are homeless are connected to primary care through semi-structured qualitative interviews with patients (n = 22) and healthcare providers (n = 7) with experience in caring for patients who are homeless. Patients identified cell phone ownership and use of commitment devices as strengths, while clinics with long wait times, or those proximal to areas of prevalent drug use, were seen as barriers. Providers perceived that low priority was given to primary care linkage within hospitals, and that early and bidirectional communication with hospital staff is vital, particularly around discharge planning. Patients and providers then identified major gaps in service, which included a need for peer health navigation, technology-assisted outreach, and improved service distribution
Business · Emergency department · Family medicine · Medical emergency · Outreach · Phone · Political science · Primary care · Service provider · Emergency and Acute Care Studies · Food Security and Health in Diverse Populations · Homelessness and Social Issues · Medicine · Nursing
The health of homeless people in high-income countries
Mortality Among Unsheltered Homeless Adults in Boston, Massachusetts, 2000-2009
Effect of a Housing and Case Management Program on Emergency Department Visits and Hospitalizations Among Chronically Ill Homeless Adults
Observations from the field
No digital divide? Technology use among homeless adults
Exploring levers and barriers to accessing primary care for marginalised groups and identifying their priorities for primary care provision
Promoting continuity of care for homeless adults with unmet health needs
Retaining Homeless Veterans in Outpatient Care
Applying the Chronic Care Model to Homeless Veterans
Using Electronic Health Records to Enhance a Peer Health Navigator Intervention
A Phenomenological Research Design Illustrated
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,33 |
| Citation span | 2023 - 2023 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |