Strengths, challenges, and gaps in linkage to primary care among hospitalized individuals who are homeless in Vancouver, British Columbia

Datos Bibliográficos

ID20408736
AutoresAlec C M Yu (0000-0002-6384-6826, University of British Columbia, autor de correspondencia), Anne Gadermann (0000-0001-6947-1052, University of British Columbia), Anita Palepu (0000-0002-7881-4800, University of British Columbia)
Año2020
Volumen29
Número2
Páginas84-94
Fecha de publicación2020-07-02
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaJournal of Social Distress and the Homeless (JOURNAL)
Identificadores de la revistaISSN: 1053-0789 • E-ISSN: 1573-658X
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10530789.2019.1648730
OpenAlexW2966637960
IdiomaEN
Citas recibidas1
Referencias citadas34

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