The perceptions of homeless people regarding their healthcare needs and experiences of receiving health care
The perceptions of homeless people regarding their healthcare needs and experiences of receiving health care
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DOI：
10.1111/jan.12675
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发表时间：
2015-09-01
影响因子：
3.8
通讯作者：
Rees, Sharon
中科院分区：
文献类型：
--
作者：
Rae, Bernadette Emma;Rees, Sharon
目标。了解无家可归者对他们的医疗保健遭遇的看法，以及他们接受医疗保健的经历如何影响他们的健康寻求行为。由于联合王国无家可归者人数不断增加，因此进行了一项现象学研究。目前的大多数文学作品都是美国或美国的设计。一个解释现象学的调查。从一个男性宿舍和一个非住宅日间中心招募了14个单身无家可归的成年人的机会主义样本。数据收集工作于2013年完成。半结构化的录音访谈是一对一进行的。使用Colaizzi的数据分析方法。确定了三个主要主题。表达的健康需求，医疗保健经验和对医疗保健的态度。无家可归者认识到健康问题，但干预的必要性并不总是优先考虑的。在联合王国，获得保健服务的障碍既有感觉上的障碍（对无家可归者的态度;以前的不良经历），也有实际的障碍（难以向全科医生登记，难以前往服务机构，被迫搬到新的地区）。一些无家可归的人感到他们受到偏见对待，得到不合格的照顾。积极的医疗保健经验也被证实。积极和消极的医疗保健遭遇会深刻影响无家可归者。建议：解决照料明显不一致的问题;促进更多的跨学科交流，并将监狱和医院的无家可归者转介到无家可归者服务机构;增加中间服务的提供;减少无家可归者迁移地区的义务;研究无家可归者家庭的经验。
Aims. To understand the perspective of the homeless about their healthcare encounters and how their experiences of receiving healthcare influence their health-seeking behaviour.Background. A phenomenological study was undertaken because of the increasing levels of homelessness in the United Kingdom. Most of the current literature is American or Canadian.Design. An interpretive phenomenological inquiry.Method. An opportunistic sample of fourteen single homeless adults was recruited from one male hostel and one non-residential day centre. Data collection was done in 2013. Semi-structured audio-recorded interviews were conducted one-to-one. Colaizzi's method for data analysis was used.Findings. Three major themes were identified. Expressed Health Need, Healthcare Experiences and Attitudes to health care. Health problems are recognized by the homeless but the need for intervention is not always prioritised. Obstacles in access to health care in the UK are both perceived (attitudes towards the homeless; previous bad experience) and actual (difficulty in registering with a general practitioner, difficulty travelling to services, being forced to move to new area). Some homeless people feel that they are treated with prejudice and receive substandard care. Positive healthcare experiences were also reported.Conclusions. Positive and negative healthcare encounters can profoundly affect the homeless. Recommendations: Address apparent inconsistency of care; promote greater interdisciplinary communication and referrals to homeless services from prisons and hospitals; increase the availability of intermediate services; reduce obligation of homeless to move area; research experiences of homeless families.