Increasing Access-A Qualitative Study of Homelessness and Palliative Care in a Major Urban Center
Increasing Access-A Qualitative Study of Homelessness and Palliative Care in a Major Urban Center
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DOI：
10.1177/1049909112448925
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发表时间：
2013-05-01
影响因子：
1.9
通讯作者：
Knowles, Holly
中科院分区：
文献类型：
--
作者：
Krakowsky, Yonah;Gofine, Mirriam;Knowles, Holly
无家可归者的发病率和死亡率要高得多。无家可归者在接受适当的姑息治疗方面遇到许多障碍。这项定性研究探讨了如何改善一个主要城市的姑息治疗资源，以增加获得和更好地为无家可归者服务。录音采访进行了7无家可归的照顾者在多伦多，加拿大，他们的成绩单进行了分析，使用主题分析。研究结果表明，为了增加获得和更好地服务城市的绝症无家可归者，必须解决以下4个方面：（1）增加医疗保健系统和无家可归者之间的积极互动，（2）培训工作人员处理无家可归者面临的独特问题，（3）提供以病人为中心的护理，（4）多样化的交付方法。
Rates of morbidity and mortality are significantly higher in homeless populations. Homeless people experience many barriers to receive adequate palliative care. This qualitative study examines how a major urban city's palliative care resources can be improved to increase access and better serve the homeless. Audiotaped interviews were preformed with 7 homeless care providers in Toronto, Canada, and their transcripts were analyzed using thematic analysis. The findings of the study suggest that in order to increase access and to serve the city's terminally ill homeless better, the following 4 areas must be addressed: (1) increasing positive interaction between the health care system and the homeless, (2) training staff to deal with the unique issues confronting the homeless, (3) providing patient-centered care, and (4) diversifying the methods of delivery.