Exploring the experiences of changes to support access to primary health care services and the impact on the quality and safety of care for homeless people during the COVID-19 pandemic: a study protocol for a qualitative mixed methods approach.
Exploring the experiences of changes to support access to primary health care services and the impact on the quality and safety of care for homeless people during the COVID-19 pandemic: a study protocol for a qualitative mixed methods approach.
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DOI：
10.1186/s12939-020-01364-4
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发表时间：
2021-01-10
影响因子：
4.8
通讯作者：
Sanders C
中科院分区：
文献类型：
--
作者：
Howells K;Burrows M;Amp M;Brennan R;Yeung WL;Jackson S;Dickinson J;Draper J;Campbell S;Ashcroft D;Blakeman T;Sanders C
尽管无家可归者对保健的需求很高，但难以获得保健服务是一个主要问题。这有时是由于组织和官僚障碍造成的，但也因为他们在寻求医疗保健时经常感到受到侮辱和虐待。2019冠状病毒病大流行和所需的社会距离措施给初级保健的组织造成了前所未有的破坏和变化，特别是对无家可归的人。在此背景下，关于最近在COVID-19背景下向无家可归者提供服务所需的变化是否有助于解决或加剧获得护理和健康结果不平等方面的问题，还有许多问题需要解决。将采用行动主导和参与性研究方法来解决研究目标。与无家可归者的访谈将由一位有过无家可归经历的研究人员进行。有生活经验的研究人员能够以一种同理心、非评判的方式与弱势群体接触，因为他们分享的经验促进了信任感和正直感，这反过来又鼓励了研究的参与，并可能帮助人们更公开地谈论他们的经历。还将探讨卫生专业人员和利益攸关方在大流行期间为无家可归者提供和促进护理的经验。重要的是要探讨最近为应对COVID-19大流行而对初级保健提供的改变是否会损害无家可归者的安全，并加剧卫生不平等。这可能对如何向无家可归者提供初级保健产生影响，不仅在大流行期间，而且在未来。
Despite high level of health care need amongst people experiencing homelessness, poor access is a major concern. This is sometimes due to organisational and bureaucratic barriers, but also because they often feel stigmatised and treated badly when they do seek health care. The COVID-19 pandemic and the required social distancing measures have caused unprecedented disruption and change for the organisation of primary care, particularly for people experiencing homelessness. Against this backdrop there are many questions to address regarding whether the recent changes required to deliver services to people experiencing homelessness in the context of COVID-19 will help to address or compound problems in accessing care and inequalities in health outcomes. An action led and participatory research methodology will be employed to address the study objectives. Interviews with people experiencing homelessness were will be conducted by a researcher with lived experience of homelessness. Researchers with lived experience are able to engage with vulnerable communities in an empathetic, non-judgemental way as their shared experience promotes a sense of trust and integrity, which in turn encourages participation in research and may help people speak more openly about their experience. The experiences of health professionals and stakeholders delivering and facilitating care for people experiencing homelessness during the pandemic will also be explored. It is important to explore whether recent changes to the delivery of primary care in response to the COVID-19 pandemic compromise the safety of people experiencing homelessness and exacerbate health inequalities. This could have implications for how primary healthcare is delivered to those experiencing homelessness not only for the duration of the pandemic but in the future.
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影响因子：
5.4
作者：
May, C;Gask, L;Esmail, A
通讯作者：
Esmail, A
影响因子：
6.1
作者：
DeJonckheere, Melissa;Vaughn, Lisa M.
通讯作者：
Vaughn, Lisa M.
影响因子：
2.9
作者：
Kang M;Robards F;Sanci L;Steinbeck K;Jan S;Hawke C;Kong M;Usherwood T
通讯作者：
Usherwood T
影响因子：
4
作者：
Gale NK;Heath G;Cameron E;Rashid S;Redwood S
通讯作者：
Redwood S
影响因子：
2.4
作者：
Beresford, Peter
通讯作者：
Beresford, Peter