The primary health care service experiences and needs of homeless youth: A narrative synthesis of current evidence
The primary health care service experiences and needs of homeless youth: A narrative synthesis of current evidence
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DOI：
10.5172/conu.2013.44.1.62
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发表时间：
2013-04-01
影响因子：
1.6
通讯作者：
Jackson, Debra
中科院分区：
文献类型：
--
作者：
Dawson, Angela;Jackson, Debra
无家可归的青少年是一个不断增长的弱势群体，具有特定的初级卫生保健 (PHC) 需求。目前还没有系统性的证据审查来指导初级卫生保健干预措施的实施，以最好地满足澳大利亚无家可归青年的需求。我们提出了同行评审研究的叙述性综合，旨在确定：(1) 初级卫生保健为无家可归的青少年提供服务； (2) 服务体验、报告结果和使用障碍； (3) 无家可归青少年的初级卫生保健服务需求。调查结果显示，无家可归的青少年可以获得各种服务和提供方式。初级卫生保健的使用增加与认识到自己需要帮助的年轻人有关。街道诊所的相关服务、治疗和病例管理以及改善的住房可以对心理健康和药物使用结果产生积极影响。服务使用的障碍包括知识；提供者的态度、财务限制和不适当的环境。研究结果支持有针对性、协调一致的初级卫生保健和住房服务网络，其中护士与社区工作人员一起工作。
Homeless youth are a growing, vulnerable population with specific primary health care (PHC) requirements. There are no systematic reviews of evidence to guide the delivery of PHC interventions to best address the needs of homeless youth in Australia. We present a narrative synthesis of peer reviewed research designed to determine: (1) the PHC services homeless youth access; (2) experiences of services, reported outcomes and barriers to use; and, (3) the PHC service needs of homeless youth. Findings show that homeless youth access a variety of services and delivery approaches. Increased PHC use is associated with youth who recognise they need help. Street-based clinic linked services and therapy and case management alongside improved housing can positively impact upon mental health and substance use outcomes. Barriers to service use include knowledge; provider attitudes, financial constraints and inappropriate environments. Findings support targetted, co-ordinated networks of PHC and housing services with nurses working alongside community workers.