无家可归青少年的寻医挑战。
Health-seeking challenges among homeless youth.
机构信息
School of Nursing, University of California, Los Angeles, USA.
出版信息
Nurs Res. 2010 May-Jun;59(3):212-8. doi: 10.1097/NNR.0b013e3181d1a8a9.
BACKGROUND
Approximately 1.5 to 2 million homeless young persons live on the streets in the United States. With the current economic situation, research is needed on quality of services geared toward homeless young adults.
OBJECTIVES
The objective of this study was to explore homeless young adults' perspectives on barriers and facilitators of health-care-seeking behavior and their perspectives on improving existing programs for homeless persons.
METHODS
This article is a descriptive qualitative study using focus groups, with a purposeful sample of 24 homeless drug-using young adults.
RESULTS
Identified themes were failing access to care based on perceived structural barriers (limited clinic sites, limited hours of operation, priority health conditions, and long wait times) and social barriers (perception of discrimination by uncaring professionals, law enforcement, and society in general).
DISCUSSION
Results provide insight into programmatic and agency resources that facilitate health-seeking behaviors among homeless young adults and include implications for more research with providers of homeless health and social services.
背景
在美国，大约有 150 万至 200 万无家可归的年轻人流落街头。鉴于当前的经济形势，需要对面向无家可归的年轻成年人的服务质量进行研究。
目的
本研究的目的是探讨无家可归的年轻成年人对寻求医疗服务行为的障碍和促进因素的看法，以及他们对改善现有的无家可归者计划的看法。
方法
这是一项描述性的定性研究，采用焦点小组，目的是对 24 名无家可归的吸毒年轻成年人进行有针对性的抽样。
结果
确定的主题是由于感知到的结构性障碍（诊所地点有限、营业时间有限、优先健康状况和长时间等待）和社会障碍（专业人员、执法人员和整个社会普遍的冷漠态度导致的歧视感）而导致的无法获得医疗服务。
讨论
研究结果深入了解了促进无家可归的年轻成年人寻求医疗服务行为的计划和机构资源，并为无家可归的健康和社会服务提供者提供了更多的研究启示。
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