Moore Gaye, Manias Elizabeth, Gerdtz Marie Frances
Melbourne School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton, VIC 3010, Australia.
Aust Health Rev. 2011 Nov;35(4):480-5. doi: 10.1071/AH10967.
Homeless people face many challenges in accessing and utilising health services to obtain psychosocial supports offered in hospital and community settings. The complex nature of health issues is compounded by lack of accessibility to services and lack of appropriate and safe housing.
To examine the perceptions and experiences of homeless people in relation to their health service needs as well as those of service providers involved with their care.
A purposive sampling approach was undertaken with a thematic framework analysis of semi-structured interviews. Participants. Interviews were undertaken with 20 homeless people who accessed the emergency department in an acute hospital in Melbourne, Australia and 27 service providers involved in hospital and community care.
Six key themes were identified from interviews: complexity of care needs, respect for homeless people and co-workers, engagement as a key strategy in continued care, lack of after-hour services, lack of appropriate accommodation and complexity of services.
Findings revealed the complex and diverse nature of health concerns in homeless people. The demand on hospital services continues to increase and unless government policies take into consideration the psychosocial demands of the communities most vulnerable people efforts to divert hospital demand will continue to fail.
无家可归者在获取和利用医疗服务以获得医院和社区环境中提供的心理社会支持方面面临诸多挑战。健康问题的复杂性因服务可及性不足以及缺乏合适且安全的住房而加剧。
探讨无家可归者对其医疗服务需求的看法和经历，以及参与其护理的服务提供者的看法和经历。
采用目的抽样法，对半结构化访谈进行主题框架分析。参与者。对20名在澳大利亚墨尔本一家急症医院急诊科就诊的无家可归者以及27名参与医院和社区护理的服务提供者进行了访谈。
访谈确定了六个关键主题：护理需求的复杂性、对无家可归者和同事的尊重、参与作为持续护理的关键策略、缺乏非工作时间服务、缺乏合适的住所和服务的复杂性。
研究结果揭示了无家可归者健康问题的复杂和多样性。对医院服务的需求持续增加，除非政府政策考虑到最弱势群体社区的心理社会需求，否则转移医院需求的努力将继续失败。
