White Brandi M, Logan Ayaba, Magwood Gayenell S
Division of Healthcare Studies, College of Health Professions, Medical University of South Carolina, 151B Rutledge Avenue, MSC 962, Charleston, SC, 29425-1600, USA.
Department of Library Science and Informatics, Medical University of South Carolina, 171 Ashley Avenue, PO Box 250403, Charleston, SC, 29425-1600, USA.
Curr Diab Rep. 2016 Nov;16(11):112. doi: 10.1007/s11892-016-0810-y.
Populations experiencing homelessness with diabetes may encounter barriers to accessing comprehensive diabetes care to manage the condition, yet it is unclear to what extent this population is able to access care. We reviewed the literature to identify and describe the barriers and facilitators to accessing diabetes care and managing diabetes for homeless populations using the Equity of Access to Medical Care Framework. An integrated review of the literature was conducted and yielded 10 articles that met inclusion criteria. Integrated reviews search, summarize, and critique the state of the research evidence. Findings were organized using the dimensions of a comprehensive conceptual framework, the Equity of Access to Medical Care Framework, to identify barriers and facilitators to accessing care and managing diabetes. Barriers included competing priorities, limited access to healthy food, and inadequate healthcare resources. Facilitators to care included integrated delivery systems that provided both social and health-related services, and increased patient knowledge. Recommendations are provided for healthcare providers and public health practitioners to optimize diabetes outcomes for this population.
患有糖尿病的无家可归者在获得全面糖尿病护理以控制病情方面可能会遇到障碍，但尚不清楚该人群能够获得护理的程度。我们回顾了文献，以使用医疗保健可及性公平框架来识别和描述无家可归人群在获得糖尿病护理和管理糖尿病方面的障碍和促进因素。对文献进行了综合回顾，得出了10篇符合纳入标准的文章。综合回顾会搜索、总结并批判研究证据的现状。研究结果是根据一个全面概念框架——医疗保健可及性公平框架的维度来组织的，以识别获得护理和管理糖尿病的障碍和促进因素。障碍包括相互竞争的优先事项、获得健康食品的机会有限以及医疗保健资源不足。护理的促进因素包括提供社会和健康相关服务的综合服务系统，以及增加患者知识。为医疗保健提供者和公共卫生从业者提供了建议，以优化该人群的糖尿病治疗效果。
