Uniformed Service University of the Health Sciences, Bethesda, MD, USA.
University of Delaware, Wilmington, DE, USA.
J Racial Ethn Health Disparities. 2022 Oct;9(5):1828-1844. doi: 10.1007/s40615-021-01119-z. Epub 2021 Aug 16.
Veteran homelessness is a public health crisis, especially among the disproportionate number of minority veterans in the homeless veteran population. African American homeless veterans in particular face unique challenges accessing appropriate health care services to meet their medical needs. Their needs are often underrepresented in the literature on veteran homelessness. Drawing together over 80 studies and government reports from the last two decades, this review provides a timely synopsis of homeless veterans' health care access, with a particular focus on the barriers faced by African American veterans. This review employs Penchansky and Thomas' Access Model to frame health access barriers faced by homeless veterans, dialing in on what is known about the experience of African American veterans, within the five dimensions of access: Availability, Accessibility, Accommodation, Affordability, and Acceptability. Actionable guidance and targeted interventions to address health access barriers for all veterans are delineated with a focus on the need to gather further data for African American homeless veterans and to consider tailoring interventions for this important and underserved group.
退伍军人无家可归是一个公共卫生危机，尤其是在无家可归的退伍军人中不成比例的少数族裔退伍军人数量中。特别是非裔美国无家可归的退伍军人在获得适当的医疗服务以满足他们的医疗需求方面面临着独特的挑战。他们的需求在退伍军人无家可归问题的文献中往往没有得到充分体现。本综述汇集了过去二十年的 80 多项研究和政府报告，及时概述了无家可归退伍军人获得医疗保健的情况，特别关注非裔美国退伍军人面临的障碍。本综述采用彭钱斯和托马斯的准入模式来构建无家可归退伍军人面临的医疗准入障碍，重点关注非裔美国退伍军人在准入的五个方面的体验：可及性、可及性、适应性、可负担性和可接受性。针对所有退伍军人的医疗准入障碍制定了切实可行的指导方针和针对性的干预措施，重点是需要为非裔美国无家可归的退伍军人收集更多数据，并考虑为这个重要且服务不足的群体量身定制干预措施。
