Centre for Public Health, Queen's University Belfast, Institute of Clinical Science, Block A, Royal Victoria Hospital, Belfast, Northern Ireland, BT12 6BA.
BMC Health Serv Res. 2022 Jul 13;22(1):910. doi: 10.1186/s12913-022-08265-y.
People experiencing homelessness (PEH) have poorer physical and mental health than the general population. They are also more likely to have less access to healthcare. These processes of access can be better understood using Levesque's access framework which addresses both supply (service provision) and demand (user abilities).
Following the Joanna Briggs Institute (JBI) guidelines, electronic peer-reviewed databases were searched in February 2022 for studies published since 2000 related to access to healthcare for PEH ages 16 and older in the United Kingdom (UK) and Ireland. Retrieved articles were screened and those eligible were selected for data extraction. Qualitative and quantitative studies were included.
Fifty-six papers out of 538 identified were selected and aliased. Six main themes were identified: staff education, flexibility of systems, service coordination, patient preparedness, complex health needs and holistic care. These relate to the Levesque access framework.
Improving access to healthcare for PEH requires changes to how services are provided and how service-user abilities are supported.
无家可归者（PEH）的身心健康状况比一般人群差。他们也更有可能无法获得医疗保健。使用 Levesque 的访问框架可以更好地理解这些访问过程，该框架既考虑了供应（服务提供），也考虑了需求（用户能力）。
根据 Joanna Briggs 研究所（JBI）的指南，于 2022 年 2 月在电子同行评审数据库中搜索了自 2000 年以来发表的与英国（英国）和爱尔兰 16 岁及以上无家可归者获得医疗保健相关的研究。筛选检索到的文章，并选择符合条件的文章进行数据提取。纳入了定性和定量研究。
从 538 篇中筛选出 56 篇并进行了别名处理。确定了六个主要主题：员工教育、系统灵活性、服务协调、患者准备、复杂的健康需求和整体护理。这些主题与 Levesque 的访问框架相关。
要改善无家可归者的医疗保健服务获取，需要改变服务提供方式以及如何支持服务用户的能力。
