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3
Homeless persons' experiences of health- and social care: A systematic integrative review.无家可归者的健康和社会关怀体验：系统综合评价。
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4
Making sense of street chaos: an ethnographic exploration of homeless people's health service utilization.理解街头乱象：对无家可归者健康服务利用的民族志探索。
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What works in inclusion health: overview of effective interventions for marginalised and excluded populations.包容健康中的有效措施：边缘化和被排斥人群的有效干预措施概述。
Lancet. 2018 Jan 20;391(10117):266-280. doi: 10.1016/S0140-6736(17)31959-1. Epub 2017 Nov 12.
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Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: A systematic review.社区主导的护士诊所对患者结局、患者满意度、患者可及性和成本效益的影响：系统评价。
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Primary healthcare needs and barriers to care among Calgary's homeless populations.卡尔加里无家可归人群的初级医疗保健需求及就医障碍。
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The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations.高收入国家无家可归者的健康：描述性流行病学、健康后果以及临床和政策建议。
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使用流动医疗诊所服务的无家可归者对其健康需求的看法：一项关于社区外展护理的定性研究

The perspectives of homeless people using the services of a mobile health clinic in relation to their health needs: a qualitative study on community-based outreach nursing.

作者信息

Paradis-Gagné Etienne, Jacques Marie-Claude, Pariseau-Legault Pierre, Ben Ahmed Houssem Eddine, Stroe Ioana Ruxandra

机构信息

Assistant Professor, Faculty of Nursing, Université de Montréal, Montréal, Canada.

Associate Professor, Faculty of Medicine, School of Nursing, Université de Sherbrooke, Sherbrooke, Canada.

出版信息

J Res Nurs. 2023 Mar;28(2):154-167. doi: 10.1177/17449871231159595. Epub 2023 Apr 27.

DOI:10.1177/17449871231159595
PMID:37128359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10141280/
Abstract

BACKGROUND

Significant social and health issues are associated with homelessness. Negative experiences with the healthcare system are also frequent and cause people experiencing homelessness to avoid health services.

AIMS

The purpose of this study was to (1) explore participants' health needs concerning outreach nursing services and (2) describe the perceptions and preferences of people who access this form of community-based intervention.

METHODS

We conducted a critical ethnography with semi-structured interviews of 12 people experiencing homelessness who receive the services of a nurse-led mobile clinic, and 60 hours of observation during the provision of these services.

RESULTS

Our results describe the perspectives of people experiencing homelessness in three main categories: (1) worrisome health and social needs, (2) non-use of healthcare and (3) what connects us to health services.

CONCLUSIONS

Timely access to healthcare is an important issue for people experiencing homelessness. Nurse-led clinics meet needs that go far beyond health issues.

摘要

背景

无家可归与重大的社会和健康问题相关。在医疗保健系统中遭遇的负面经历也很常见，这导致无家可归者回避医疗服务。

目的

本研究的目的是（1）探索参与者对外展护理服务的健康需求，以及（2）描述接受这种社区干预形式的人群的看法和偏好。

方法

我们进行了一项批判性人种志研究，对12名接受护士主导的流动诊所服务的无家可归者进行了半结构化访谈，并在提供这些服务期间进行了60小时的观察。

结果

我们的结果从三个主要类别描述了无家可归者的观点：（1）令人担忧的健康和社会需求，（2）不使用医疗保健服务，以及（3）将我们与医疗服务联系起来的因素。

结论

及时获得医疗保健服务对无家可归者来说是一个重要问题。护士主导的诊所满足的需求远远超出了健康问题。