Riemer J G, Van Cleve L, Galbraith M
County of Riverside Health Services Agency, California.
Public Health Nurs. 1995 Feb;12(1):61-6. doi: 10.1111/j.1525-1446.1995.tb00124.x.
Barriers perceived by homeless families to preventive health care for their children under age 13 have been underdocumented. This descriptive study was designed to identify perceived barriers to care and to determine if there was a relationship between perceived barriers and duration of the family's homelessness. Using an investigator-modified version of Melnyk's Barrier Scale and a demographic measure, a convenience sample of homeless families (n = 53) from three transitional shelters was surveyed via questionnaire. Four barriers were cited most frequently by the respondents as greatly affecting their children's care. These barriers involved provider-selection difficulties, waiting for well child appointments, waiting during well child appointments, and the high cost of transportation and/or parking. No relationship was found between duration of homelessness and perceived barriers. These findings confirm the reality of potential barriers to care suggested by earlier studies. Innovative forms of health care delivery that may reduce or eliminate these barriers include the use of shelter-site clinics, mobile units, and the use of a nurse liaison between family shelters and hospital-based clinics.
无家可归家庭在为其13岁以下子女提供预防性医疗保健方面所面临的障碍，此前鲜有文献记载。这项描述性研究旨在确定所察觉到的医疗保健障碍，并确定所察觉到的障碍与家庭无家可归的持续时间之间是否存在关联。使用经研究者修改的梅尔尼克障碍量表和一项人口统计学指标，通过问卷调查对来自三个过渡性庇护所的53个无家可归家庭的便利样本进行了调查。受访者最常提到的四大障碍对其子女的医疗保健产生了极大影响。这些障碍包括选择医疗服务提供者困难、等待儿童健康检查预约、在儿童健康检查预约期间等待，以及交通和/或停车费用高昂。未发现无家可归的持续时间与所察觉到的障碍之间存在关联。这些研究结果证实了早期研究中所提出的潜在医疗保健障碍的现实情况。可能减少或消除这些障碍的创新医疗保健提供形式包括使用庇护所现场诊所、流动医疗单位，以及在家庭庇护所和医院诊所之间设立护士联络人员。
