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Health Service Access Among Homeless Veterans: Health Access Challenges Faced by Homeless African American Veterans
Baylee Crone1, Stephen Metraux2, Tracy Sbrocco3
1Uniformed Service University of the Health Sciences, Bethesda, MD, USA. baylee.crone@usuhs.edu.
Journal of Racial and Ethnic Health Disparities
|August 17, 2021
Summary
Homeless minority veterans, especially African Americans, face significant health care access barriers. This review highlights these challenges and proposes targeted interventions to improve care for this underserved population.
Area of Science:
- Public Health
- Health Services Research
- Health Equity
Background:
- Veteran homelessness is a critical public health issue, disproportionately affecting minority veterans.
- African American homeless veterans encounter unique and underrepresented barriers to healthcare access.
- Existing literature often overlooks the specific healthcare needs of this demographic.
Purpose of the Study:
- To review and synthesize existing literature on healthcare access for homeless veterans.
- To specifically examine the barriers faced by African American homeless veterans.
- To identify actionable interventions for improving healthcare access for all homeless veterans.
Main Methods:
- Systematic review of over 80 studies and government reports from the past two decades.
- Application of Penchansky and Thomas' Access Model to analyze barriers.
- Focus on the five dimensions of access: Availability, Accessibility, Accommodation, Affordability, and Acceptability.
Main Results:
- Homeless veterans face multifaceted barriers to healthcare access.
- African American homeless veterans experience distinct challenges within each dimension of access.
- Data specific to African American homeless veterans is notably lacking.
Conclusions:
- Targeted interventions are needed to address health access barriers for homeless veterans.
- Further research and data collection are crucial for understanding and serving African American homeless veterans.
- Tailored interventions are essential to improve healthcare equity for this underserved group.
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