Drop-In Wound Care: Calgary's Wound Care Model Centred Around People Experiencing Homelessness

Area of Science:

• Public Health
• Wound Care
• Health Equity

Background:

• Homelessness and housing insecurity create significant barriers to accessing equitable healthcare.
• Vulnerable populations require tailored healthcare solutions to address social determinants of health.

Purpose of the Study:

• To evaluate the effectiveness of a drop-in wound care service for individuals experiencing homelessness.
• To assess the accessibility and impact of a multidisciplinary, trauma-informed approach to wound management.

Main Methods:

• Retrospective chart review of patients attending a drop-in wound care clinic from January 2021 to December 2021.
• Analysis of patient demographics, visit frequency, wound types, and follow-up adherence.

Main Results:

• 119 patients received 798 visits, managing 254 unique wounds.
• 82.8% of patients were housing insecure; common wounds included trauma, lower leg ulcers, and frostbite.
• 69.7% of patients returned for follow-up, with unsheltered patients showing high return rates but also higher loss to follow-up before wound closure.

Conclusions:

• The drop-in wound care model effectively provides equitable care to socially disadvantaged populations.
• Timely access and consistent follow-up are crucial for successful wound management in this demographic.
• The service's continued expansion highlights its value and effectiveness.