英国曼彻斯特无家可归者获得医疗服务:一项定性研究
1University of Manchester.
概括
经历无家可归的人 (PEH) 面临沟通恐惧和系统导航挑战. 改善宣传和标志对于更好地获得服务至关重要.
科学领域:
- 公共卫生 公共卫生
- 初级医疗保健医学 一级医疗保健医学
- 健康的社会决定因素
背景情况:
- 无家可归在英国是一个重大的公共卫生挑战.
- 一家总部位于曼彻斯特的全科医生诊所已为无家可归者提供专门的医疗保健服务 (HHS) 21年.
- 了解患者的观点对于有效的医疗保健服务至关重要.
研究的目的:
- 评估特定的GP实践所提供的初级医疗保健服务.
- 从无家可归者 (PEH) 的角度评估这些服务.
- 确定改善医疗保健获取和提供PEH的领域.
主要方法:
- 采用了一项定性多方法研究.
- 与20名工作人员/志愿者和20名PEH进行了半结构化采访.
- 数据收集包括无家可归者日间中心的非结构化观察.
主要成果:
- 确定的主要主题包括沟通恐惧,卫生系统导航困难以及旅行等进入障碍.
- PEH报告说,GP的标志不足,并强调了外展服务的重要性.
- 在HHS的行政,物理和通信方面发现了弱点.
结论:
- 建议侧重于加强行政,物理和沟通策略.
- 建议在曼彻斯特改善沟通和广告.
- 澄清护理途径和增加外展服务对于更好的PEH接入至关重要.
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