Homeless patients' experience of satisfaction with care

McCabe, Susan; Macnee, Carol L.; Anderson, Mary

doi:10.1053/apnu.2001.22407

Cited by 32 publications

(32 citation statements)

References 27 publications

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“…This was based on previous literature about homeless people's experience of distrust and lack of acknowledgement in health care encounters (Irestig et al, 2010; Martins, 2008; McCabe et al, 2001), and on our previous study (Author, 2016), in which staff members emphasized a trustful relationship as being key to successful cares. The staff members suggested and introduced potential study participants.…”

Section: Study Design and Methodsmentioning

confidence: 99%

“…From the perspective of those who are homeless, however, in studies they have described often being met with lack of respect (i.e., being dismissed or rejected) or understanding about their illness and life situation, on the part of health and social service professionals. Experiences of feeling invisible to health care providers and suffering from being stigmatized as “just another homeless person” rather than being treated as unique individuals have also been disclosed (Drury, 2008; Irestig, Burstrom, Wessel, & Lynoe, 2010; Martins, 2008; McCabe, Macnee, & Anderson, 2001). …”

mentioning

confidence: 99%

“…However, there is a scarcity of qualitative studies providing illness narratives of homeless people with somatic conditions. Most studies have focused on experiences related to mental health and, for example, housing (Tsai, Bond, Salyers, Godfrey, & Davis, 2010), shame/stigma (Corrigan & Miller, 2004), or drugs (Ensign & Bell, 2004), whereas other studies involve experiences of health care encounters (Drury, 2008; Martins, 2008; McCabe et al, 2001; Wise & Phillips, 2013) and palliative care and dying (Song, Bartels, et al, 2007; Song, Ratner, & Bartels, 2005; Song, Ratner, et al, 2007). …”

mentioning

confidence: 99%

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Illness narratives of people who are homeless

Håkanson

Öhlén

2016

International Journal of Qualitative Studies on Health and Well

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Multiple illnesses are common in all homeless populations. While most previous studies have focused on experiences of mental illness, there is a scarcity of studies about experiences of bodily illness among people who are homeless. This study aimed to explore illness narratives of people who are homeless, and how homelessness as a social context shapes the experience of multiple and/or advancing somatic conditions. The design was a qualitative single-case study, using interpretive description. Data were generated through interviews, with nine participants who were homeless rough sleepers in Stockholm, Sweden, recruited while receiving care in a support home for homeless people with complex care needs. The findings revealed experiences of illness embedded in narratives about falling ill, being ill, and the future. The particularity of these illness narratives and the way that they are shaped by homelessness give rise to several observations: the necessity of a capable body for survival; chaos and profound solitude in illness and self-care management; ambiguous feelings about receiving care, transitioning from independence, and “freedom” in the streets to dependency and being institutionalized; and finally, the absence of hope and desire for recovery or a better future. The narratives are discussed from the perspective of Frank's four types of illness stories (restitution, chaos, quest, and testimony). The findings stress that to provide appropriate care and support to people who are homeless and have multiple and/or advancing somatic conditions, health care professionals need to be informed both about the individual's biography and about the circumstances under which illness and self-care takes place in the streets.

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Section: Study Design and Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Illness narratives of people who are homeless

Håkanson

Öhlén

2016

International Journal of Qualitative Studies on Health and Well

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“…Their needs are more complex than the general population and health provider characteristics influence whether homeless persons will use health services. 21,37 If providers are not familiar with this population's needs, or are not willing to meet their needs, this may impede health care use.…”

Section: Providing Culturally Sensitive Health Carementioning

confidence: 99%

Access to Primary Care Services Among the Homeless

White

Newman

2014

J Prim Care Community Health

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Objective: To identify barriers and facilitators to primary care access among the homeless using the Equity of Access to Medical Care Framework and to provide recommendations for medical and public health practitioners to improve health among this underserved population. Methods: A quasi-systematic review of the literature was conducted using the PubMed, CINAHL, and PsycINFO databases. Study elements from articles in the final analysis were extracted and categorized into dimensions of access from the Framework. Results: The review identified multiple barriers to primary care access for the homeless. This included lack of insurance coverage and competing priorities. Facilitators to access included tailored health care delivery systems and having a regular source of care. Conclusion: This review provides evidence that health policy initiatives, patient-centered care, and targeted interventions can assist with improving primary care access among the homeless.

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“…Other barriers noted in the reviewed literature are negative prior service experiences, fragmented service eligibilities, and difficulties accessing mainstream services (McCabe, Macnee, & Anderson, 2001). Also, lack of health insurance coverage was found to be a major factor impeding access to ambulatory services, inpatient hospitalization, and medical care among the homeless (Kushel, Vittinghoff, & Haas, 2001;Wenzel et al, 2001).…”

Section: Access To Services and Housing For ''Chronically'' Homeless mentioning

confidence: 99%

Accessing Housing: Exploring the Impact of Medical and Substance Abuse Services on Housing Attainment for Chronically Homeless Street Dwellers

Meschede

2010

Journal of Human Behavior in the Social Environment

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This mixed-methods study addresses transitions out of homelessness associated with medical and substance abuse service use for a unique cohort of 174 chronically homeless street dwellers at risk of death. Multi-nominal and survival analyses indicate that highrisk women, white street dwellers, older individuals, and those with health insurance coverage had greater odds of leaving the streets. Thouh high-risk street dwellers used health services extensively, medical and substance abuse treatments did not impact positive housing outcomes, except for extended stays at homeless respite care. Policy implications include the need for increasing affordable housing options and integrating housing services into any type of health services for chronically homeless street dwellers.

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Homeless patients' experience of satisfaction with care

Cited by 32 publications

References 27 publications

Illness narratives of people who are homeless

Illness narratives of people who are homeless

Access to Primary Care Services Among the Homeless

Accessing Housing: Exploring the Impact of Medical and Substance Abuse Services on Housing Attainment for Chronically Homeless Street Dwellers

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