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Healthcare experiences of the homeless.

机译:无家可归者的医疗保健经验。

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摘要

PURPOSE: To explore the healthcare experiences of homeless individuals and inform providers of the barriers created by the situation of homelessness. DATA SOURCES: This was a qualitative research study using a grounded theory approach. The sample included homeless individuals older than 18 years living in northeastern Wisconsin. CONCLUSIONS: This research provided rich insight into the healthcare experiences of the homeless. Five key conclusions were made: (a) the great majority of homeless people have an external locus of control; (b) most homeless individuals lack the necessary resources to meet their physical needs of shelter, air, water, and food; (c) most homeless individuals lack the financial resources to seek adequate health care; (d) access to resources is limited because of poor transportation, telephones, and mail; and (e) all those interviewed felt that healthcare providers lack compassion for the homeless. IMPLICATIONS FOR PRACTICE: Healthcare providers can use the concepts discovered in this study to help improve their skills and comfort level when working with homeless individuals. A decrease in acute illnesses and an increase in the effective management of chronic disease resulting in fewer long-term complications and medical costs because of these unnecessary complications could be seen. Healthcare professionals may also volunteer to become more involved with the care of the homeless if they are confident in their skills. Improving the health of the homeless in the community will result in improvements in the overall health of the community.
机译:目的:探索无家可归者的医疗保健经验,并告知提供者因无家可归者情况而造成的障碍。数据来源:这是使用扎根理论方法进行的定性研究。样本包括居住在威斯康星州东北的18岁以上的无家可归者。结论:这项研究为无家可归者的医疗保健经验提供了丰富的见解。得出了五个关键结论:(a)绝大多数无家可归者具有外部控制权; (b)大多数无家可归者缺乏必要的资源来满足其住房,空气,水和食物的身体需要; (c)大多数无家可归的人缺乏财力来寻求适当的保健; (d)由于交通,电话和邮件差,资源的获取受到限制; (e)所有受访者都认为医疗保健提供者对无家可归者缺乏同情心。实践的意义:医疗保健提供者可以使用本研究中发现的概念来与无家可归的人合作时帮助他们提高技能和舒适度。由于这些不必要的并发症,急性疾病的减少和慢性疾病的有效管理的增加导致长期并发症和医疗费用的减少。如果医疗保健专业人员对自己的技能充满信心,他们也可以自愿参与更多的无家可归者护理工作。改善社区无家可归者的健康状况将导致社区整体健康状况得到改善。

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