Health Care While Homeless: Barriers, Facilitators, and the Lived Experiences of Homeless Individuals Accessing Health Care in a Canadian Regional Municipality

Qualitative Health Research
Natalie RamsayAllison Brown

Abstract

Persons struggling with housing remain significantly disadvantaged when considering access to health care. Effective advocacy for their needs will require understanding the factors which impact their health care, and which of those most concern patients themselves. A qualitative descriptive study through the lens of a transformative framework was used to identify barriers and facilitators to accessing health care as perceived by people experiencing homelessness in the regional municipality of Niagara, Canada. In-person, semi-structured interviews with 16 participants were completed, and inductive thematic analysis identified nine barriers and eight facilitators. Barriers included affordability, challenges finding primary care, inadequacy of the psychiatric model, inappropriate management, lack of trust in health care providers, poor therapeutic relationships, systemic issues, and transportation and accessibility. Facilitators included accessibility of services, community health care outreach, positive relationships, and shelters coordinating health care. Knowledge of the direct experiences of marginalized individuals can help create new health policies and enhance the provision of clinical care.

References

Aug 17, 2000·American Journal of Community Psychology·O Acosta, P A Toro
Feb 24, 2001·Journal of Health Care for the Poor and Underserved·S W HwangT A Brennan
Apr 17, 2001·Archives of Psychiatric Nursing·S McCabeM K Anderson
Apr 28, 2006·European Archives of Psychiatry and Clinical Neuroscience·Christoph LauberWulf Rössler
Apr 7, 2007·Journal of General Internal Medicine·Chuck K WenStephen W Hwang
Sep 14, 2007·Social Science & Medicine·Kate RossiterMichelle Keightley
Jun 27, 2008·Academic Medicine : Journal of the Association of American Medical Colleges·Delese Wear, Mark G Kuczewski
Nov 14, 2008·Current Opinion in Critical Care·Carlos A Rodriguez-Osorio, Guillermo Dominguez-Cherit
Jan 8, 2009·Journal of the American Academy of Nurse Practitioners·Bonnie Nickasch, Suzanne K Marnocha
Aug 12, 2009·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Jennifer A Best, Audrey Young
Sep 18, 2009·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Patricia O'CampoKelly McShane
Jun 4, 2013·Journal of Health Care for the Poor and Underserved·S Ryan GreysenEmily A Wang
Jun 14, 2013·Qualitative Health Research·Vicky Bungay
Aug 24, 2013·Journal of Interprofessional Care·Nikolaos Efstathiou, Wendy Marina Walker
Feb 20, 2014·Qualitative Health Research·Naomi Rebecca Hughes
Nov 13, 2014·Lancet·Stephen W Hwang, Tom Burns
Nov 28, 2014·Journal of Primary Care & Community Health·Charlotte E HunterStephen W Hwang
Apr 2, 2015·Qualitative Health Research·David B NicholasJanki Shankar
Jan 23, 2016·HERD·Karen Jiggins Colorafi, Bronwynne Evans
May 21, 2016·Journal of General Internal Medicine·Dima SaabStephen W Hwang
Jun 25, 2016·Social Psychiatry and Psychiatric Epidemiology·Stefanie N RezansoffJ M Somers
Sep 28, 2016·Qualitative Health Research·Monique M HenninkVincent C Marconi
Dec 4, 2016·International Journal of Qualitative Studies on Health and Well-being·Cecilia Håkanson, Joakim Öhlén
May 3, 2018·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Vicky StergiopoulosDon Wasylenki
Sep 27, 2018·Medical Education·Rahat HossainMichael Milo

❮ Previous
Next ❯

Citations

Mar 7, 2020·Journal of Primary Care & Community Health·Cyndi Gilmer, Kristy Buccieri
Jul 26, 2019·Qualitative Health Research·Ross McCallumDan Chateau
Jul 6, 2019·Qualitative Health Research·Margaret Moore-NadlerLinda Roussel
Apr 2, 2020·BMC Public Health·Cilia Mejia-LancherosPatricia O'Campo
Feb 6, 2021·Journal of Primary Care & Community Health·Sonya GabrielianStefan G Kertesz
May 1, 2021·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Emma LoJeanne L Steiner
May 1, 2021·American Society of Clinical Oncology Educational Book·Anna D LouieThomas J Miner

❮ Previous
Next ❯

Software Mentioned

NVivo10

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.