Homeless Patients Associate Clinician Bias With Suboptimal Care for Mental Illness, Addictions, and Chronic Pain.

Journal of Primary Care & Community Health
Cyndi Gilmer, Kristy Buccieri

Abstract

Objective: To determine how accessible health care services are for people who are experiencing homelessness and to understand from their perspectives what impact clinician bias has on the treatment they receive. Methods: Narrative interviews were conducted with 53 homeless/vulnerably housed individuals in Ontario, Canada. Visit history records were subsequently reviewed at 2 local hospitals, for 52 of the interview participants. Results: Of the 53 participants only 28% had a primary care provider in town, an additional 40% had a provider in another town, and 32% had no access to a primary care provider at all. A subset of the individuals were frequent emergency department users, with 15% accounting for 75% of the identified hospital visits, primarily seeking treatment for mental illness, pain, and addictions. When seeking primary care for these 3 issues participants felt medication was overprescribed. Conversely, in emergency care settings participants felt prejudged by clinicians as being drug-seekers. Participants believed they received poor quality care or were denied care for mental illness, chronic pain, and addictions when clinicians were aware of their housing status. Conclusion: Mental illness, chronic pain, and addict...Continue Reading

References

May 20, 2003·Social Science & Medicine·Richard Parker, Peter Aggleton
Apr 14, 2004·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Angela M Cheung, Stephen W Hwang
Jul 1, 2006·Journal of General Internal Medicine·Carole C UpshurJudith A Savageau
Apr 7, 2007·Journal of General Internal Medicine·Chuck K WenStephen W Hwang
Feb 13, 2008·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Barth L WilseyKlea D Bertakis
May 24, 2008·Addiction Science & Clinical Practice·Seddon R SavageSteven D Passik
Oct 8, 2008·Annals of Emergency Medicine·Robert M RodriguezDaniel Poon
Feb 5, 2009·Journal of Psychiatric and Mental Health Nursing·H Kirkpatrick, C Byrne
Aug 10, 2010·Journal of Health Care for the Poor and Underserved·Rebecca T BrownMargot Kushel
Oct 30, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Carole C UpshurRoger Luckmann
Jul 12, 2011·BMC Family Practice·Stephen W HwangAnna MacDonald
Aug 14, 2012·Journal of Public Health Dentistry·Rafael L F FigueiredoCarlos Quiñonez
Dec 12, 2012·BMC Public Health·Jane Topolovec-VranicVicky Stergiopoulos
Jun 4, 2013·Journal of Health Care for the Poor and Underserved·S Ryan GreysenEmily A Wang
Sep 10, 2013·International Journal of Injury Control and Safety Promotion·Jessica L MackelprangFrederick P Rivara
Feb 21, 2014·F1000Research·Rebecca FisherDaniel W Wheeler
Apr 16, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Bart HammigChes Jones
Nov 28, 2014·Journal of Primary Care & Community Health·Charlotte E HunterStephen W Hwang
Apr 29, 2015·Journal of Advanced Nursing·Bernadette Emma Rae, Sharon Rees
May 21, 2015·Journal of Psychiatric and Mental Health Nursing·C ForchukA Meier
Oct 16, 2015·BMC Family Practice·David J T CampbellWilfreda E Thurston
Nov 29, 2015·Qualitative Health Research·Kirsti MalterudAnn Dorrit Guassora
Jul 7, 2016·Journal of Primary Care & Community Health·Kyle L GrazierKirsten S Bondalapati
Apr 4, 2017·Journal of Primary Care & Community Health·Sonya GabrielianLillian Gelberg
Dec 22, 2017·International nursing review·M A RocheD J Carter
Feb 15, 2018·International Journal of Environmental Research and Public Health·Maeva JegoStéphanie Gentile
Aug 30, 2018·The Medical Journal of Australia·Andrew Davies, Lisa J Wood
Nov 9, 2019·Journal of Primary Care & Community Health·Carolina-Nicole HerreraMari-Lynn Drainoni
Dec 15, 2019·The American Journal of Emergency Medicine·Lauren E LamparterTheresa M Nguyen

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Citations

Aug 12, 2020·Nursing Philosophy : an International Journal for Healthcare Professionals·Thomas Foth
Aug 18, 2021·Journal of Racial and Ethnic Health Disparities·Baylee CroneTracy Sbrocco

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