Design Considerations for the Development and Implementation of a Medical Respite for Older Adults Experiencing Homelessness in Metro Vancouver.

Autor:	Canham SL; College of Social Work.; College of Architecture and Planning, Department of Community Metropolitan Planning.; University Health Interprofessional Education, University of Utah, Salt Lake City, UT., Humphries J; Department of Gerontology, Simon Fraser University., Danielsen C; Power N Knowledge., Small S; Catholic Charities, Roman Catholic Archdiocese of Vancouver., Bosma H; Providence Health Care.; School of Social Work, University of British Columbia, Vancouver, BC, Canada.
Jazyk:	angličtina
Zdroj:	Medical care [Med Care] 2021 Apr 01; Vol. 59 (Suppl 2), pp. S146-S153.
DOI:	10.1097/MLR.0000000000001335
Abstrakt:	Background: Older persons with lived or living experience of homelessness (PWLEs) often live with complex physical and/or mental health conditions which are challenged by poor access to health services, especially primary care. To fill the gap in the continuum of care following hospital discharge for PWLEs, medical respite provides health and shelter support for PWLEs who do not have acute care needs that qualify for a stay in a hospital bed, yet are too sick or frail to recover on the streets or in a traditional shelter. Objective: This study examines how a medical respite could be designed for older PWLEs in Metro Vancouver, BC. Research Design: Using a community-based participatory research approach, in-depth interviews and focus groups were conducted with PWLE (n=15) and service provider (n=11) participants. Results: Participants offered rich suggestions about (a) the culture of the medical respite, (b) the physical design of a medical respite, (c) individuals who should be involved in medical respite delivery, (d) services a medical respite should provide, and (e) who the medical respite should serve. Conclusions: When designing a medical respite for older PWLEs, considerations include providing an environment where patients can rest, but also feel safe and be surrounded by persons who they trust and who care for them. Developing a medical respite that adheres to the tenets of trauma-informed and patient-centered care acknowledges the mistrust and traumatization that often accompanies homeless patients presenting to health care. Competing Interests: The authors declare no conflict of interest. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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