Benefits of GP care in outreach settings for people experiencing homelessness:A qualitative study
| Autor: | Fiona Cuthill, Victoria Hirst |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
community outreach
Primary care 03 medical and health sciences primary care 0302 clinical medicine Nursing Health care Medicine Humans 030212 general & internal medicine homelessness Qualitative Research Service (business) general practice Primary Health Care patient engagement business.industry 030503 health policy & services Research Focus Groups outreach services Focus group Community-Institutional Relations Therapeutic relationship Outreach Ill-Housed Persons 0305 other medical science Family Practice business Strengths and weaknesses Qualitative research |
| Zdroj: | Hirst, V & Cuthill, F 2021, ' Benefits of GP care in outreach settings for people experiencing homelessness : A qualitative study ', British Journal of General Practice . https://doi.org/10.3399/BJGP.2020.0749 The British Journal of General Practice |
| DOI: | 10.3399/BJGP.2020.0749 |
| Popis: | BackgroundAlthough people experiencing homelessness (PEH) have the worst health outcomes in society, they have a low uptake of primary care services. GP outreach has developed as a way of increasing their access into primary care but little is known about the experience of patients receiving care in this way.AimTo explore PEHs’ experiences of GP care in community outreach settings in UK; and to seek staff/volunteers’ views on the strengths and weaknesses of GP community outreach services.Design and settingA multi-method qualitative study with PEH and staff/volunteers working in three different community outreach settings in the UK.MethodIndividual semi-structured interviews were carried out with 22 PEH and two focus groups with key staff/volunteers. Data were analysed thematically using framework analysis.ResultsGP outreach services better enabled PEH to access medical care and staff/volunteers valued GP support to promote, and facilitate access to, healthcare services. In particular, the findings illuminate the high value that PEH placed on the organisational environment of the GP outreach service. Valued aspects of GP outreach were identified as comfortable, safe, and engendering a sense of belonging; convenient, opportunistic, and a one-stop shop; and being heard, having more time, and breaking down barriers.ConclusionThe organisational environment is important in enabling PEH to engage with GP services. The physical and organisational environment of the outreach settings were the most important factors; they created a space where professional barriers between the GP and patients were flattened, so facilitating a therapeutic relationship. |
| Databáze: | OpenAIRE |
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