'Meet Me Where I Am': Removing Barriers to End-of-Life Care for Homeless Veterans and Veterans Without Stable Housing
| Autor: | Evelyn Hutt, Anne Poppe, Daniel Doan, Jacqueline Jones, David A. Gruenewald |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Terminal Care Palliative care business.industry Professional-Patient Relations General Medicine Continuity of Patient Care Trust Quality Improvement United States 03 medical and health sciences 0302 clinical medicine Nursing 030220 oncology & carcinogenesis Ill-Housed Persons Humans Patient Navigation Medicine 030212 general & internal medicine business End-of-life care Quality of Health Care Veterans Qualitative research |
| Zdroj: | American Journal of Hospice and Palliative Medicine®. 35:1483-1489 |
| ISSN: | 1938-2715 1049-9091 |
| Popis: | Objective: To describe the barriers and facilitators of end-of-life (EOL) care for Veterans without stable housing (VWSH) as perceived by Veterans at 1 VA medical center and EOL care staff. Design: Qualitative descriptive study. Secondary applied content analysis of data from interviews and focus groups in our parent study. Setting/Participants: VA Puget Sound Health Care System and VWSH. Results: The core emergent theme in the words of Veterans and health-care workers was “meet me where I am,” a statement of what many Veterans want most from their health care. Barriers and facilitators often reflected the presence or absence of important factors such as relationship and trust building, care coordination and flexibility, key individuals and services, and assistance in navigating change. Conclusions: These findings suggest that to improve health care for VWSH, interventions must be multifaceted, including a suite of support services, flexibility and creative problem-solving, and adaptations in communication approaches. The authors offer specific recommendations for improving EOL care for VWSH based on these findings. |
| Databáze: | OpenAIRE |
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