Morbidity trends in the population of a specialised homeless primary care service

Hewett, Nigel; Hiley, Anna; Gray, Jane

doi:10.3399/bjgp11x561203

Cited by 19 publications

(25 citation statements)

References 2 publications

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“…6 However, estimates of substance misuse rates vary according to the population sampled; a Leicester series found that around half of the homeless patients had neither drug nor alcohol dependence. 7 …”

Section: Medical Problems Associated With Homelessnessmentioning

confidence: 99%

Homeless healthcare: raising the standards

Medcalf

Russell

2014

Clinical Medicine

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Section: Medical Problems Associated With Homelessnessmentioning

confidence: 99%

Homeless healthcare: raising the standards

Medcalf

Russell

2014

Clinical Medicine

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“…The sample was diversified by age, sex, type of exercise and structure of the exercise. Most of them13 were either employed or had mixed practice. None of them declared receiving any patient with a high or very high social level (table 1).…”

Section: Resultsmentioning

confidence: 99%

“…9 These people suffer from higher morbidity9–11 and earlier mortality compared with people with stable housing. The average age of death is between 40 and 50 years12 13 and the standardised mortality ratios in high-income countries is typically reported from 2 to 5 times the age-standardised general population 9…”

Section: Introductionmentioning

confidence: 99%

Improving access and continuity of care for homeless people: how could general practitioners effectively contribute? Results from a mixed study

et al. 2016

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ObjectivesTo analyse the views of general practitioners (GPs) about how they can provide care to homeless people (HP) and to explore which measures could influence their views.DesignMixed-methods design (qualitative –> quantitative (cross-sectional observational) → qualitative). Qualitative data were collected through semistructured interviews and through questionnaires with closed questions. Quantitative data were analysed with descriptive statistical analyses on SPPS; a content analysis was applied on qualitative data.SettingPrimary care; views of urban GPs working in a deprived area in Marseille were explored by questionnaires and/or semistructured interview.Participants19 GPs involved in HP's healthcare were recruited for phase 1 (qualitative); for phase 2 (quantitative), 150 GPs who provide routine healthcare (‘standard’ GPs) were randomised, 144 met the inclusion criteria and 105 responded to the questionnaire; for phase 3 (qualitative), data were explored on 14 ‘standard’ GPs.ResultsIn the quantitative phase, 79% of the 105 GPs already treated HP. Most of the difficulties they encountered while treating HP concerned social matters (mean level of perceived difficulties=3.95/5, IC 95 (3.74 to 4.17)), lack of medical information (mn=3.78/5, IC 95 (3.55 to 4.01)) patient's compliance (mn=3.67/5, IC 95 (3.45 to 3.89)), loneliness in practice (mn=3.45/5, IC 95 (3.18 to 3.72)) and time required for the doctor (mn=3.25, IC 95 (3 to 3.5)). From qualitative analysis we understood that maintaining a stable follow-up was a major condition for GPs to contribute effectively to the care of HP. Acting on health system organisation, developing a medical and psychosocial approach with closer relation with social workers and enhancing the collaboration between tailored and non-tailored programmes were also other key answers.ConclusionsIf we adapt the conditions of GPs practice, they could contribute to the improvement of HP's health. These results will enable the construction of a new model of primary care organisation aiming to improve access to healthcare for HP.

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“…Homeless adults have a high level of morbidity (Hewett, Hiley, & Gray, 2011) and mortality (Baggett et al, 2013), oftentimes due to unmet physical and mental health needs. Across the nation, physical and mental healthcare needs have been documented among homeless adults (Brown, Kiely, Bharel, & Mitchell, 2012; Garibaldi, Conde-Martel, & O'Toole, 2005; Kertesz et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Unmet Physical and Mental Healthcare Needs Among Stimulant-using Gay and Bisexual Homeless Men

Salem

Nyamathi

Reback

et al. 2015

Issues in Mental Health Nursing

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Purpose Homeless gay and bisexual (G/B) men evidence unmet physical and mental healthcare needs. To gain a greater understanding of predictors of unmet physical and mental healthcare needs, the purpose of this cross-sectional study was to understand correlates of baseline self-reported unmet physical and mental healthcare needs among stimulant-using homeless G/B men (N=422, 18-46 years of age). Methods A structured questionnaire was administered at baseline; data were collected from October 2009 to January 2013. The study was approved by the University of California Human Subjects' Protection committee and the Friends Research Institute Human Research Protection Committee. Results Logistic regression revealed that those who self-reported ever being married, being in fair or poor health and in moderate-to-very severe pain were more likely to experience unmet need for physical healthcare. Those who self-reported ever being married, being in fair or poor health and in moderate-to-very severe pain were more likely to experience unmet need for physical healthcare. In terms of unmet mental health needs, those who self-reported moderate-to-very severe pain and/or those reporting having sex while high were more likely to report unmet need for mental healthcare. In contrast, those reporting receiving social support from others were less likely to have an unmet mental healthcare need. Conclusions Research implications will be discussed as they relate to access to physical and/or mental healthcare needs among this vulnerable population.

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Morbidity trends in the population of a specialised homeless primary care service

Cited by 19 publications

References 2 publications

Homeless healthcare: raising the standards

Homeless healthcare: raising the standards

Improving access and continuity of care for homeless people: how could general practitioners effectively contribute? Results from a mixed study

Unmet Physical and Mental Healthcare Needs Among Stimulant-using Gay and Bisexual Homeless Men

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