Socio-economic outcomes of COVID-19 on the marginalised: Who have taken the hardest hit?

Siimsen, Ingeliis; Orru, Kati; Nævestad, Tor‐Olav; Nero, Kristi; Olson, Alexandra; Kaal, Esta; Meyer, Sunniva Frislid

doi:10.1016/j.ijdrr.2023.103723

Cited by 1 publication

(1 citation statement)

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“…5,6 The COVID-19 pandemic brought to light obstacles in care for not only the general population, but exacerbated pre-existing challenges for the homeless community. 7 The utility of telemedicine introduced new strategies for clinical care, especially for certain disadvantaged populations, including immunocompromised, elderly, and rural patients. 8 Through a stable Internet connection, telemedicine introduced the opportunity for patients to receive a preliminary evaluation by an attending physician regardless of their geographic location.…”

Section: Introductionmentioning

confidence: 99%

An Integrative Model of ENT Healthcare for the Homeless Population

Patel,

Shah,

Poulson

et al. 2024

The Laryngoscope

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ObjectiveOur aim was to determine the need for otolaryngology care within the homeless population, identify barriers to access that the homeless population may face, and develop a model system which would address these needs with respect to the barriers.MethodsA retrospective chart review of 812 patients seen between 1/25/16–3/21/2020 was performed. Charts were obtained from homeless patients seen at free general clinics held shelters in Chicago, IL (781 charts) and in Champaign, IL (31 charts). Records reporting at least one otolaryngology disease in a patient experiencing homelessness were included in this study. Patients were considered homeless if they resided at the shelter at the time of their appointment. To determine common barriers to care, a simple yes/no questionnaire was administered to residents at west‐side Chicago homeless shelters. Questions addressed barriers to health care access that had been mentioned by patients seen at free clinics.ResultsChart review findings demonstrated that 14.3% (n = 142) of all homeless patients seen at free in‐shelter clinics were seen for ENT‐related disorders. Survey results revealed that 76.3% (n = 71) of respondents believed that telemedicine services would be useful in shelters. 74.2% (n = 69) stated they were unable to afford prescribed medications. 93.5% (n = 87) stated that better access to transportation would increase their likelihood of seeking care.ConclusionsIn our attempt to bridge this inequity, we have launched a hybrid in‐person/virtual care program to improve access to otolaryngology care for the homeless community.Level of EvidenceN/A Laryngoscope, 2024

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Section: Introductionmentioning

confidence: 99%