Structural Inequities in the Psychosocial Evaluation for Lvad: A Mixed-Method Survey of Lvad Social Workers

Knoepke, Christopher E.; Siry-Bove, Bonnie; Mayton, Caitlin; Latimer, Abigail; Ytell, Kate; Williams, Johnny; Hart, Janis; Khazanie, Prateeti

doi:10.1016/s0735-1097(21)01910-0

Cited by 1 publication

(5 citation statements)

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“…Many studies discussed barriers or challenges PEH face when it comes to surgical care, including 48 primary studies, 19 , 31 , 34 – 36 , 39 – 41 , 43 – 45 , 47 – 50 , 54 , 55 , 57 – 64 , 66 , 69 , 72 , 73 , 75 , 79 – 81 , 86 , 91 , 96 , 98 , 100 , 102 – 105 , 107 – 109 , 111 , 112 , 114 , 116 9 abstracts, 37 , 38 , 42 , 52 , 77 , 84 , 101 , 106 , 118 5 literature reviews, 22 , 74 , 95 , 99 , 110 1 invited article, 51 1 magazine article, 70 1 thought piece, 92 1 ethical essay, 115 1 thesis, 71 and 1 historical analysis. 117 The majority of comments presented concerns regarding living conditions.…”

Section: Resultsmentioning

confidence: 99%

“…37 , 43 , 45 , 48 , 51 , 58 , 59 , 72 , 73 , 79 , 98 – 100 Lack of social support was also mentioned frequently, with comments in 8 articles. 34 , 36 , 50 , 71 , 79 , 96 – 98 Finally, the 2 historical articles highlighted the potential for PEH to be abused for research. 117 , 118 …”

Section: Resultsmentioning

confidence: 99%

“…Of these, 4 investi gated the opinions of physicians and other health care pro fessionals (Table 2). [30][31][32][33][34]…”

Section: Literature Searchmentioning

confidence: 99%

“…Many studies discussed barriers or challenges PEH face when it comes to surgical care, including 48 primary studies, 19,31,[34][35][36][39][40][41][43][44][45][47][48][49][50]54,55,[57][58][59][60][61][62][63][64]66,69,72,73,75,[79][80][81]86,91,96,98,100,[102][103][104][105][107][108][109]111,112,114,116 9 abstracts, 37,38,42,…”

Section: Barriers/challengesmentioning

confidence: 99%

“…37,43,45,48,51,58,59,72,73,79,[98][99][100] Lack of social support was also mentioned frequently, with com ments in 8 articles. 34,36,50,71,79,[96][97][98] Finally, the 2 historical articles highlighted the potential for PEH to be abused for research. 117,118 Interventions and future strategies A few articles were thought pieces aimed at addressing these barriers and challenges.…”

Section: Barriers/challengesmentioning

confidence: 99%

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A scoping review of surgical care for people experiencing homelessness: prevalence, access, and disparities

Hircock,

Huan,

Pizzola

et al. 2024

cjs

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Background: Numerous studies have highlighted the inequitable access to medical and psychiatric care that people experiencing homelessness (PEH) face, yet the surgical needs of this population are not well understood. We sought to assess evidence describing surgical care for PEH and to perform a thematic analysis of the results. Methods: Ovid MEDLINE, Embase, and Web of Science were searched using the terms “surgery” AND “homelessness.” Grey literature was also searched. We used a stepwise scoping review methodology, followed by thematic analysis using an inductive approach. Results: We included 104 articles in our review. Studies were included from 5 continents; 63% originated in the United States. All surgical specialties were represented with varying surgical conditions and procedures for each. Orthopedic surgery (21%) was the most frequently reported specialty. Themes identified included characteristics of PEH receiving surgical care, homeless-to-housed participants, interaction with the health care system, educational initiatives, barriers and challenges, and interventions and future strategies. Conclusion: We identified significant variation and gaps, representing opportunities for further research and interventions. Further addressing the barriers and challenges that PEH face when accessing surgical care can better address the needs of this population.

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