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Homeless persons' experiences of health- and social care: A systematic integrative review.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.ORCID iD: 0000-0003-1835-1960
Sophiahemmet högskola.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.ORCID iD: 0000-0001-5104-1281
Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.ORCID iD: 0000-0001-7935-3260
2019 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524Article in journal (Refereed) Epub ahead of print
Abstract [en]

Homelessness is associated with high risks of morbidity and premature death. Many interventions aimed to improve physical and mental health exist, but do not reach the population of persons experiencing homelessness. Despite the widely reported unmet healthcare needs, more information about the barriers and facilitators that affect access to care for persons experiencing homelessness is needed. A systematic integrative review was performed to explore experiences and needs of health- and social care for persons experiencing homelessness. The following databases were searched: AMED, ASSIA, Academic Search Complete, CINAHL, Cochrane library, Nursing and Allied Database, PsycInfo, PubMed, Scopus and Web of Science Core Collection. Twenty-two studies met the inclusion criteria of empirical studies with adult persons experiencing homelessness, English language, and published 2008-2018. Fifty percent of the studies were of qualitative and quantitative design, respectively. Most studies (73%) were conducted in the United States (n=11) and Canada (n=5). The analysis resulted in three themes Unmet basic human needs, Interpersonal dimensions of access to care, and Structural and organizational aspects to meet needs. The findings highlight that persons in homelessness often must prioritize provision for basic human needs, such as finding shelter and food, over getting health- and social care. Bureaucracy and rigid opening hours, as well as discrimination and stigma, hinder these persons' access to health- and social care.

Place, publisher, year, edition, pages
2019.
Keywords [en]
healthcare, homelessness, needs and experiences of care, social care, systematic review
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-7796DOI: 10.1111/hsc.12857PubMedID: 31524327OAI: oai:DiVA.org:esh-7796DiVA, id: diva2:1351870
Available from: 2019-09-17 Created: 2019-09-17 Last updated: 2019-09-17Bibliographically approved

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