Remote primary care during the COVID-19 pandemic for people experiencing homelessness: a qualitative study

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Wydane w:The British Journal of General Practice : The Journal of the Royal College of General Practitioners vol. 72, no. 720 (Jul 2022), p. e492
1. autor: Howells, Kelly
Kolejni autorzy: Amp, Mat, Burrows, Martin, Brown, Jo, Brennan, Rachel, Dickinson, Joanne, Jackson, Shaun, Yeung, Wan-Ley, Ashcroft, Darren, Campbell, Stephen, Blakeman, Thomas, Sanders, Caroline
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Royal College of General Practitioners
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003 UK-CbPIL
022 |a 0960-1643 
022 |a 1478-5242 
022 |a 0035-8797 
022 |a 0307-4749 
024 7 |a 10.3399/BJGP.2021.0596  |2 doi 
035 |a 2687830993 
045 2 |b d20220701  |b d20220731 
100 1 |a Howells, Kelly  |u NIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, and Division of Population Health, Health Services Research and Primary Care, Centre for Primary Care and Health Services Research, University of Manchester, Manchester 
245 1 |a Remote primary care during the COVID-19 pandemic for people experiencing homelessness: a qualitative study 
260 |b Royal College of General Practitioners  |c Jul 2022 
513 |a Journal Article 
520 3 |a Background The COVID-19 pandemic has caused unprecedented disruption and change to the organisation of primary care, including for people experiencing homelessness who may not have access to a phone. Little is known about whether the recent changes required to deliver services to people experiencing homelessness will help to address or compound inequality in accessing care. Aim To explore the experience and impact of organisational and technology changes in response to COVID-19 on access to health care for people experiencing homelessness. Design and setting An action-led and participatory research methodology was employed in three case study sites made up of primary care services delivering care for people experiencing homelessness. Method Individual semi-structured interviews were conducted with 21 people experiencing homelessness and 22 clinicians and support workers. Interviews were analysed using a framework approach. Results The move to remote telephone consultations highlighted the difficulties experienced by participants in accessing health care. These barriers included problems at the practice level associated with remote triage as participants did not always have access to a phone or the means to pay for a phone call. This fostered increased reliance on support workers and clinicians working in the community to provide or facilitate a primary care appointment. Conclusion The findings have emphasised the importance of addressing practical and technology barriers as well as supporting communication and choice for mode of consultation. The authors argue that consultations should not be remote 'by default' and instead take into consideration both the clinical and social factors underpinning health. 
653 |a Primary care 
653 |a COVID-19 
653 |a Homeless people 
653 |a Health care delivery 
653 |a Medical research 
653 |a Telemedicine 
653 |a Qualitative research 
653 |a Pandemics 
700 1 |a Amp, Mat  |u Groundswell, London 
700 1 |a Burrows, Martin  |u Inclusive Insight (previously director of research and campaigns, Groundswell, London) 
700 1 |a Brown, Jo  |u Groundswell, London 
700 1 |a Brennan, Rachel  |u Groundswell, London 
700 1 |a Dickinson, Joanne 
700 1 |a Jackson, Shaun 
700 1 |a Yeung, Wan-Ley 
700 1 |a Ashcroft, Darren 
700 1 |a Campbell, Stephen 
700 1 |a Blakeman, Thomas 
700 1 |a Sanders, Caroline 
773 0 |t The British Journal of General Practice : The Journal of the Royal College of General Practitioners  |g vol. 72, no. 720 (Jul 2022), p. e492 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/2687830993/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch