A general practice street health service Patient and allied service provider perspectives

Cecily Strange, Colleen Fisher, Wendy Chan She Ping-Delfos, Diane Arnold-Reed, Tom Brett

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background and objective

People who are homeless or marginalised have poor engagement with mainstream healthcare services. The aim of this study was to explore patient and staff perspectives of a street-based, primary health service, to help identify factors influencing patient access and management.

Methods

A qualitative study was undertaken from April to September 2016. Interviews (n = 27) explored patients' experiences of accessing healthcare services. Interviews with allied service staff (n = 5) explored referral pathways and patients access to healthcare.

Results

Factors influencing patients willingness to access primary healthcare through the street health service were identified as doctor-patient empathy, better understanding of patient circumstances, fostering of social capital, facilitating referral pathways and supporting the transition to mainstream general practice as circumstances improve. Hospital discharge planning and followup management were identified as gaps in the continuity of service.

Discussion

Ease of access provided by a streetbased health service facilitates access to the healthcare system for homeless and marginalised patients.

Original languageEnglish
Pages (from-to)44-48
Number of pages5
JournalAustralian journal of general practice
Volume47
Issue number1-2
Publication statusPublished - Feb 2018

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