María Sánchez Hidalgo, Maria Sol Andrés, Josepa Canadell Rusiñol, Laura Paloma Fürstenheim Milerud, Estela Gómez Palomar, Marta Moya Tena
{"title":"无家可归者获得和使用初级保健设施的障碍和便利因素","authors":"María Sánchez Hidalgo, Maria Sol Andrés, Josepa Canadell Rusiñol, Laura Paloma Fürstenheim Milerud, Estela Gómez Palomar, Marta Moya Tena","doi":"10.1016/j.aprim.2024.102949","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To identify barriers and facilitators for the access and use of primary care centers for people experiencing homelessness.</p></div><div><h3>Design</h3><p>Qualitative study, phenomenological theoretical-methodological approach. Between May 19 and July 27, 2023.</p></div><div><h3>Location</h3><p>Besòs Primary Health Care Center and Gregal social dining (Besòs and Maresme neighborhood, Barcelona).</p></div><div><h3>Participants</h3><p>People experiencing homelessness attending the Gregal social dining and professionals from the Besòs Primary Health Care Center.</p></div><div><h3>Method</h3><p>Theoretical purposive sampling. Individual and group interviews and open non-participant observation. Thematic content analysis, triangulation by independent analysis of three members of the research team and triangulation of methods. Discourse saturation was achieved through variability of discourse and techniques.</p></div><div><h3>Results</h3><p>Eleven individual interviews, three group interviews and two observations. Different barriers and facilitators were identified. These were classified into five categories: (1)<!--> <!-->concept and identification of people experiencing homelessness; (2)<!--> <!-->personal factors of people experiencing homelessness; (3)<!--> <!-->behaviors and attitudes of professionals; (4)<!--> <!-->structural factors related to health system regulation, anf (5)<!--> <!-->internal organizational factors of primary health care centers.</p></div><div><h3>Conclusions</h3><p>People experiencing homelessness face multiple barriers to access primary health care, although there are also facilitators such as trusting relationships and multidisciplinary and intersectoral work that can be enhanced from primary health care centers to contribute to health equity.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S021265672400091X/pdfft?md5=97f3ba37b089287f810c6ed3ba020863&pid=1-s2.0-S021265672400091X-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Barreras y facilitadores en el acceso y la utilización de los centros de atención primaria para las personas en situación de sinhogarismo\",\"authors\":\"María Sánchez Hidalgo, Maria Sol Andrés, Josepa Canadell Rusiñol, Laura Paloma Fürstenheim Milerud, Estela Gómez Palomar, Marta Moya Tena\",\"doi\":\"10.1016/j.aprim.2024.102949\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To identify barriers and facilitators for the access and use of primary care centers for people experiencing homelessness.</p></div><div><h3>Design</h3><p>Qualitative study, phenomenological theoretical-methodological approach. Between May 19 and July 27, 2023.</p></div><div><h3>Location</h3><p>Besòs Primary Health Care Center and Gregal social dining (Besòs and Maresme neighborhood, Barcelona).</p></div><div><h3>Participants</h3><p>People experiencing homelessness attending the Gregal social dining and professionals from the Besòs Primary Health Care Center.</p></div><div><h3>Method</h3><p>Theoretical purposive sampling. Individual and group interviews and open non-participant observation. Thematic content analysis, triangulation by independent analysis of three members of the research team and triangulation of methods. Discourse saturation was achieved through variability of discourse and techniques.</p></div><div><h3>Results</h3><p>Eleven individual interviews, three group interviews and two observations. Different barriers and facilitators were identified. 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Barreras y facilitadores en el acceso y la utilización de los centros de atención primaria para las personas en situación de sinhogarismo
Objective
To identify barriers and facilitators for the access and use of primary care centers for people experiencing homelessness.
Design
Qualitative study, phenomenological theoretical-methodological approach. Between May 19 and July 27, 2023.
Location
Besòs Primary Health Care Center and Gregal social dining (Besòs and Maresme neighborhood, Barcelona).
Participants
People experiencing homelessness attending the Gregal social dining and professionals from the Besòs Primary Health Care Center.
Method
Theoretical purposive sampling. Individual and group interviews and open non-participant observation. Thematic content analysis, triangulation by independent analysis of three members of the research team and triangulation of methods. Discourse saturation was achieved through variability of discourse and techniques.
Results
Eleven individual interviews, three group interviews and two observations. Different barriers and facilitators were identified. These were classified into five categories: (1) concept and identification of people experiencing homelessness; (2) personal factors of people experiencing homelessness; (3) behaviors and attitudes of professionals; (4) structural factors related to health system regulation, anf (5) internal organizational factors of primary health care centers.
Conclusions
People experiencing homelessness face multiple barriers to access primary health care, although there are also facilitators such as trusting relationships and multidisciplinary and intersectoral work that can be enhanced from primary health care centers to contribute to health equity.
期刊介绍：
Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.
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