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The Health Needs of Regionally Based Individuals Who Experience Homelessness: Perspectives of Service Providers

Author

Listed:
  • Grace Bennett-Daly

    (School of Nursing, University of Tasmania, Newnham, Launceston, TAS 7248, Australia
    These authors contributed equally to this work.)

  • Hazel Maxwell

    (School of Health Sciences, University of Tasmania, Rozelle, Sydney, NSW 2015, Australia
    These authors contributed equally to this work.)

  • Heather Bridgman

    (Centre for Rural Health, University of Tasmania, Newnham, Launceston, TAS 7248, Australia
    These authors contributed equally to this work.)

Abstract

The bidirectional relationship between homelessness and poor health and the barriers that individuals who experience homelessness face when trying to access healthcare are well documented. There is, however, little Australian research exploring the situation of individuals who experience homelessness in regional contexts and, moreover, from the perspective of service providers. A qualitative descriptive methodology underpinned this study, with in-depth semi-structured interviews being conducted with 11 service providers to identify barriers to care faced by people who experience homelessness and barriers that service providers themselves experience in supporting this population. The key barriers identified were client-level barriers: living day-by-day, financial, health literacy, mental health conditions, behaviour, safety and stigma; provider-level barriers: few bulk-billing doctors, fragmented services, limited resources, negative past experiences with healthcare; and system level barriers: transportation, over-stretched healthcare services. The combined impact of these barriers has significantly contributed to the desperate situation of people experiencing homelessness in Launceston. This situation is likely replicated in other regional populations in Australia. Given that individuals experiencing homelessness have higher rates of every measure in health inequality, steps need to be taken to reduce barriers, and a standardised approach to health care urgently needs to be implemented by governments at the state and national level to improve the health of regionally based individuals experiencing homelessness.

Suggested Citation

  • Grace Bennett-Daly & Hazel Maxwell & Heather Bridgman, 2022. "The Health Needs of Regionally Based Individuals Who Experience Homelessness: Perspectives of Service Providers," IJERPH, MDPI, vol. 19(14), pages 1-18, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8368-:d:858766
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    References listed on IDEAS

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    1. Grace Bennett-Daly & Maria Unwin & Ha Dinh & Michele Dowlman & Leigh Harkness & Jane Laidlaw & Kathleen Tori, 2021. "Development and Initial Evaluation of a Nurse-Led Healthcare Clinic for Homeless and At-Risk Populations in Tasmania, Australia: A Collaborative Initiative," IJERPH, MDPI, vol. 18(23), pages 1-15, December.
    2. Dai, Li & Zhou, Peng, 2020. "The health issues of the homeless and the homeless issues of the ill-health," Socio-Economic Planning Sciences, Elsevier, vol. 69(C).
    3. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
    4. Amanda Stafford & Lisa Wood, 2017. "Tackling Health Disparities for People Who Are Homeless? Start with Social Determinants," IJERPH, MDPI, vol. 14(12), pages 1-12, December.
    5. Cécile Vuillermoz & Stéphanie Vandentorren & Ruben Brondeel & Pierre Chauvin, 2017. "Unmet healthcare needs in homeless women with children in the Greater Paris area in France," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-15, September.
    6. Guy Johnson & Rosanna Scutella & Yi-Ping Tseng & Gavin Wood, 2019. "How do housing and labour markets affect individual homelessness?," Housing Studies, Taylor & Francis Journals, vol. 34(7), pages 1089-1116, August.
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    1. Nayara Gonçalves Barbosa & Hellen Aparecida de Azevedo Pereira & Marcelo Vinicius Domingos Rodrigues dos Santos & Lise Maria Carvalho Mendes & Flávia Azevedo Gomes-Sponholz & Juliana Cristina dos Sant, 2023. "Assisting Homeless Women in a City in Brazil during the COVID-19 Pandemic in the Context of a Street Outreach Office: The Perceptions of Health Professionals," IJERPH, MDPI, vol. 20(2), pages 1-10, January.
    2. Iria Noa de la Fuente-Roldán & Ana Isabel Corchado-Castillo & Ana Dorado-Barbé, 2023. "Mental Health and Homelessness in the Community of Madrid (Spain): The Impact of Discrimination and Violence," IJERPH, MDPI, vol. 20(3), pages 1-16, January.
    3. Amalia Kouskoura & Eleni Kalliontzi & Dimitrios Skalkos & Ioannis Bakouros, 2024. "Assessing the Key Factors Measuring Regional Competitiveness," Sustainability, MDPI, vol. 16(6), pages 1-23, March.
    4. Cathy O’Callaghan & Paul Clenaghan & Alenda Dwiadila Matra Putra & Fiona Haigh & Sue Amanatidis & Freya Raffan & Nicole Lynch & Margo Barr, 2024. "Evaluation of a Virtual Health Hub for People Experiencing Homelessness in Sydney, Australia: Ensuring Physical and Psychological Primary Health Care in Crisis Accommodation," IJERPH, MDPI, vol. 21(12), pages 1-19, November.

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