Health and healthcare use of homeless population: Evaluation study of joint social work and healthcare provision
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68378025%3A_____%2F25%3A00599486" target="_blank" >RIV/68378025:_____/25:00599486 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11310/25:10486476 RIV/61384399:31130/25:00060581
Result on the web
<a href="https://www.sciencedirect.com/science/article/pii/S0020748924002426?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/pii/S0020748924002426?via%3Dihub</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.ijnurstu.2024.104929" target="_blank" >10.1016/j.ijnurstu.2024.104929</a>
Alternative languages
Result language
angličtina
Original language name
Health and healthcare use of homeless population: Evaluation study of joint social work and healthcare provision
Original language description
Background: Homelessness as an extreme form of poverty perpetuates and exacerbates health inequalities. People experiencing homelessness face a mortality rate 10 times higher than that of the general population, with an average age of death at 45. There is a significant disconnect between the mainstream healthcare system and the specific health needs of people experiencing homelessness, leading to substantial human and economic costs.nObjective: The objective of this evaluation study is to assess the impact of an intervention in nurse-led healthcare outreach services to people experiencing homelessness on their utilization of healthcare services.nDesign: This study is a part of research program aimed at assuring health equity of most vulnerable members of a society. Detailed understanding of barriers to care is a necessary precondition for improvements in healthcare use.nData: The study analyzes data on hospitalization and emergency department visits by people experiencing homelessness across three cities in Czechia from 2014 to 2021.nMethods: A quantitative difference-in-differences approach is complemented by insights from field studies in these three cities.nResults: The intervention in people experiencing homelessness outreach led to a reduction in both hospital admissions and the emergency visits by people experiencing homelessness, alleviating pressure on health service capacity and reducing associated healthcare costs. Enhanced primary nurse-led healthcare outreach, along with cross-sectoral integration and activation, has lowered the barriers to accessing essential healthcare services.nConclusion: A pivotal policy outcome of this study is the establishment of an insurance provision that allows medical doctors to claim additional costs incurred in treating people experiencing homelessness from a public insurance system.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30307 - Nursing
Result continuities
Project
<a href="/en/project/LX22NPO5101" target="_blank" >LX22NPO5101: The National Institute for Research on the Socioeconomic Impact of Diseases and Systemic Risks</a><br>
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2025
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
International Journal of Nursing Studies
ISSN
0020-7489
e-ISSN
1873-491X
Volume of the periodical
161
Issue of the periodical within the volume
January
Country of publishing house
GB - UNITED KINGDOM
Number of pages
22
Pages from-to
104929
UT code for WoS article
001346694900001
EID of the result in the Scopus database
2-s2.0-85207307273