Strategies for improving access to primary care services for homeless immigrants in England: a Delphi study.
Journal article
Namata, C. and Hatzidimitriadou, E. 2023. Strategies for improving access to primary care services for homeless immigrants in England: a Delphi study. Primary health care research & development. 24, p. e70. https://doi.org/10.1017/S1463423623000646
| Authors | Namata, C. and Hatzidimitriadou, E. |
|---|---|
| Abstract | The aim of the study was to identify the most prioritized strategies in improving access to primary care services (PCS) for homeless immigrants. The issue of improving access to PCS for homeless immigrants is a complex and multifaceted one, and yet there is limited research on the strategies aimed at improving these services. Hence, the need for more studies that directly engage homeless immigrants and service providers in understanding their barriers to accessing PCS and their preferences for improving access to these services. The study used a two round Delphi method to elicit the views of stakeholders. The Delphi process utilized a web-based questionnaire. The stakeholders included healthcare providers and voluntary sector providers. The first round had a total of 58 items belonging to 14 categories. The second round comprised a total of 25 items belonging to 12 categories which were preselected based on participants' ranking of their importance in the first round. Participants were required to rank the relative importance of all the items on a 5-point Likert scale. Data were analysed using the STATA-15 software package. A total of 12 stakeholders participated in both rounds of the Delphi survey. The top three strategies encompassed fighting against discrimination and prejudice, improving and promoting mental health services, and empowering homeless immigrants. These evidence-based strategies hold the potential to support the implementation of healthcare interventions aimed at improving access to PCS and healthcare outcomes for homeless immigrants. However, it is crucial to conduct further research that includes homeless immigrants in the Delphi study to gain insights into the strategies that are most important to them in enhancing access to PCS, as they are the primary target users. Such research will contribute to the development of comprehensive and effective interventions tailored to the specific needs of homeless. |
| Keywords | Emigrants and Immigrants; England; primary care services; Delivery of Health Care; Access to Primary Care; access to healthcare; Delphi Technique; homeless immigrants; Humans |
| Year | 2023 |
| Journal | Primary health care research & development |
| Journal citation | 24, p. e70 |
| Publisher | Cambridge University Press |
| ISSN | 1477-1128 |
| Digital Object Identifier (DOI) | https://doi.org/10.1017/S1463423623000646 |
| https://doi.org/S1463423623000646 | |
| Official URL | https://www.cambridge.org/core/journals/primary-health-care-research-and-development/article/strategies-for-improving-access-to-primary-care-services-for-homeless-immigrants-in-england-a-delphi-study/04C7688889E4CA6086C5BFF3A2215D4E |
| Publication dates | |
| Online | 14 Dec 2023 |
| Publication process dates | |
| Accepted | 05 Nov 2023 |
| Deposited | 21 Dec 2023 |
| Publisher's version | License File Access Level Open |
| Output status | Published |
| Additional information | Publications router: Date 2023-12-14 of type 'publication_date' with format 'electronic' included in notification |
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| License: CC BY 4.0 | ||
| File access level: Open | ||
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