2.50
Hdl Handle:
http://hdl.handle.net/10755/157615
Type:
Presentation
Title:
Barriers and Facilitators to Health Care Among Homeless Veterans
Abstract:
Barriers and Facilitators to Health Care Among Homeless Veterans
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Samiley, Romanitchiko, MSN, NP
P.I. Institution Name:University of California, Los Angeles, School of Nursing
Title:Doctoral Student
Contact Address:3-653 Factor Bldg, Box 956917, Los Angeles, CA, 90095-6917, USA
Contact Telephone:310-663-9980
Purpose:  Understand the barriers and facilitators that impact access to VA healthcare services among homeless veterans. Problem Statement:  There is a paucity of research on the barriers and facilitators that homeless veterans experience in accessing care.  Understanding these issues is important because of the myriad of health, psychiatric and substance abuse problems they encounter.  Veterans reveal that there is a need for better information regarding available services, and deserved benefits and ways to overcome welfare stigma will be critical in promoting accessibility to health care. Theoretical Framework:  The Vulnerable Populations Comprehensive Model is the framework that will be used to explain the interactive relationship between resource availability, relative risk and health status (Flaskerud & Winslow, 1998) of homeless veterans.  Decreased resource availability impacts access to care and barriers to care puts this social group at an increased relative risk or susceptibility to adverse health outcomes. Subjects and Setting:  The target population is homeless veterans who are at risk for poor health outcome and despite being eligible for VA health care benefits, many not be accessing care. The inclusion criterion for participants is a period of homelessness for 30 days.  The data collection site will include congregation eating facilities, emergency shelters, and transitional housing in the Skid Row area of Los Angeles and the Westside. Methods:  Understanding barriers and facilitators that the homeless veteran population experience is critical.  Presently, qualitative methods will be employed as it will allow an understanding of the perspective of the participant or agent, which is in line with the emancipatory aims of critical social theory, the underlying  philosophical tradition driving this study.  Participants will be asked open-ended questions to describe their veteran status, knowledge of barriers and facilitators they experience in accessing healthcare, and the strategies they use to navigate of the healthcare system.  Veterans will also be asked if they are receiving VA benefits or healthcare at a VA facility. Questions pertaining to access to healthcare may be adopted from instruments that have been used in previous studies, such as the National Technical Center Telephone Substance Descriptive Needs Assessment Questionnaire and Basic Shelter Inventory. Significance:  Access to health care is an important issue in vulnerable populations because of its focus on resource availability.  It is also important to the VA because only 10% of all veterans use VA health services, and only less than a quarter of veterans (23%) who are eligible for VA healthcare choose the VA.  The VA could be an untapped resource for this population that has many health problems, psychiatric illnesses, and substance abuse.  Because a study on vulnerable population is tied with social injustice, this study on vulnerable population of homeless veterans perhaps could also make a significant contribution to the philosophical tradition of critical social theory and can be used to develop intervention programs to improve their access to VA services and ultimately improve the health of homeless veterans.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBarriers and Facilitators to Health Care Among Homeless Veteransen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157615-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Barriers and Facilitators to Health Care Among Homeless Veterans</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Samiley, Romanitchiko, MSN, NP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of California, Los Angeles, School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral Student</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3-653 Factor Bldg, Box 956917, Los Angeles, CA, 90095-6917, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">310-663-9980</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rsamiley@ucla.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose:&nbsp; Understand the barriers and facilitators that impact access to VA healthcare services among homeless veterans.&nbsp;Problem Statement:&nbsp; There is a paucity of research on the barriers and facilitators that homeless veterans experience in accessing care.&nbsp; Understanding these issues is important because of the myriad of health, psychiatric and substance abuse problems they encounter.&nbsp; Veterans reveal that there is a need for better information regarding available services, and deserved benefits and ways to overcome welfare stigma will be critical in promoting accessibility to health care. Theoretical Framework:&nbsp; The Vulnerable Populations Comprehensive Model is the framework that will be used to explain the interactive relationship between resource availability, relative risk and health status (Flaskerud &amp; Winslow, 1998) of homeless veterans.&nbsp; Decreased resource availability impacts access to care and barriers to care puts this social group at an increased relative risk or susceptibility to adverse health outcomes. Subjects and Setting:&nbsp; The target population is homeless veterans who are at risk for poor health outcome and despite being eligible for VA health care benefits, many not be accessing care. The inclusion criterion for participants is a period of homelessness for 30 days.&nbsp; The data collection site will include congregation eating facilities, emergency shelters, and transitional housing in the Skid Row area of Los Angeles and the Westside.&nbsp;Methods:&nbsp; Understanding barriers and facilitators that the homeless veteran population experience is critical.&nbsp; Presently, qualitative methods will be employed as it will allow an understanding of the perspective of the participant or agent, which is in line with the emancipatory aims of critical social theory, the underlying&nbsp; philosophical tradition driving this study.&nbsp; Participants will be asked open-ended questions to describe their veteran status, knowledge of barriers and facilitators they experience in accessing healthcare, and the strategies they use to navigate of the healthcare system.&nbsp; Veterans will also be asked if they are receiving VA benefits or healthcare at a VA facility. Questions pertaining to access to healthcare may be adopted from instruments that have been used in previous studies, such as the National Technical Center Telephone Substance Descriptive Needs Assessment Questionnaire and Basic Shelter Inventory.&nbsp;Significance:&nbsp; Access to health care is an important issue in vulnerable populations because of its focus on resource availability.&nbsp; It is also important to the VA because only 10% of all veterans use VA health services, and only less than a quarter of veterans (23%) who are eligible for VA healthcare choose the VA.&nbsp; The VA could be an untapped resource for this population that has many health problems, psychiatric illnesses, and substance abuse.&nbsp; Because a study on vulnerable population is tied with social injustice, this study on vulnerable population of homeless veterans perhaps could also make a significant contribution to the philosophical tradition of critical social theory and can be used to develop intervention programs to improve their access to VA services and ultimately improve the health of homeless veterans.</td></tr></table>en_GB
dc.date.available2011-10-26T20:02:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:02:23Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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