Development of the Homeless Health Access to Care Tool to identify health-related vulnerability among people experiencing homelessness: Delphi study, Australia.
accident & emergency medicine
primary care
public health
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
21 03 2022
21 03 2022
Historique:
entrez:
22
3
2022
pubmed:
23
3
2022
medline:
15
4
2022
Statut:
epublish
Résumé
In this paper, we report the development of the Homeless Health Access to Care Tool. This tool aims to improve the gap in assessing health need and capacity to access healthcare of people experiencing homelessness. Tools exist that prioritise people experiencing homelessness for housing, but none specifically designed to prioritise for healthcare, or that are succinct enough to be easily implemented to emergency department or primary healthcare settings. The Homeless Health Access to Care Tool has been adapted from an existing tool, the Vulnerability Index Service Prioritisation Decision Assistance Tool through a five-step process: (1) domain identification, (2) literature review, (3) analysis of hospital admission data, (4) expert judges, and (5) Delphi study. The tool was adapted and developed by homeless health clinicians, academics and people with lived experience of homelessness. The Delphi study (n=9) comprised emergency department and homeless health clinicians. Consensus was gained on all but one item, five new items were added, and wording changes were made to six items based on expert feedback. Participants perceived the tool would take between 5 to 11 min to complete, the number of items were appropriate, and the majority agreed it would facilitate the assessment of health needs and capacity to access healthcare. Robust development of the Homeless Health Access to Care Tool through the Delphi is the first phase of its development. The Homeless Health Access to Care Tool offers an opportunity to assess both health need and capacity to access healthcare with the aim to improve access to healthcare for people experiencing homelessness. This tool will facilitate standardised data collection to inform service design and data linkage regarding access to healthcare of people experiencing homelessness. The next stages of testing include construct validity, feasibility, usability and inter-rater reliability, and pilot implementation.
Identifiants
pubmed: 35314477
pii: bmjopen-2021-058893
doi: 10.1136/bmjopen-2021-058893
pmc: PMC8938696
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e058893Informations de copyright
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Palliat Med. 2017 Sep;31(8):684-706
pubmed: 28190381
Public Health Rep. 2016 Nov;131(6):765-772
pubmed: 28123222
Lancet. 2015 Dec 12;386(10011):2442-4
pubmed: 26364261
Emerg Med Australas. 2019 Aug;31(4):639-645
pubmed: 30920164
CJEM. 2021 Jan;23(1):111-122
pubmed: 33683611
BMJ Open. 2014 Aug 19;4(8):e005461
pubmed: 25138806
Aust N Z J Public Health. 2020 Dec;44(6):476-481
pubmed: 32955766
BMC Public Health. 2007 Nov 10;7:320
pubmed: 17996112
Aust N Z J Psychiatry. 2015 May;49(5):471-80
pubmed: 25526944
J Emerg Med. 2021 May;60(5):661-668
pubmed: 33579657
Int J Equity Health. 2013 Mar 11;12:18
pubmed: 23496984
Nurs Res. 1986 Nov-Dec;35(6):382-5
pubmed: 3640358
Am J Public Health. 2010 Jul;100(7):1326-33
pubmed: 20466953
PLoS One. 2021 Jul 9;16(7):e0254100
pubmed: 34242298
Lancet. 2018 Jan 20;391(10117):241-250
pubmed: 29137869
Med J Aust. 2018 Aug 3;209(5):230-234
pubmed: 30157413
J Public Health Manag Pract. 2005 Jul-Aug;11(4):311-6
pubmed: 15958930
Emerg Med J. 2011 May;28(5):422-7
pubmed: 20682956
Front Public Health. 2018 Jun 11;6:149
pubmed: 29942800
Curr Cardiol Rev. 2009 Jan;5(1):69-77
pubmed: 20066152
Soc Work Public Health. 2014;29(1):73-80
pubmed: 24188298
J Adv Nurs. 2015 Sep;71(9):2096-107
pubmed: 25916241
BMC Public Health. 2019 Jul 24;19(1):994
pubmed: 31340786
Circulation. 2005 May 24;111(20):2629-35
pubmed: 15897342