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Unique health care utilization patterns in a homeless population in Ghent

Evelyn Verlinde UGent, TINE VERDEE UGent, Mieke Van de Walle UGent, Bruno Art UGent, Jan De Maeseneer UGent and Sara Willems UGent (2010) BMC HEALTH SERVICES RESEARCH. 10.
abstract
Background: Existing studies concerning the health care use of homeless people describe higher utilisation rates for hospital-based care and emergency care, and lower rates for primary care by homeless people compared to the general population. Homeless people are importantly hindered and/or steered in their health care use by barriers directly related to the organisation of care. Our goal is to describe the accessibility of primary health care services, secondary care and emergency care for homeless people living in an area with a universal primary health care system and active guidance towards this unique system. Methods: Observational, cross-sectional study design. Data from the Belgian National health survey were merged with comparable data collected by means of a face-to-face interview from homeless people in Ghent. 122 homeless people who made use of homeless centres and shelters in Ghent were interviewed using a reduced version of the Belgian National Health survey over a period of 5 months. 2-dimensional crosstabs were built in order to study the bivariate relationship between health care use (primary health care, secondary and emergency care) and being homeless. To determine the independent association, a logistic model was constructed adjusting for age and sex. Results and Discussion: Homeless people have a higher likelihood to consult a GP than the non-homeless people in Ghent, even after adjusting for age and sex. The same trend is demonstrated for secondary and emergency care. Conclusions: Homeless people in Ghent do find the way to primary health care and make use of it. It seems that the universal primary health care system in Ghent with an active guidance by social workers contributes to easier GP access.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
journal title
BMC HEALTH SERVICES RESEARCH
BMC Health Serv. Res.
volume
10
article_number
242
pages
9 pages
Web of Science type
Article
Web of Science id
000282803400001
JCR category
HEALTH CARE SCIENCES & SERVICES
JCR impact factor
1.721 (2010)
JCR rank
33/71 (2010)
JCR quartile
2 (2010)
ISSN
1472-6963
DOI
10.1186/1472-6963-10-242
language
English
UGent publication?
yes
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
1038951
handle
http://hdl.handle.net/1854/LU-1038951
date created
2010-09-09 10:00:35
date last changed
2015-06-17 09:12:29
@article{1038951,
  abstract     = {Background: Existing studies concerning the health care use of homeless people describe higher utilisation rates for hospital-based care and emergency care, and lower rates for primary care by homeless people compared to the general population. Homeless people are importantly hindered and/or steered in their health care use by barriers directly related to the organisation of care. Our goal is to describe the accessibility of primary health care services, secondary care and emergency care for homeless people living in an area with a universal primary health care system and active guidance towards this unique system.  
Methods: Observational, cross-sectional study design. Data from the Belgian National health survey were merged with comparable data collected by means of a face-to-face interview from homeless people in Ghent. 122 homeless people who made use of homeless centres and shelters in Ghent were interviewed using a reduced version of the Belgian National Health survey over a period of 5 months. 2-dimensional crosstabs were built in order to study the bivariate relationship between health care use (primary health care, secondary and emergency care) and being homeless. To determine the independent association, a logistic model was constructed adjusting for age and sex.
Results and Discussion: Homeless people have a higher likelihood to consult a GP than the non-homeless people in Ghent, even after adjusting for age and sex. The same trend is demonstrated for secondary and emergency care.
Conclusions: Homeless people in Ghent do find the way to primary health care and make use of it. It seems that the universal primary health care system in Ghent with an active guidance by social workers contributes to easier GP access.},
  articleno    = {242},
  author       = {Verlinde, Evelyn and VERDEE, TINE and Van de Walle, Mieke and Art, Bruno and De Maeseneer, Jan and Willems, Sara},
  issn         = {1472-6963},
  journal      = {BMC HEALTH SERVICES RESEARCH},
  language     = {eng},
  pages        = {9},
  title        = {Unique health care utilization patterns in a homeless population in Ghent},
  url          = {http://dx.doi.org/10.1186/1472-6963-10-242},
  volume       = {10},
  year         = {2010},
}

Chicago
Verlinde, Evelyn, TINE VERDEE, Mieke Van de Walle, Bruno Art, Jan De Maeseneer, and Sara Willems. 2010. “Unique Health Care Utilization Patterns in a Homeless Population in Ghent.” Bmc Health Services Research 10.
APA
Verlinde, E., VERDEE, T., Van de Walle, M., Art, B., De Maeseneer, J., & Willems, S. (2010). Unique health care utilization patterns in a homeless population in Ghent. BMC HEALTH SERVICES RESEARCH, 10.
Vancouver
1.
Verlinde E, VERDEE T, Van de Walle M, Art B, De Maeseneer J, Willems S. Unique health care utilization patterns in a homeless population in Ghent. BMC HEALTH SERVICES RESEARCH. 2010;10.
MLA
Verlinde, Evelyn, TINE VERDEE, Mieke Van de Walle, et al. “Unique Health Care Utilization Patterns in a Homeless Population in Ghent.” BMC HEALTH SERVICES RESEARCH 10 (2010): n. pag. Print.