How do health system factors (funding and performance) impact on access to healthcare for populations experiencing homelessness: a realist evaluation.

ABSTRACT:

Background

People experiencing long-term homelessness face significant difficulties accessing appropriate healthcare at the right time and place. This study explores how and why healthcare performance management and funding arrangements contribute to healthcare accessibility or the lack thereof using long-term homeless adults as an example of a population experiencing social exclusion.

Methods

A realist evaluation was undertaken. Thirteen realist interviews were conducted after which data were transcribed, coded, and analysed.

Results

Fourteen CMOCs were created based on analysis of the data collected. These were then consolidated into four higher-level CMOCs. They show that health systems characterised by fragmentation are designed to meet their own needs above the n

SUBMITTER: Siersbaek R 

PROVIDER: S-EPMC10583475 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature