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dc.contributor.advisorStrand, Nicolle K.
dc.creatorKoehler , Kurt
dc.date.accessioned2021-05-24T18:45:48Z
dc.date.available2021-05-24T18:45:48Z
dc.date.issued2021
dc.identifier.urihttp://hdl.handle.net/20.500.12613/6492
dc.description.abstractMeeting the healthcare needs of the homeless continues to be a significant challenge in the United States. Homeless individuals suffer a disproportionately high burden of both communicable and non-communicable diseases and are at increased risk of dying prematurely. Additionally, this population faces barriers to receiving healthcare that are less prevalent for non-homeless persons. These include difficulties physically accessing care, underinsurance, and highly comorbid mental health and substance use disorders, all of which contribute to nonadherence and loss to follow-up. As such, homeless individuals report unmet needs across multiple types of healthcare services. Homeless people’s perceptions and attitudes towards healthcare also affect their propensity to utilize services. As with all patients, homeless individuals articulate a desire for compassionate, person-centered care involving meaningful engagement and trust. Yet, this is often not the case. Stigma and perceived discrimination from healthcare providers on the basis of poverty, race, mental illness or substance use have made the homeless feel unwelcome in many healthcare settings. Homeless people often describe being treated less compassionately by providers, feeling invisible, dehumanized, or reduced to objects. Perceived prejudice may contribute to poorer adherence and more frequent utilization of acute care or emergency services compared to routine ambulatory care. In this thesis, I explore homeless individuals’ attitudes of trust or mistrust towards the healthcare system using qualitative methods. I interviewed participants who identified as homeless at Philadelphia FIGHT and Broad Street Ministry, two healthcare and social service organizations that serve the homeless community in Philadelphia. I conducted interviews using a semi-structured interview guide. Below, I discuss my rationale for doing this study, my study methods, and results through five participant narratives elucidating key themes that arose during interviews. In the last chapter, I discuss why these results matter and how they can be used to inform future practice and policy aimed at reducing healthcare disparities for the homeless.
dc.format.extent42 pages
dc.language.isoeng
dc.publisherTemple University. Libraries
dc.relation.ispartofTheses and Dissertations
dc.rightsIN COPYRIGHT- This Rights Statement can be used for an Item that is in copyright. Using this statement implies that the organization making this Item available has determined that the Item is in copyright and either is the rights-holder, has obtained permission from the rights-holder(s) to make their Work(s) available, or makes the Item available under an exception or limitation to copyright (including Fair Use) that entitles it to make the Item available.
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectMedical ethics
dc.subjectSocial research
dc.subjectPublic health
dc.subjectHealth disparities
dc.subjectHealth systems
dc.subjectHomeless health care
dc.subjectHomelessness
dc.subjectTrust
dc.subjectUrban bioethics
dc.titleMedical Mistrust Among Individuals Experiencing Homelessness
dc.typeText
dc.type.genreThesis/Dissertation
dc.description.departmentUrban Bioethics
dc.relation.doihttp://dx.doi.org/10.34944/dspace/6474
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.degreeM.A.
dc.identifier.proqst14398
dc.date.updated2021-05-19T16:08:41Z
refterms.dateFOA2021-05-24T18:45:49Z
dc.identifier.filenameKoehler_temple_0225M_14398.pdf


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