Abstract
On a single night in the United States, more than 550,000 persons are homeless, a number that has increased in recent years. Homeless persons are disproportionately afflicted by acute and chronic communicable and non-communicable diseases, mental health disorders, and substance use disorders. These health disparities contribute to premature mortality: a marked life expectancy gap, as the average lifespan of a homeless person is 42 to 52 years, compared to 78 years among the general population. Further contributing to this gap is historic barriers to healthcare system access and use, such as lack of health insurance and resulted fragmented care receipt. With the implementation of the Affordable Care Act, a widening of Medicaid eligibility criteria addressed the lack of health insurance barriers. The purpose of this dissertation study was to explore the factors that influence health and health systems use among vulnerable populations, specifically among homeless persons.
Sigma Membership
Non-member
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Mixed/Multi Method Research
Keywords:
Heathcare Access, Homeless Persons, Affordable Care Act
Advisor
Susan W. Buchholz
Second Advisor
Lynne T. Braun
Third Advisor
Rebekah J. Hamilton
Fourth Advisor
Niranjan S. Karnik
Degree
PhD
Degree Grantor
Rush University
Degree Year
2019
Recommended Citation
Dickins, Kirsten A., "Primary care access and use among homeless persons" (2021). Dissertations. 673.
https://www.sigmarepository.org/dissertations/673
Rights Holder
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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2021-09-20
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 13807562; ProQuest document ID: 2224685667. The author still retains copyright.