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Pathways of Individuals Experiencing Serious Illness While Homeless: An Exploratory 4-Point Typology from the RASCAL-UP Study.
- Source :
-
Journal of Social Work in End-of-Life & Palliative Care . Jul-Sep2023, Vol. 19 Issue 3, p209-228. 20p. 1 Diagram, 3 Charts. - Publication Year :
- 2023
-
Abstract
- The shifting age demographics of those experiencing homelessness in the United States expose shortcomings and barriers within homelessness response services and safety-net healthcare to address serious illness. The purpose of this study is to describe the common trajectories of patients concurrently experiencing homelessness and serious illness. As a part of the Research, Action, and Supportive Care at Later-life for Unhoused People (RASCAL-UP) study, the study uses patient charts (n = 75) from the only specialty palliative care program in the U.S. specifically for people experiencing homelessness. Through a thematic mixed-method analysis, a four-point typology of care pathways taken by people experiencing homelessness while seriously ill is introduced: (1) aging and dying-in-place within the housing care system; (2) frequent transitions during serious illness; (3) healthcare institutions as housing; and (4) housing as palliation. Implications of this exploratory typology include targeted, site-specific interventions for supporting goal-concordant patient care and assisting researchers and policy makers in appreciating heterogeneity in experience and need among older and chronically ill people experiencing homelessness and housing precarity. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DECISION trees
*RESEARCH
*LENGTH of stay in hospitals
*STATISTICS
*ANALYSIS of variance
*PATIENT decision making
*RESEARCH methodology
*SOCIAL workers
*COMMUNITY health services
*CATASTROPHIC illness
*EXPERIENCE
*SEVERITY of illness index
*QUALITATIVE research
*NURSES
*QUALITY of life
*HOMELESSNESS
*THEMATIC analysis
*POLICY sciences
*HEALTH equity
*PATIENT-professional relations
*JUDGMENT sampling
*DATA analysis software
*DATA analysis
*SOCIODEMOGRAPHIC factors
*PALLIATIVE treatment
*SPIRITUAL care (Medical care)
*DISCHARGE planning
Subjects
Details
- Language :
- English
- ISSN :
- 15524256
- Volume :
- 19
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Journal of Social Work in End-of-Life & Palliative Care
- Publication Type :
- Academic Journal
- Accession number :
- 171385007
- Full Text :
- https://doi.org/10.1080/15524256.2023.2223772