Development of the Homeless Health Access to Care Tool to identify health-related vulnerability among people experiencing homelessness: Delphi study, Australia
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Description
Objectives
In this paper we report the development of the Homeless Health Access to Care Tool. This tool aims to improve the gap in assessing health need and capacity to access healthcare of people experiencing homelessness. Tools exist that prioritise people experiencing homelessness for housing, but none specifically designed to prioritise for healthcare, or that are succinct enough to be easily implemented to emergency department or primary healthcare settings.
Design & Setting
The Homeless Health Access to Care Tool has been adapted from an existing tool, the Vulnerability Index Service Prioritisation Decision Assistance Tool through a five-step process: 1) domain identification 2) literature review 3) analysis of hospital admission data 4) expert judges 5) Delphi study.
Participants
The tool was adapted and developed by homeless health clinicians, academics and people with lived experience of homelessness. The Delphi study (n=9) comprised emergency department and homeless health clinicians.
Results
Consensus was gained on all but one item, 5 new items were added, and wording changes were made to 6 items based on expert feedback. Participants perceived the tool would take between 5 to 11 minutes to complete, the number of items were appropriate, and the majority agreed it would facilitate the assessment of health needs and capacity to access healthcare.
Conclusion
Robust development of the Homeless Health Access to Care Tool through the Delphi is the first phase of its development. The Homeless Health Access to Care Tool offers an opportunity to assess both health need and capacity to access healthcare with the aim to improve access to healthcare for people experiencing homelessness. This tool will facilitate standardised data collection to inform service design and data linkage regarding access to healthcare of people experiencing homelessness. The next stages of testing include construct validity, feasibility, usability and interrater reliability, and pilot implementation.
Impact and interest:
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| ID Code: | 228619 | ||||
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| Item Type: | Contribution to Journal (Journal Article) | ||||
| Refereed: | Yes | ||||
| ORCID iD: |
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| Additional Information: | Funding Information: Funding Funding was received from the Applied Medical Research Inclusive Health, St Vincent’s Clinic Foundation Research Grants supported by the St Vincent’s Health Australia Inclusive Health Program. | ||||
| Measurements or Duration: | 11 pages | ||||
| Keywords: | Accident & emergency medicine, Primary care, Public health | ||||
| DOI: | 10.1136/bmjopen-2021-058893 | ||||
| ISSN: | 2044-6055 | ||||
| Pure ID: | 106050073 | ||||
| Divisions: | Current > Research Centres > Centre for Healthcare Transformation Current > QUT Faculties and Divisions > Faculty of Health Current > Schools > School of Nursing Current > Schools > School of Public Health & Social Work |
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| Funding Information: | Funding Funding was received from the Applied Medical Research Inclusive Health, St Vincent’s Clinic Foundation Research Grants supported by the St Vincent’s Health Australia Inclusive Health Program. Funding was received from the Applied Medical Research Inclusive Health, St Vincent's Clinic Foundation Research Grants supported by the St Vincent's Health Australia Inclusive Health Program | ||||
| Copyright Owner: | Author(s) (or their employer(s)) 2022. | ||||
| Copyright Statement: | This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au | ||||
| Deposited On: | 03 Mar 2022 00:28 | ||||
| Last Modified: | 20 May 2024 20:26 |
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