چکیده (انگلیسی):

Background:Despite Canada’s universal healthcare system, significant barriers impede individuals experiencing
homelessness from accessing health services. Furthermore, there is a paucity in the qualitative literature
describing how Canadians experiencing homelessness access health care services. Our objective was to
qualitatively explore perceived healthcare needs and barriers among individuals experiencing homelessness in
one large Canadian city–Calgary, Alberta.
Methods:We conducted a qualitative descriptive study that included open-ended interviews and focus groups
with a variety of stakeholders who are involved in healthcare among Calgary’s homeless populations. These
included individuals experiencing homelessness (n= 11) as well as employees from several healthcare service
providers for those experiencing homelessness (n= 11). Transcripts from these interviews were thematically
analyzed by two analysts.
Results:Stakeholder interviews yielded several pervasive themes surrounding the health care needs of the
homeless and barriers to accessing care. Some of the primary health care needs which were identified included
mental health, addictions, and allied health as well as care that addresses the social determinants of health.
Notably, it was difficult for many stakeholders to pinpoint specific health care priorities, as they identified that the
health care needs among Calgary’s homeless populations are diverse and complex, often even describing the
needs as overwhelming. Types of barriers to primary care that were identified by stakeholders included:
emotional, educational, geographical, financial and structural barriers, as well as discrimination.
Conclusions:Our findings highlight the diverse primary health care needs of Calgary’s homeless populations.
Despite the fact that Canada has a universal publicly funded health care system, individuals experiencing
homelessness face significant barriers in accessing primary care.