Patient and provider perspectives on barriers and facilitators to reproductive healthcare access for women experiencing homelessness with substance use disorders in San Francisco.
Christina N SchmidtErin E WingoSara J NewmannDeborah E BorneBrad J ShapiroDominika L SeidmanPublished in: Women's health (London, England) (2023)
Women experiencing homelessness with substance use disorders face intersecting and compounding barriers to accessing reproductive health services. For patients, the impact of stigma and bias on treatment experiences are particularly salient, in contrast to logistical barriers emphasized by providers. Improving access will require structural and individual-level solutions to address stigma and create person-centered, trauma-informed, and respectful care environments.
Keyphrases
- mental illness
- healthcare
- mental health
- end stage renal disease
- polycystic ovary syndrome
- newly diagnosed
- ejection fraction
- hiv aids
- chronic kidney disease
- social support
- palliative care
- magnetic resonance
- peritoneal dialysis
- magnetic resonance imaging
- prognostic factors
- depressive symptoms
- quality improvement
- skeletal muscle
- pain management
- metabolic syndrome
- insulin resistance
- trauma patients
- combination therapy
- patient reported
- antiretroviral therapy
- affordable care act