The first tiers of access included a domestic violence shelter, a shelter for single homeless women, and a cafe offering low-cost meals to an inner city homeless population. First, they typically found a social network opportunity structure where brokers could assist them into the health care system. Findings revealed that homeless women usually had circuitous rather than direct routes to health services. Informed by grounded theory and dimensional analysis, the investigator conducted in-depth interviews with 19 homeless women, 6 staff from agencies serving homeless women, and 2 community health nurses. The study reported here explored how homeless women access health services within the context of shelter living and emerging managed care systems. Under-utilization of health services complicates these health conditions. Homeless women experience more severe physical and mental health problems than women in the general population.
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