Quality of health care: the views of homeless youth.
OBJECTIVE
To develop homeless-youth-identified process and outcome measures of quality of health care.


METHODS
Primary data collection with homeless youth from both street and clinic settings in Seattle, Washington, for calendar year 2002.


METHODS
The research was a focused ethnography, using key informant and in-depth individual interviews as well as focus groups with a purposeful sample of 47 homeless youth aged 12-23 years.


METHODS
All interviews and focus groups were tape-recorded, transcribed, and preliminarily coded, with final coding cross-checked and verified with a second researcher.


RESULTS
Homeless youth most often stated that cultural and interpersonal aspects of quality of care were important to them. Physical aspects of quality of care reported by the youth were health care sites separate from those for homeless adults, and sites that offered a choice of allopathic and complementary medicine. Outcomes of health care included survival of homelessness, functional and disease-state improvement, and having increased trust and connections with adults and with the wider community.


CONCLUSIONS
Homeless youth identified components of quality of care as well as how quality of care should be measured. Their perspectives will be included in a larger follow-up study to develop quality of care indicators for homeless youth.
Ensign
Josephine
J
Department of Psychosocial and Community Health, University of Washington, Seattle 98195, USA.
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D003466:Cultural Characteristics; D005260:Female; D017144:Focus Groups; D006297:Health Services Accessibility / Q000592:standards*; D006301:Health Services Needs and Demand; D018453:Homeless Youth / Q000523:psychology*; D006801:Humans; D008297:Male; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D000297:Psychology, Adolescent; D011785:Quality Assurance, Health Care; D011795:Surveys and Questionnaires; D013997:Time Factors; D035502:Trust; D014861:Washington