Suchergebnisse

Front Cover -- Contents -- Preface -- Acknowledgements -- Introduction: Why Pharmacy Practice? -- Contributors -- Chapter 1: The Historical Context of Pharmacy and Pharmacy Practice -- Chapter 2: Pharmacy and Public Health Policy -- Chapter 3: Hospital Pharmacy -- Chapter 4: Community Pharmacy in Europe -- Chapter 5: Pharmacy in North America -- Chapter 6: Pharmacy in New Zealand and Australia -- Chapter 7: Pharmacy in Developing Countries -- Chapter 8: The Social Context of Health and Illness -- Chapter 9: Inequalities in Health and Health Care -- Chapter 10: Promoting Health -- Chapter 11: Compliance, Adherence and Concordance -- Chapter 12: Occupational Status of Pharmacy -- Chapter 13: Duty of Care, Professionalism, Ethics and Ethical Dilemmas -- Chapter 14: The Pharmacy Workforce -- Chapter 15: Pharmacists and the Multidisciplinary Health Care Team -- Chapter 16: Pharmaceutical and Health Care Needs of Older People and Their Carers -- Chapter 17: Pharmaceutical and Health Care Needs of People with Mental Health Problems -- Chapter 18: Pharmaceutical and Health Care Needs of Ethnic Groups -- Chapter 19: Pharmaceutical and Health Care Needs of Injecting Drug Users -- Chapter 20: Pharmacovigilance and Pharmacoepidemiology -- Chapter 21: Health Economics -- Chapter 22: Survey Methods -- Chapter 23: Interviews -- Chapter 24: Focus Groups -- Chapter 25: Analysing Qualitative Data -- Chapter 26: Measuring Health and Illness -- Chapter 27: Evaluating Pharmacy Services -- Chapter 28: Principles of Statistical Data Analysis -- Back Cover

Homelessness is a social problem that affects all facets of contemporary society. This paper discusses the concept of homelessness in terms of its historical context and the dominance of the pervasive 'victim blaming' ideologies, which, together with the worldwide economic changes that have contributed to a fiscal crisis of the state, and the resultant policies and circumstances, have led to an increase in the number of 'new homeless' people. This paper attempts to challenge the dominant political discourse on homelessness. The widespread healthcare problems and heterogeneity of homeless people have a particular impact on health services, with many homeless people inappropriately accessing local accident and emergency (A&E) departments because of barriers inhibiting adequate access to primary care. A number of primary care schemes have been successfully implemented to enable the homeless to have better access to appropriate care. However, there is no consistency in the level of services around the United Kingdom (UK), and innovations in service are not widespread and by their nature they are ad hoc. Despite the successes of such schemes, many homeless people still access health care inappropriately. Until homeless people are fully integrated into primary care the situation will not change. The question remains, how can appropriate access be established? A start can be made by building on some of the positive work that is already being done in primary care, but in reality general practitioners (GPs) will be 'swimming against the tide' unless a more integrated policy approach is adopted to tackle homelessness.