Pauline Marie, Nicolas Romain-Scelle, Veronique Potinet, Anne Marie Schott, Marion Douplat
Assessment of health literacy in a French emergency department
BMC health services research
children younger 5 years living temporary accommodation due homelessness u5ta extremely vulnerable effects covid19 pandemic qualitative studies examined provider perspectives family homelessness none focused u5ta specifically aimed qualitatively explore professionals perspectives pandemicrelated challenges barriers experienced u5ta accessing health care optimising health outcomes experiences delivering u5ta services 16 semistructured interviews done online professionals working london borough newham u5ta families purposively sampled recruited nonprofit organisations health sector local authority thematic codebook approach used analyse data combining inductive deductive codes using adapted socioecological model guiding theoretical framework two nonprofit organisation professionals seven health visitors one gp therapist dietician nurse public health consultant two social workers local authoritys recourse public funds team described adverse pandemic effects u5ta health delay regression developmental milestones behaviourseg toileting feeding skills emotional regulation socialcommunication skills preexisting systemic barriers exacerbated pandemic reduction inperson services professionals necessitated remote delivery health social care services differential effects digital poverty language discordance inability register track u5ta rendered population invisible services professionals highly agreed barriers optimal health outcomes service access included poor mental health unsuitable housing social support mistrust mainstream services immigration administration financial insecurity loss informal jobs among u5ta families professionals sometimes mitigated barriers good communication skills developing trusting relations community facilitators covid19 widened health inequalities inequities substantially affecting lives u5ta ability professionals deliver quality care u5ta innovative tailored crosssector strategies including coproduction public health services required policies services urgently need focus early development mental health support employment training opportunities parents carers plus unambiguous definitions deemed suitable accommodation actionable planned steps ensure enforcement none