An Integrative Model of ENT Healthcare for the Homeless Population

Objective Our aim was to determine the need for otolaryngology care within the homeless population, identify barriers to access that the homeless population may face, and develop a model system which would address these needs with respect to the barriers. Methods A retrospective chart review of 812 patients seen between 1/25/16–3/21/2020 was performed. Charts were obtained from homeless patients seen at free general clinics held shelters in Chicago, IL (781 charts) and in Champaign, IL (31 charts). Records reporting at least one otolaryngology disease in a patient experiencing homelessness were included in this study. Patients were considered homeless if they resided at the shelter at the time of their appointment. To determine common barriers to care, a simple yes/no questionnaire was administered to residents at west‐side Chicago homeless shelters. Questions addressed barriers to health care access that had been mentioned by patients seen at free clinics. Results Chart review findings demonstrated that 14.3% (n = 142) of all homeless patients seen at free in‐shelter clinics were seen for ENT‐related disorders. Survey results revealed that 76.3% (n = 71) of respondents believed that telemedicine services would be useful in shelters. 74.2% (n = 69) stated they were unable to afford prescribed medications. 93.5% (n = 87) stated that better access to transportation would increase their likelihood of seeking care. Conclusions In our attempt to bridge this inequity, we have launched a hybrid in‐person/virtual care program to improve access to otolaryngology care for the homeless community. Level of Evidence N/A Laryngoscope, 134:2705–2709, 2024 Our aim is that the development of this type of system for delivering otolaryngology care utilizing both telemedicine and in‐person visitation will act as a model system, later translatable to other specialties. By doing so, we seek to improve access to health care, reduce overall costs, and provide timely and effective care to the residents of homeless shelters—a vulnerable population that deserves equal access to the same resources as the rest of society.