ArticleHealthcare policy = Politiques de sante2008
Delivering primary care to homeless persons: a policy analysis approach to evaluating the options.
Article in Healthcare policy = Politiques de sante, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Homelessness and health-related outcomes: an umbrella review of observational studies and randomized controlled trials.BMC medicine · 2022Pooled it
- Interventions to Improve Access to Primary Care for People Who Are Homeless: A Systematic Review.Ontario health technology assessment series · 2016Pooled it
- Organizational and patient factors associated with positive primary care experiences for veterans with current or recent homelessness.Health services research · 2024Article
- Article
- Primary care gap: factors associated with persistent lack of primary care after hospitalisation.BMJ open quality · 2022Article
- Community Screening, Identification, and Referral to Primary Care, for Hepatitis C, B, and HIV Among Homeless Persons in Los Angeles.Journal of community health · 2019Article
- Costs Associated with Health Care Services Accessed through VA and in the Community through Medicare for Veterans Experiencing Homelessness.Health services research · 2018Observational
- A modeling study exploring the impact of homelessness on rostered primary care utilization in Calgary, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2018Article
- Development of the Primary Care Quality-Homeless (PCQ-H) instrument: a practical survey of homeless patients' experiences in primary care.Medical care · 2014Article
- Navigating the boundaries of emergency department care: addressing the medical and social needs of patients who are homeless.American journal of public health · 2013Article
- Comparing homeless persons' care experiences in tailored versus nontailored primary care programs.American journal of public health · 2013Article
- New media use by patients who are homeless: the potential of mHealth to build connectivity.Journal of medical Internet research · 2013Observational
- Applying the chronic care model to homeless veterans: effect of a population approach to primary care on utilization and clinical outcomes.American journal of public health · 2010Article
- Correlates of hospital use in homeless and unstably housed women: the role of physical health and pain.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
- Erratum issuedErrata.2008
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Homeless persons are numerous, carry a significant burden of illness and face challenges in accessing care. A search of the literature revealed insufficient empirical sources to permit the use of standard systematic review methodology to determine the most effective way to deliver point-of-first-contact healthcare to homeless people. Instead, we used a policy analysis approach. We found that the dominant model of primary care in Canada performs poorly when assessed on 13 evaluation criteria. While there is variable performance on individual measures, the three alternative models - targeted standard facility/clinic site, fixed outreach site and mobile outreach service - all perform well. Our findings suggest that some factor other than performance on the specified measures, such as costs, feasibility, geographical fit or local preferences, should be used to choose a specific model. Our analysis clearly indicates that the status quo model of primary care is inadequate to meet the needs of homeless people.
Identifiers
19377346PMC2645199What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.