ArticleAmerican journal of public health2010
Applying the chronic care model to homeless veterans: effect of a population approach to primary care on utilization and clinical outcomes.
Article in American journal of public health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00858507 (Engaging Homeless Veterans in Primary Care), which is not on this map. Cited by 50 papers, 7 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.
Engaging Homeless Veterans in Primary Care
Who cites it
50 citing papers in PubMed, 7 syntheses or guidelines pooled it, 107 citations in OpenAlex.
- Primary Care Engagement Among Individuals with Experiences of Homelessness and Serious Mental Illness: an Evidence Map.Journal of general internal medicine · 2022Pooled it
- Systematic Review of Care Coordination Interventions Linking Health and Social Services for High-Utilizing Patient Populations.Population health management · 2022Pooled it
- Diabetes management interventions for homeless adults: a systematic review.International journal of public health · 2020Pooled it
- Impact of Healthcare Delivery System Type on Clinical, Utilization, and Cost Outcomes of Patient-Centered Medical Homes: a Systematic Review.Journal of general internal medicine · 2020Pooled it
- Systematic Review of Programs Treating High-Need and High-Cost People With Multiple Chronic Diseases or Disabilities in the United States, 2008-2014.Preventing chronic disease · 2015Pooled it
- Effectiveness of chronic care models: opportunities for improving healthcare practice and health outcomes: a systematic review.BMC health services research · 2015Pooled it
- Diabetes and hypertension prevalence in homeless adults in the United States: a systematic review and meta-analysis.American journal of public health · 2015Pooled it
- Comparing two strategies to support the implementation of evidence-based practices for substance use disorders in VA's permanent supportive housing program: a protocol for a type 3 hybrid cluster-randomized controlled trial.Implementation science : IS · 2026Trial
- Trial
- Aversion to injection limits acceptability of extended-release naltrexone among homeless, alcohol-dependent patients.Substance abuse · 2013Trial
- Effect of quality chronic disease management for alcohol and drug dependence on addiction outcomes.Journal of substance abuse treatment · 2012Trial
- Article
- "The start of something that I hope could be greater": Health information technology tools for social care.SSM. Qualitative research in health · 2025Article
- Are tailored primary care services for social inclusion good value for money? A health economics evaluation with Monte-Carlo probabilistic sensitivity analysis comparing tailored social inclusion primary care services to mainstream primary care services for socially excluded people.International journal for equity in health · 2025Article
- Integrated care for people experiencing homelessness: changes in emergency department use and behavioral health symptom severity.BMC health services research · 2025Article
- Organizational and patient factors associated with positive primary care experiences for veterans with current or recent homelessness.Health services research · 2024Article
- How do health system factors (funding and performance) impact on access to healthcare for populations experiencing homelessness: a realist evaluation.International journal for equity in health · 2023Article
- A Sanctioned Encampment as a Strategy for Increasing Homeless Veterans' Access to Housing and Healthcare During the COVID-19 Pandemic.Journal of general internal medicine · 2023Article
- Purity, Danger, and Patriotism: The Struggle for a Veteran Home during the COVID-19 Pandemic.Pathogens (Basel, Switzerland) · 2023Article
- Primary Care for Veterans Experiencing Homelessness: a Narrative Review of the Homeless Patient Aligned Care Team (HPACT) Model.Journal of general internal medicine · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe compared a population-tailored approach to primary care for homeless veterans with a usual care approach.
methodsWe conducted a retrospective prolective cohort study of homeless veterans enrolled in a population-tailored primary care clinic matched to a historical sample in general internal medicine clinics. Overall, 177 patients were enrolled: 79 in the Homeless-Oriented Primary Care Clinic and 98 in general internal medicine primary care.
resultsHomeless-oriented primary care-enrolled patients had greater improvements in hypertension, diabetes, and lipid control, and primary care use was higher during the first 6 months (5.96 visits per person vs 1.63 for general internal medicine) but stabilized to comparable rates during the second 6 months (2.01 vs 1.31, respectively). Emergency department (ED) use was also higher (2.59 vs 1.89 visits), although with 40% lower odds for nonacute ED visits than for the general internal medicine group (95% confidence interval = 0.2, 0.8). Excluding substance abuse and mental health admissions, hospitalizations were reduced among the homeless veterans between the 2 periods (28.6% vs 10.8%; P < .01) compared with the general internal medicine group (48.2% vs 44.4%; P = .6; difference of differences, P < .01).
conclusionsTailoring primary care to homeless veterans can decrease unnecessary ED use and medical admissions and improve chronic disease management.
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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.