Evidence map›Paper›PMID 25659142›Full record

Trial reportPloS one2015

Experience of primary care among homeless individuals with mental health conditions.

Joya G Chrystal, Dawn L Glover, Alexander S Young, Fiona Whelan, Erika L Austin, Nancy K Johnson, David E Pollio, Cheryl L Holt, Erin Stringfellow, Adam J Gordon and 4 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Article
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  8. Review
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  11. Article
  12. Review
  13. Article
  14. Article
  15. Improving Health Care Management in Primary Care for Homeless People: A Literature Review.International journal of environmental research and public health · 2018
    Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 1 country.

Joya G ChrystalMental Illness Research, Education, and Clinical Center (MIRECC), Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, United States of America.
Dawn L GloverMental Illness Research, Education, and Clinical Center (MIRECC), Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, United States of America.
Alexander S YoungMental Illness Research, Education, and Clinical Center (MIRECC), Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, United States of America; University of California Los Angeles, Department of Psychiatry and Biobehavioral Sciences, Los Angeles, California, United States of America.
Fiona WhelanUniversity of California Los Angeles, Department of Psychiatry and Biobehavioral Sciences, Los Angeles, California, United States of America.
Erika L AustinCenter for Surgical, Medical Acute Care Research and Transitions (C-SMART), Birmingham Veterans Affairs Medical Center, Birmingham, Alabama, United States of America.
Nancy K JohnsonCenter for Surgical, Medical Acute Care Research and Transitions (C-SMART), Birmingham Veterans Affairs Medical Center, Birmingham, Alabama, United States of America.
David E PollioUniversity of Alabama, School of Social Work, Tuscaloosa, Alabama, United States of America.
Cheryl L HoltUniversity of Maryland, Department of Behavioral and Community Health, College Park, Maryland, United States of America.
Erin StringfellowBoston Health Care for the Homeless Program, Boston, Massachusetts, United States of America.
Adam J GordonVeterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, United States of America; University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, United States of America.
Theresa A KimBoston Medical Center, Boston, Massachusetts, United States of America; Boston University, School of Medicine, Boston, Massachusetts, United States of America.
Shanette G DaigleCenter for Surgical, Medical Acute Care Research and Transitions (C-SMART), Birmingham Veterans Affairs Medical Center, Birmingham, Alabama, United States of America.
Jocelyn L StewardCenter for Surgical, Medical Acute Care Research and Transitions (C-SMART), Birmingham Veterans Affairs Medical Center, Birmingham, Alabama, United States of America.
Stefan G KerteszCenter for Surgical, Medical Acute Care Research and Transitions (C-SMART), Birmingham Veterans Affairs Medical Center, Birmingham, Alabama, United States of America; University of Alabama at Birmingham, School of Medicine, Birmingham, Alabama, United States of America.
Birmingham VA Medical Center · USMental Illness Research, Education and Clinical Centers · USBoston Health Care for the Homeless Program · USBoston Medical Center · USUniversity of Alabama · USUniversity of California, Los Angeles · USUniversity of Maryland, College Park · USUniversity of Pittsburgh · US

Funding

Transdisciplinary Training in Addictions ResearchT32DA015035 · NIDA · WASHINGTON UNIVERSITY · PI Leopoldo J Cabassa, Patricia A Cavazos-Rehg · 2002 to 2026
$5.3M
6 · The paper itself

Abstract

The delivery of primary care to homeless individuals with mental health conditions presents unique challenges. To inform healthcare improvement, we studied predictors of favorable primary care experience among homeless persons with mental health conditions treated at sites that varied in degree of homeless-specific service tailoring. This was a multi-site, survey-based comparison of primary care experiences at three mainstream primary care clinics of the Veterans Administration (VA), one homeless-tailored VA clinic, and one tailored non-VA healthcare program. Persons who accessed primary care service two or more times from July 2008 through June 2010 (N = 366) were randomly sampled. Predictor variables included patient and organization characteristics suggested by the patient perception model developed by Sofaer and Firminger (2005), with an emphasis on mental health. The primary care experience was assessed with the Primary Care Quality-Homeless (PCQ-H) questionnaire, a validated survey instrument. Multiple regression identified predictors of positive experiences (i.e. higher PCQ-H total score). Significant predictors of a positive experience included a site offering tailored service design, perceived choice among providers, and currently domiciled status. There was an interaction effect between site and severe psychiatric symptoms. For persons with severe psychiatric symptoms, a homeless-tailored service design was significantly associated with a more favorable primary care experience. For persons without severe psychiatric symptoms, this difference was not significant. This study supports the importance of tailored healthcare delivery designed for homeless persons' needs, with such services potentially holding special relevance for persons with mental health conditions. To improve patient experience among the homeless, organizations may want to deliver services that are tailored to homelessness and offer a choice of providers.

Indexed as

Delivery of Health CareLife Change EventsPrimary Health CareFemaleHumansIll-Housed PersonsMaleMental DisordersMiddle AgedRetrospective Studies

Identifiers

PMID25659142
PMCPMC4319724
OpenAlexW2038387729

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

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.