ArticleBMJ open2017
Challenges to discussing palliative care with people experiencing homelessness: a qualitative study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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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
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Improving communication of prognostic uncertainty in advanced illness: a realist review.BMJ open · 2026Pooled it
- Exploring strategies and approaches to improve end-of-life care services for people experiencing homelessness: a systematic review and meta-synthesis of qualitative studies.BMC palliative care · 2026Pooled it
- Article
- Protocol for a mixed methods realist evaluation of the Intervention to optiMise Palliative caRe for peOple with liVed Experience of homelessness (IMPROVE).NIHR open research · 2026Article
- Palliative care and homelessness: reflections on a co-produced qualitative research study.Research involvement and engagement · 2025Article
- Palliative care access and use among homeless individuals: a scoping review.BMC palliative care · 2025Article
- Exploring perspectives regarding death cafés for people experiencing homelessness: a qualitative study.BMJ open · 2025Article
- Designing a Flexible and Inclusive Approach for Public and Community Involvement in Research With People Who Are Homeless or Vulnerably Housed: Critical Reflections From the I Am More Than… Project.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Is moral adequacy possible in the face of structural disadvantage? The experiences of health and social care staff in supporting homeless people using substances at the end of life.Palliative care and social practice · 2025Article
- Development of the TIFFIN recommendations for co-producing palliative and end-of-life care research with individuals with lived experience of homelessness: A qualitative study.Palliative medicine · 2024Article
- Specialised residential care for older people subject to homelessness: experiences of residents and staff of a new aged care home in Australia.BMC geriatrics · 2024Article
- Involving people with lived experience of homelessness in palliative and end of life care research: key considerations from experts in the field.Research involvement and engagement · 2024Article
- Understanding aims, successes and challenges of palliative care and homelessness initiatives across the UK: an exploratory study.BMJ open · 2024Article
- Describing the characteristics and symptom profile of a group of urban patients experiencing socioeconomic inequity and receiving palliative care: a descriptive exploratory analysis.Palliative care and social practice · 2024Article
- A first voice perspective of people experiencing homelessness on preferences for the end-of-life and end-of-life care during the COVID-19 pandemic.BMC research notes · 2022Article
- The benefits and challenges of embedding specialist palliative care teams within homeless hostels to enhance support and learning: Perspectives from palliative care teams and hostel staff.Palliative medicine · 2021Article
- End-of-life care for homeless people in shelter-based nursing care settings: A retrospective record study.Palliative medicine · 2020Article
- Eliciting Life Priorities of Older Adults Living in Permanent Supportive Housing.The Gerontologist · 2020Article
- Palliative care for people with substance use disorder and multiple problems: a qualitative study on experiences of patients and proxies.BMC palliative care · 2019Article
- "Just too busy living in the moment and surviving": barriers to accessing health care for structurally vulnerable populations at end-of-life.BMC palliative care · 2019Observational
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 3 countries.
Funding
Abstract
objectivesTo explore the views and experiences of people who are homeless and those supporting them regarding conversations and approaches to palliative care
settingData were collected between October 2015 and October 2016 in homeless hostels and day centres and with staff from primary and secondary healthcare providers and social care services from three London boroughs.
participantsPeople experiencing homelessness (n=28), formerly homeless people (n=10), health and social care providers (n=48), hostel staff (n=30) and outreach staff (n=10
results28 focus groups and 10 individual interviews were conducted. Participants highlighted that conversations exploring future care preferences and palliative care with people experiencing homelessness are rare. Themes identified as challenges to such conversations included attitudes to death; the recovery focused nature of services for people experiencing homelessness; uncertainty regarding prognosis and place of care; and fear of negative impact.
conclusionsThis research highlights the need for a different approach to supporting people who are homeless and are experiencing advanced ill health, one that incorporates uncertainty and promotes well-being, dignity and choice. We propose parallel planning and mapping as a way of working with uncertainty. We acknowledge that these approaches will not always be straightforward, nor will they be suitable for everyone, yet moving the focus of conversations about the future away from death and dying, towards the present and the future may facilitate conversations and enable the wishes of people who are homeless to be known and explored.
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What 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.