ArticleMedical care2019
Providing Positive Primary Care Experiences for Homeless Veterans Through Tailored Medical Homes: The Veterans Health Administration's Homeless Patient Aligned Care Teams.
Article in Medical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 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.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Systematic review of access to healthcare and social services among US women Veterans experiencing homelessness.Women's health (London, England)Pooled it
- Perceptions of Medically Complex Patients Enrolled in an Ambulatory Intensive Care Unit at a Healthcare-for-the-Homeless Clinic.Journal of the American Board of Family Medicine : JABFM · 2025Trial
- Ambulatory Intensive Care for Medically Complex Patients at a Health Care Clinic for Individuals Experiencing Homelessness: The SUMMIT Randomized Clinical Trial.JAMA network open · 2023Trial
- Patient and Primary Care Characteristics Associated with Emergency Department Utilization Among Homeless-Experienced Veterans.Journal of general internal medicine · 2026Article
- Barriers to and facilitators of healthcare access among people experiencing homelessness: a systematic scoping review.International journal for equity in health · 2026Article
- Risk for Acute Care Utilization in Housing-Insecure Adults: A National Study of a Hot Spotter Program in the US Veterans Health Administration.Medical care · 2026Article
- Primary Care Continuity and Utilization Patterns for Veterans With Homeless Experience.JAMA network open · 2026Observational
- Comparing Work Experiences of Internal Medicine Physicians in Veterans Affairs and Non-Federal Hospitals: A National Survey.Journal of general internal medicine · 2026Article
- A National Mobile Medical Unit (MMU) Program to Address the Healthcare Needs of Veterans Experiencing Homelessness: An Evaluation Protocol.Health services insights · 2025Article
- A structured approach to modifying an implementation package while scaling up a complex evidence-based practice.Health services research · 2024Article
- Organizational and patient factors associated with positive primary care experiences for veterans with current or recent homelessness.Health services research · 2024Article
- COVID-19 vaccination uptake and receptivity among veterans enrolled in homelessness-tailored primary health care clinics: provider trust vs. misinformation.BMC primary care · 2024Article
- Protocol of a mixed method research design to study medical respite programs for persons experiencing homelessness.PloS one · 2024Article
- Quality of Depression Care for Veterans Affairs Primary Care Patients with Experiences of Homelessness.Journal of general internal medicine · 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
- Peer support and whole health coaching to address the healthcare needs of homeless veterans: a pilot study.BMC primary care · 2022Article
- Comorbid Patterns in the Homeless Population: A Theoretical Model to Enhance Patient Care.The western journal of emergency medicine · 2022Article
- Primary care experiences of veterans with opioid use disorder in the Veterans Health Administration.Journal of substance abuse treatment · 2020Article
- Exploring Quality of Primary Care for Patients Who Experience Homelessness and the Clinicians Who Serve Them: What Are Their Aspirations?Qualitative health research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundIn 2012, select Veterans Health Administration (VHA) facilities implemented a homeless-tailored medical home model, called Homeless Patient Aligned Care Teams (H-PACT), to improve care processes and outcomes for homeless Veterans.
objectiveThe main aim of this study was to determine whether H-PACT offers a better patient experience than standard VHA primary care. RESEARCH
designWe used multivariable logistic regressions to estimate differences in the probability of reporting positive primary care experiences on a national survey. SUBJECTS: Homeless-experienced survey respondents enrolled in H-PACT (n=251) or standard primary care in facilities with H-PACT available (n=1527) and facilities without H-PACT (n=10,079). MEASURES: Patient experiences in 8 domains from the Consumer Assessment of Healthcare Provider and Systems surveys. Domain scores were categorized as positive versus nonpositive.
resultsH-PACT patients were less likely than standard primary care patients to be female, have 4-year college degrees, or to have served in recent military conflicts; they received more primary care visits and social services. H-PACT patients were more likely than standard primary care patients in the same facilities to report positive experiences with access [adjusted risk difference (RD)=17.4], communication (RD=13.9), office staff (RD=13.1), provider ratings (RD=11.0), and comprehensiveness (RD=9.3). Standard primary care patients in facilities with H-PACT available were more likely than those from facilities without H-PACT to report positive experiences with communication (RD=4.7) and self-management support (RD=4.6).
conclusionsPatient-centered medical homes designed to address the social determinants of health offer a better care experience for homeless patients, when compared with standard primary care approaches. The lessons learned from H-PACT can be applied throughout VHA and to other health care settings.
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Registered trials
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