ArticleInternational journal for equity in health2019
Experience of healthcare among the homeless and vulnerably housed a qualitative study: opportunities for equity-oriented health care.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 1 of them a synthesis that pooled it.
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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
74 citing papers in PubMed, 1 synthesis or guideline pooled it, 162 citations in OpenAlex.
- The Global Prevalence of Non-suicidal Self-injury, Suicide Behaviors, and Associated Risk Factors Among Runaway and Homeless Youth: A Meta-analysis.Community mental health journal · 2024Pooled it
- Treatment burden for people experiencing homelessness with a recent non-fatal overdose: a questionnaire study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Trial
- EQUIP emergency: can interventions to reduce racism, discrimination and stigma in EDs improve outcomes?BMC health services research · 2022Trial
- "I would protest if they ever stopped coming out here": How street medicine services support ontological security by building trust among a community sample of unsheltered patients in Bakersfield, California.SSM. Qualitative research in health · 2026Article
- Bilateral Panuveitis and Placoid Retinitis in Ocular Syphilis Complicated by Subsequent Retinal Detachment.Journal of vitreoretinal diseases · 2026Article
- Observational
- The Effect of COVID-19 on Length of Stay in Hospital and Patient Population Following Burn Injury.Journal of burn care & research : official publication of the American Burn Association · 2026Article
- The Experiences of Service Providers Who Care for Homeless Pregnant or Early Parenting Women.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026Article
- Practical considerations for residential-managed alcohol programs: lessons from Ottawa Inner City Health.Harm reduction journal · 2026Article
- Exploring the factors that prevent or facilitate palliative care at 'home' for adults experiencing structural vulnerability: a scoping review.International journal for equity in health · 2026Article
- Determinants of vaccination willingness among people experiencing homelessness: a cross-sectional study in Warsaw, Poland.BMC public health · 2026Article
- Patient Perspectives on Palliative Care Outreach to Adults Living With Homelessness.JAMA network open · 2026Article
- 'I dream of the airplane, but I cannot board it': Exploring end-of-life aspirations with people who have lived experiences of homelessness.Palliative care and social practice · 2026Article
- Different Models of Ophthalmology Care for People Experiencing Homelessness.Medicina (Kaunas, Lithuania) · 2025Review
- Perceived HIV-related stigma: disparities between an Infectious Diseases Unit and other hospital departments.AIDS research and therapy · 2025Article
- Barriers to access and factors associated with health care utilization among the adult homeless population in Dhaka, Bangladesh: a mixed method cross-sectional study.BMC public health · 2025Article
- Understanding patient preferences on providing sociodemographic information in an acute care setting: a qualitative study.BMC health services research · 2025Article
- The Wall of Stigma-A Qualitative Study on the Health Perceptions of Socially Marginalised Patients.Scandinavian journal of caring sciences · 2025Article
- Brain injury, mental health and substance use in homeless populations: community-generated recommendations for healthcare service delivery and research.BMC health services research · 2025Article
- Design and implementation of a Community Expert Group comprised of people with lived expertise of homelessness at an academic health research center: a program description and analysis of challenges.Research involvement and engagement · 2025Article
14 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople experiencing homelessness are often marginalized and are known to face barriers to accessing acceptable and respectful healthcare services. This study examines the experience of accessing hospital-based services of persons experiencing homelessness or vulnerable housing in southeastern Ontario and considers the potential of Equity-Oriented Health Care (EOHC) as an approach to improving care.
methodsFocus groups and in-depth interviews with people with lived experience of homelessness (n=31), as well as in-depth interviews of health and social service provider key informants (n=10) were combined with qualitative data from a survey of health and social service providers (n=136). Interview transcripts and written survey responses were analyzed using directed content analysis to examine experiences of people with lived experience of homelessness within the healthcare system.
resultsHealthcare services were experienced as stigmatizing and shaming particularly for patients with concurrent substance use. These negative experiences could lead to avoidance or abandonment of care. Despite supposed universality, participants felt that the healthcare system was not accountable to them or to other equity-seeking populations. Participants identified a system that was inflexible, designed for a perceived middle-class population, and that failed to take into account the needs and realities of equity-seeking groups. Finally, participants did identify positive healthcare interactions, highlighting the importance of care delivered with dignity, trust, and compassion.
conclusionsThe experiences of healthcare services among the homeless and vulnerably housed do not meet the standards of universally accessible patient-centered care. EOHC could provide a framework for changes to the healthcare system, creating a system that is more trauma-informed, equity-enhancing, and accessible to people experiencing homelessness, thus limiting identified barriers and negative experiences of care.
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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.