Evidence map›Paper›PMID 31307999›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019

Provision and accessibility of primary healthcare services for people who are homeless: a qualitative study of patient perspectives in the UK.

Ellie Gunner, Sat Kartar Chandan, Sarah Marwick, Karen Saunders, Sarah Burwood, Asma Yahyouche, Vibhu Paudyal

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Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

73 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  7. 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 · 2023
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13 more citing papers are in PubMed but not listed here.

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

7 authors.

Ellie GunnerUniversity Hospitals of Derby and Burton NHS Foundation Trust, Derby.
Sat Kartar ChandanUniversity of Birmingham, Birmingham.
Sarah MarwickHealth Exchange Birmingham, Birmingham.
Karen SaundersPublic Health England, Birmingham.
Sarah BurwoodPublic Health England, Birmingham.
Asma YahyoucheUniversity of Birmingham, Birmingham.
Vibhu PaudyalUniversity of Birmingham, Birmingham.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnecdotal reports of people who are homeless being denied access and facing negative experiences of primary health care have often emerged. However, there is a dearth of research exploring this population's views and experiences of such services.

aimTo explore the perspectives of individuals who are homeless on the provision and accessibility of primary healthcare services. DESIGN AND

settingA qualitative study with individuals who are homeless recruited from three homeless shelters and a specialist primary healthcare centre for the homeless in the West Midlands, England.

methodSemi-structured interviews were audiorecorded, transcribed verbatim, and analysed using a thematic framework approach. The Theoretical Domains Framework (TDF) was used to map the identified barriers in framework analysis.

resultsA total of 22 people who were homeless were recruited. Although some participants described facing no barriers, accounts of being denied registration at general practices and being discharged from hospital onto the streets with no access or referral to primary care providers were described. Services offering support to those with substance misuse issues and mental health problems were deemed to be excluding those with the greatest need. A participant described committing crimes with the intention of going to prison to access health care. High satisfaction was expressed by participants about their experiences at the specialist primary healthcare centre for people who are homeless (SPHCPH).

conclusionParticipants perceived inequality in access, and mostly faced negative experiences, in their use of mainstream services. Changes are imperative to facilitate access to primary health care, improve patient experiences of mainstream services, and to share best practices identified by participants at the SPHCPH.

Indexed as

Healthcare DisparitiesIll-Housed PersonsAdultAgedDelivery of Health CareEnglandFemaleGeneral PracticeHealth Services AccessibilityHealth Services Needs and DemandHumansMaleMiddle AgedQualitative Researchhealth services accessibilityhomeless personsprimary care

Identifiers

PMID31307999
PMCPMC6650120

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Registered trials

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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.