Evidence map›Paper›PMID 31894725›Full record

ArticleQualitative health research2020

Exploring Quality of Primary Care for Patients Who Experience Homelessness and the Clinicians Who Serve Them: What Are Their Aspirations?

Allyson L Varley, Ann Elizabeth Montgomery, Jocelyn Steward, Erin Stringfellow, Erika L Austin, Adam J Gordon, David Pollio, Aerin deRussy, April Hoge, Lillian Gelberg and 4 more

Open access · greenAbstract read
In one paragraph

Article in Qualitative health research, 2020. 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
4.6field-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, 39 citations in OpenAlex.

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  15. Determinants of Implementation of a Clinical Practice Guideline for Homeless Health.International journal of environmental research and public health · 2020
    Article
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  17. Review
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.

Allyson L VarleyBirmingham VA Medical Center, Birmingham, Alabama, USA.ORCID 0000-0002-1851-6502
Ann Elizabeth MontgomeryBirmingham VA Medical Center, Birmingham, Alabama, USA.
Jocelyn StewardGeorgia Highlands College, Rome, Georgia, USA.
Erin StringfellowUniversity of Missouri, St. Louis, Missouri, USA.
Erika L AustinBirmingham VA Medical Center, Birmingham, Alabama, USA.
Adam J GordonVA Salt Lake City Health Care System, Salt Lake City, Utah, USA.
David PollioUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
Aerin deRussyBirmingham VA Medical Center, Birmingham, Alabama, USA.
April HogeBirmingham VA Medical Center, Birmingham, Alabama, USA.
Lillian GelbergVA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
Kevin RiggsBirmingham VA Medical Center, Birmingham, Alabama, USA.
Theresa W KimBoston University School of Medicine, Boston, Massachusetts, USA.
Sonia L RubensSanta Clara University, Santa Clara, California, USA.
Stefan G KerteszBirmingham VA Medical Center, Birmingham, Alabama, USA.
University of Alabama at Birmingham · USBirmingham VA Medical Center · USBoston University · USGeorgia Highlands College · USSanta Clara University · USUniversity of California, Los Angeles · USUniversity of Missouri–St. Louis · USUniversity of Utah · US

Funding

UAB K12 in Patient Centered Outcomes ResearchK12HS023009 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2014 to 2018
$4.0M
AHRQ HHS K12 HS023009HSRD VA I01 HX001900
6 · The paper itself

Abstract

To develop and evaluate an effective model of patient-centered, high-quality, homeless-focused primary care, our team explored key domains of primary care that may be important to patients. We anchored our conceptual framework in two reports from the Institute of Medicine (IOM) that defined components of primary care and quality of care. Using questions developed from this framework, we conducted semistructured interviews with 36 homeless-experienced individuals with past-year primary care engagement and 24 health care professionals (clinicians and researchers) who serve homeless-experienced patients in the primary care setting. Template analysis revealed factors important to this population. These included stigma, respect, and perspectives on patient control of medical decision-making in regard to both pain and addiction. For patients experiencing homelessness, the results suggest that quality primary care may have different meanings for patients and professionals, and that services should be tailored to meet homeless-specific needs.

Indexed as

Ill-Housed PersonsAttitude of Health PersonnelHumansPatient-Centered CarePrimary Health CareQuality of Health CareaccessAlabamaBirminghamBostonhomelessnessMassachusettsprimary carequalitativequalitative methodsqualitytrust

Identifiers

PMID31894725
PMCPMC9271358
OpenAlexW2998620680

What OpenQuestion holds

Textmetadata
LicenceTDM
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.