ArticleJournal of primary care & community health
Enhancing Primary Care Experiences for Homeless Patients with Serious Mental Illness: Results from a National Survey.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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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
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of access to healthcare and social services among US women Veterans experiencing homelessness.Women's health (London, England)Pooled it
- Access to medications for opioid use disorder among primary care patients with homeless experience in the Department of Veterans Affairs.Drug and alcohol dependence · 2026Article
- A Comprehensive Evaluation of Feasibility and Acceptability of a Nurse-Managed Health Clinic for Homeless and Working Poor Populations: A 3-Year Study.Nursing reports (Pavia, Italy) · 2025Article
- Development of an Integrative Medicine Rotation for Family Medicine and Preventive Medicine Residency.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- A scoping review examining patient experience and what matters to people experiencing homelessness when seeking healthcare.BMC 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
- 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
- Insights for Conducting Large-Scale Surveys with Veterans Who Have Experienced Homelessness.Journal of social distress and the homeless · 2023Article
- Article
- Factors Associated with Free Hospital Outpatient Service Use among Middle-Aged and Older Urban Homeless Adults in Taipei.International journal of environmental research and public health · 2021Article
- How Do Older People Experience Person-Centred Integrated Care? An Integrative Review of the Evidence.International journal of integrated careArticle
- Health services and the Project RoomKey COVID-19 initiative for the unhoused: A university and community partnership.Journal of professional nursing : official journal of the American Association of Colleges of NursingArticle
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
objectivesPatients experiencing homelessness (PEH) with serious mental illness (SMI) have poor satisfaction with primary care. We assessed if primary care teams tailored for homeless patients (Homeless-Patient Aligned Care Teams (H-PACTs)) provide this population with superior experiences than mainstream primary care and explored whether integrated behavioral health and social services were associated with favorable experiences.
methodsWe surveyed VA PEH with SMI (n = 1095) to capture the valence of their primary care experiences in 4 domains (Access/Coordination, Patient-Clinician Relationships, Cooperation, and Homeless-Specific Needs). We surveyed clinicians (n = 52) from 29 H-PACTs to elucidate if their clinics had embedded mental health, addiction, social work, and/or housing services. We counted these services in each H-PACT (0-4) and classified H-PACTs as having high (3-4) versus low (0-2) service integration. We controlled for demographics, housing history, and needs in comparing H-PACT versus mainstream experiences; and experiences in high versus low integration H-PACTs.
resultsAmong respondents, 969 (91%) had complete data and 626 (62%) were in H-PACTs. After covariate adjustment, compared to mainstream respondents, H-PACT respondents were more likely (
conclusionsHomeless-tailored clinics with highly-integrated services were associated with better care experiences among PEH with SMI. These observational data suggest that tailored primary care with integrated services may improve care perceptions among complex patients.
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