Evidence map›Paper›PMID 34045292›Full record

ArticleBJGP open2021

Representation of persons experiencing homelessness and coding of homelessness in general practices: descriptive evaluation using healthcare utilisation data.

Rishika Kaushal, Parbir Jagpal, Saval Khanal, Neha Vohra, Richard Lowrie, Jaspal Johal, Duncan Jenkins, Karen Saunders, Vibhu Paudyal

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 4% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Observational
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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

9 authors at 5 institutions in 1 country.

Rishika KaushalCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Parbir JagpalCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Saval KhanalDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Neha VohraCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Richard LowrieNHS Greater Glasgow and Clyde, Glasgow, UK.
Jaspal JohalDudley Integrated Health and Care NHS Trust, Dudley, UK.
Duncan JenkinsDudley Integrated Health and Care NHS Trust, Dudley, UK.
Karen SaundersPublic Health England West Midlands, Birmingham, UK.
Vibhu PaudyalCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK v.paudyal@bham.ac.uk.ORCID http://orcid.org/0000-0002-4173-6490
University of Birmingham · GBDudley Group NHS Foundation Trust · GBNHS Greater Glasgow and Clyde · GBPublic Health England · GBUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpidemiological studies focused on primary healthcare needs of persons experiencing homelessness (PEH) are often based on data from specialist homeless healthcare services.

aimTo explore the presentation of PEH, coding of homelessness, and associated health conditions in mainstream primary care general practices in England. DESIGN &

settingEMIS electronic database search of medical records was conducted across 48 general practices in a clinical commissioning group (CCG), representing one of the most socioeconomically deprived regions in England, which also lacks a specialist primary healthcare service for PEH.

methodKey terms and codes were used to identify PEH, their respective diagnoses across 22 health conditions, and prescribed medications over the past 4 years.

resultsFrom a population of approximately 321 000, 43 (0.013%) people were coded as PEH, compared with a homelessness prevalence of 0.5% in the English general population. Mental health conditions were the most prevalent diagnoses among the PEH registrants (56.6%); the recorded prevalence of other common long-term conditions in PEH was lower than the levels observed in PEH registered with specialist homelessness health services.

conclusionIn a population with approximately four times higher rate of statutory homelessness, PEH representation in mainstream general practices was under-represented by several folds. As homelessness overlaps with mental health, substance misuse, and long-term health conditions, consistent coding of homelessness in medical records is imperative in order to offer tailored support and prevention actions when patients present for services.

Indexed as

Englandgeneral practicehomelessnesshomeless personsprimary health care

Identifiers

PMID34045292
PMCPMC8450878
OpenAlexW3165682761

What OpenQuestion holds

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LicenceCC BY
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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.