ReviewJournal of general internal medicine2023
Primary Care for Veterans Experiencing Homelessness: a Narrative Review of the Homeless Patient Aligned Care Team (HPACT) Model.
Review in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Cardiovascular disease burden in the homeless population.Open heart · 2025Pooled it
- A systematic review of approaches to improve medication adherence in homeless adults with psychiatric disorders.Frontiers in psychiatry · 2023Pooled it
- Patient and Primary Care Characteristics Associated with Emergency Department Utilization Among Homeless-Experienced Veterans.Journal of general internal medicine · 2026Article
- Colorectal cancer screening, incidence, and mortality among aging veterans in the U.S. Department of Veterans Affairs healthcare system by housing status.GeroScience · 2026Article
- Primary Care Continuity and Utilization Patterns for Veterans With Homeless Experience.JAMA network open · 2026Observational
- Utilization and Costs of Mobile Medical Units for Veterans Experiencing Homelessness.JAMA network open · 2026Article
- 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
- New methodology to improve tracking of Veteran overdose deaths and characterization of a population of Veteran overdose decedents in San Diego County.Drug and alcohol dependence reports · 2025Article
- Lung Cancer Screening Offers and Low-Dose Computed Tomography Completion Among Veterans Experiencing Homelessness.Journal of general internal medicine · 2025Article
- Housing Status and Cancer Screening in US Veterans.Journal of general internal medicine · 2025Article
- Harm reduction services for veterans in supportive housing: A pharmacist-led, interdisciplinary, street medicine approach.Innovations in pharmacy · 2025Article
- The Social Risk ACTIONS Framework: Characterizing Responses to Social Risks by Health Care Delivery Organizations.Population health management · 2024Article
- Organizational and patient factors associated with positive primary care experiences for veterans with current or recent homelessness.Health services research · 2024Article
- Association of Homelessness and Unstable Housing With Cardiovascular Care Utilization Among Veterans.Circulation. Cardiovascular quality and outcomes · 2024Article
- Homelessness and Risk of End-Stage Kidney Disease and Death in Veterans With Chronic Kidney Disease.JAMA network open · 2024Article
- The Use of Mobile Medical Units for Populations Experiencing Homelessness in the United States: A Scoping Review.Journal of general internal medicine · 2024Article
- Characteristics of Veterans Experiencing Homelessness using Telehealth for Primary Care Before and After COVID-19 Pandemic Onset.Journal of general internal medicine · 2024Article
- Risk of dementia among veterans experiencing homelessness and housing instability.Journal of the American Geriatrics Society · 2024Article
- Predictors of Incident Stroke and Subsequent Mortality Among a Sample of Veterans with Experience of Housing Instability.Journal of health care for the poor and underserved · 2024Article
- Factors associated with a lack of health care utilization among Veterans after a positive suicide screen in the emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In 2011, the U.S. Department of Veterans Health (VA) implemented a homeless-tailored primary care medical home model called the Homeless Patient Aligned Care Teams (HPACTs). The impact of HPACTs on health and healthcare outcomes of veterans experiencing homelessness has not been adequately synthesized. This narrative review summarized peer-reviewed studies published in databases Ovid MEDLINE, Ovid EMBASE, and APA PsycInfo from 1946 to February 2022. Only original research studies that reported outcomes of the HPACT model were included in the review. Of 575 studies that were initially identified and screened, 26 studies met inclusion criteria and were included in this review. Included studies were categorized into studies that described the following: (1) early HPACT pilot implementation; (2) HPACT's association with service quality and utilization; and (3) specialized HPACT programs. Together, studies in this review suggest HPACT is associated with reductions in emergency department utilization and improvements in primary care utilization, engagement, and positive patient experiences; however, the methodological rigor of the included studies was low, and thus, these findings should only be considered preliminary. There is a need for randomized controlled trials assessing the impact of the PACT model on key outcomes of interest, as well as to determine whether the model is a viable way to manage healthcare for persons experiencing homelessness outside of the VA system.
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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.