ArticleBMC primary care2022
Understanding the primary health care experiences of individuals who are homeless in non-traditional clinic settings.
Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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Who cites it
8 citing papers in PubMed, 23 citations in OpenAlex.
- Nurse Practitioner Roles and Contributions in a Mobile Health Clinic for People Experiencing Homelessness.International nursing review · 2026Article
- "I would protest if they ever stopped coming out here": How street medicine services support ontological security by building trust among a community sample of unsheltered patients in Bakersfield, California.SSM. Qualitative research in health · 2026Article
- Integrated care for people experiencing homelessness: changes in emergency department use and behavioral health symptom severity.BMC health services research · 2025Article
- Burn Care in the Street: A Survey of the Current Landscape of Burn Care Provided by Street Medicine Teams.Journal of burn care & research : official publication of the American Burn Association · 2025Article
- Care for ill-housed persons: access and professional proactivity in primary care.Revista brasileira de enfermagem · 2025Article
- Homelessness response: a framework for action by hospitals and healthcare systems.Frontiers in public health · 2025Review
- The Role of Street Medicine and Mobile Clinics for Persons Experiencing Homelessness: A Scoping Review.International journal of environmental research and public health · 2024Article
- The Use of Mobile Medical Units for Populations Experiencing Homelessness in the United States: A Scoping Review.Journal of general internal medicine · 2024Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundDespite the widespread implementation of Health Care for the Homeless programs that focus on comprehensive, integrated delivery systems of health care for people experiencing homelessness, engaging and retaining people experiencing homelessness in primary care remains a challenge. Few studies have looked at the primary care delivery model in non-traditional health care settings to understand the facilitators and barriers to engagement in care. The objective of our study was to explore the clinic encounters of individuals experiencing homelessness receiving care at two different sites served under a single Health Care for the Homeless program.
methodsSemi-structured interviews were conducted with people experiencing homelessness for an explorative qualitative study. We used convenience sampling to recruit participants who were engaged in primary care at one of two sites: a shelter clinic, n = 16, and a mobile clinic located in a church, n = 15. We then used an iterative, thematic approach to identify emergent themes and further mapped these onto the Capability-Opportunity-Motivation model.
resultsCare accessibility, quality and integration were themes that were often identified by participants as being important facilitators to care. Psychological capability and capacity became important barriers to care in instances when patients had issues with memory or difficulty with perceiving psychological safety in healthcare settings. Motivation for engaging and continuing in care often came from a team of health care providers using shared decision-making with the patient to facilitate change.
conclusionTo optimize health care for people experiencing homelessness, clinical interventions should: (1) utilize shared-decision making during the visit, (2) foster a sense of trust, compassion, and acceptance, (3) emphasize continuity of care, including consistent providers and staff, and (4) integrate social services into Health Care for the Homeless sites.
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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.