ArticleInternational journal for equity in health2023
Barriers and facilitators to health care access for people experiencing homelessness in four European countries: an exploratory qualitative study.
Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05406687 (Cancer Prevention and Early Detection Among the Homeless Population in Europe), which is not on this map. Cited by 29 papers, 3 of them syntheses that pooled it.
What it found
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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.
Cancer Prevention and Early Detection Among the Homeless Population in Europe: Co-adapting and Implementing the Health Navigator Model
Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Cardiovascular disease burden in the homeless population.Open heart · 2025Pooled it
- The evolution of health services research in Austria: a bibliometric exploration of trends, themes, and collaborations.Frontiers in health services · 2025Pooled it
- Tackling Inequalities in Access to Medicines for People Experiencing Homelessness: A Meta-Ethnography and Qualitative Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Correlation of COVID-19 Mortality with Socioeconomic Status, Air Quality, and Housing Density.Thoracic research and practice · 2026Article
- Empowerment and quality of life through cancer prevention in people experiencing homelessness: evaluating the Health Navigator Model.Health and quality of life outcomes · 2026Article
- Clinicians' Experiences in Responding to Mental Health Crisis Among People Experiencing Homelessness in Ireland.Journal of psychiatric and mental health nursing · 2026Article
- Barriers to and facilitators of healthcare access among people experiencing homelessness: a systematic scoping review.International journal for equity in health · 2026Article
- Health Challenges in Vulnerable Populations: Neurological and Vascular Diseases Among People Experiencing Homelessness in Gdańsk, Poland: An Observational Study.Journal of clinical medicine · 2026Article
- Barriers and facilitators of implementation of liver screening in an outreach-based care pathway for people experiencing homelessness and substance use disorders: a qualitative study of clinicians' and stakeholders' perspectives.Harm reduction journal · 2026Article
- 'No Foot, No Future': Lived Experiences of Foot Health and Care Access Among Rough-Sleeping Adults in a UK Coastal Community-A Qualitative Study.Journal of foot and ankle research · 2026Article
- Article
- Determinants of vaccination willingness among people experiencing homelessness: a cross-sectional study in Warsaw, Poland.BMC public health · 2026Article
- Engaging people with lived experience to co-design a community-led physical activity and diabetes prevention intervention for people experiencing homelessness.Frontiers in sports and active living · 2026Article
- Access to mental health services: the perspective of people experiencing homelessness.Revista brasileira de enfermagem · 2026Article
- Homeless-experienced patients' perspectives on improving patient portal Use.Frontiers in digital health · 2026Article
- Healthcare access and perceived value of liver screening among people experiencing homelessness and substance use disorders: a qualitative study.BMC health services research · 2025Article
- Barriers to access and factors associated with health care utilization among the adult homeless population in Dhaka, Bangladesh: a mixed method cross-sectional study.BMC public health · 2025Article
- Mortality and barriers to healthcare among people experiencing homelessness in Paris: a mixed-methods study.International journal for equity in health · 2025Article
- Multisource Coherence Analysis of the First European Multicenter Cohort Study for Cancer Prevention in People Experiencing Homelessness: Data Quality Study.JMIR medical informatics · 2025Article
- Evaluating the Impact of the Health Navigator Model on Housing Status Among People Experiencing Homelessness in Four European Countries.Healthcare (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople experiencing homelessness (PEH) are known to be at higher risk of adverse health outcomes and premature mortality when compared to the housed population and often face significant barriers when attempting to access health services. This study aimed to better understand the specific health care needs of PEH and the barriers and facilitators associated with their timely and equitable access to health services in the European context.
methodsWe conducted an exploratory cross-national qualitative study involving people with lived experience of homelessness and health and social care professionals in Austria, Greece, Spain, and the UK. A total of 69 semi-structured interviews comprising 15 social care professionals, 19 health care professionals, and 35 PEH were completed, transcribed, and analysed thematically.
resultsFindings were organised into three overarching themes relating to the research question: (a) Health care needs of PEH, (b) Barriers to health care access, and (c) Facilitators to health care access. Overall, the general health of PEH was depicted as extremely poor, and mainstream health services were portrayed as ill-equipped to respond to the needs of this population. Adopting tailored approaches to care, especially involving trusted professionals in the delivery of care, was identified as a key strategy for overcoming existing barriers.
conclusionsThe results of this study indicate there to be a high degree of consistency in the health care needs of PEH and the barriers and facilitators associated with their access to health care across the various European settings. Homelessness in itself is recognized to represent an essential social determinant of health, with PEH at risk of unequal access to health services. Changes are thus required to facilitate PEH's access to mainstream primary care. This can also be further complemented by investment in 'in-reach' services and other tailored and person-centred forms of health care.
trial registrationThis study was registered retrospectively on June 6, 2022, in the registry of ClinicalTrials.gov under the number NCT05406687.
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