Evidence map›Paper›PMID 39108030›Full record

ArticleHealth services research2024

Organizational and patient factors associated with positive primary care experiences for veterans with current or recent homelessness.

Stefan G Kertesz, Aerin J deRussy, April E Hoge, Allyson L Varley, Sally K Holmes, Kevin R Riggs, Erika L Austin, Adam J Gordon, Sonya E Gabrielian, David E Pollio and 5 more

Abstract read
In one paragraph

Article in Health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
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

15 authors.

Stefan G KerteszBirmingham Alabama Veterans Health Care System, Birmingham, Alabama, USA.ORCID 0000-0001-6101-8421
Aerin J deRussyBirmingham Alabama Veterans Health Care System, Birmingham, Alabama, USA.ORCID 0000-0001-8960-6946
April E HogeBirmingham Alabama Veterans Health Care System, Birmingham, Alabama, USA.
Allyson L VarleyBirmingham Alabama Veterans Health Care System, Birmingham, Alabama, USA.ORCID 0000-0002-1851-6502
Sally K HolmesBirmingham Alabama Veterans Health Care System, Birmingham, Alabama, USA.
Kevin R RiggsBirmingham Alabama Veterans Health Care System, Birmingham, Alabama, USA.ORCID 0000-0002-0015-5809
Erika L AustinUniversity of Alabama at Birmingham School of Public Health, Birmingham, Alabama, USA.
Adam J GordonInformatics, Decision-Enhancement, and Analytic Sciences (IDEAS) Center, VA Salt Lake City Health Care System, Salt Lake City, Utah, USA.ORCID 0000-0002-2453-8871
Sonya E GabrielianHSR&D Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, Los Angeles, California, USA.ORCID 0000-0002-1790-4271
David E PollioUniversity of Alabama at Birmingham School of Public Health, Birmingham, Alabama, USA.
Ann E MontgomeryUniversity of Alabama at Birmingham School of Public Health, Birmingham, Alabama, USA.ORCID 0000-0002-4420-3526
Lillian GelbergHSR&D Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, Los Angeles, California, USA.ORCID 0000-0001-9772-0116
Jocelyn L StewardBirmingham Alabama Veterans Health Care System, Birmingham, Alabama, USA.
Audrey L JonesInformatics, Decision-Enhancement, and Analytic Sciences (IDEAS) Center, VA Salt Lake City Health Care System, Salt Lake City, Utah, USA.ORCID 0000-0003-1533-7469
Joshua R RichmanBirmingham Alabama Veterans Health Care System, Birmingham, Alabama, USA.ORCID 0000-0002-6166-7488

Funding

Primary Care Quality and Homeless Service TailoringI01HX001900 · VA · BIRMINGHAM VA MEDICAL CENTER · PI KERTESZ, STEFAN G · 2020 to 2021
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Quality of Mental Health Services for Homeless Veterans in Primary Care SettingsIK2HX003090 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI AUDREY L JONES · 2021 to 2026
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Health Services Research and Development IIR-15-095HSRD VA IK2 HX003090
6 · The paper itself

Abstract

objectiveTo identify organizational service features associated with positive patient ratings of primary care within primary care clinics tailored to accommodate persons with ongoing and recent experiences of homelessness (PEH). DATA SOURCES AND STUDY

settingPEH receiving primary care in 29 United States Veterans Health Administration homeless-tailored clinics were surveyed about their primary care experience using the validated Primary Care Quality-Homeless (PCQ-H) survey. Characteristics of the clinics were assessed through surveys of clinic staff using a new organizational survey developed through literature review, site visits, statistical analysis, and consensus deliberation. STUDY

designCross-sectional examination of patients' ratings of care based on surveys of patients, and of clinic characteristics, analyzed with Classification and Regression Tree (CART) analysis, a form of machine learning. DATA COLLECTION

methodsPatient surveys (n = 3394) were obtained from a random sample of enrolled patients by both mail and telephone by an external survey contractor. Staff (n = 52 from 29 clinics) were interviewed by telephone. PRINCIPAL

findingsThis analysis identified service features that impact patient experience favorably, including aspects of patient-centeredness, team identity, strong external leadership support, and service that reach beyond traditional primary care clinic confines. Results varied according to the patient experience scale analyzed. Individual characteristics of PEH, such as degree of social support, general health, and unsheltered status, were also correlated with how they rate care.

conclusionsOrganizational characteristics correlate with ratings of primary care from patients with recent and ongoing homelessness. Primary care programs serving homeless individuals can assure better care based on who they hire, how they foster team identity, what services they provide, and the strength of leadership support to protect a homeless-focused mission.

Indexed as

Ill-Housed PersonsPatient SatisfactionPrimary Health CareUnited States Department of Veterans AffairsVeteransAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedPatient-Centered CareQuality of Health CareUnited Stateshomeless personsmachine learningorganizational researchprimary care

Identifiers

PMID39108030
PMCPMC11622278

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.