Evidence map›Paper›PMID 40308874›Full record

ReviewAEM education and training2025

Exploring the complexity of homelessness in emergency medicine: Dissecting myths, evidence, and solutions.

Christine Shaw, Hannah Janeway, Kian Preston-Suni, Caitlin R Ryus

Abstract readReview
In one paragraph

Review in AEM education and training, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

4 authors.

Christine ShawDepartment of Emergency Medicine University of Alabama Birmingham Birmingham Alabama USA.ORCID https://orcid.org/0009-0002-1702-532X
Hannah JanewayDepartment of Emergency Medicine, David Geffen School of Medicine University of California Los Angeles Los Angeles California USA.
Kian Preston-SuniDepartment of Emergency Medicine, David Geffen School of Medicine University of California Los Angeles Los Angeles California USA.
Caitlin R RyusDepartment of Emergency Medicine Yale University School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0001-5526-030X

Funding

Yale Drug use, Addiction and HIV Research Scholars (DAHRS)K12DA033312 · NIDA · YALE UNIVERSITY · PI Gail D'Onofrio, Patrick O'Connor · 2013 to 2026
$7.2M
NIDA NIH HHS K12 DA033312
6 · The paper itself

Abstract

Background: Emergency departments serve as critical-access points for people experiencing homelessness (PEH). These patients face significant health disparities and are subject to stigmatization and misconceptions, often contributing to suboptimal care and moral distress among providers. Structural competency, a framework that addresses the social, political, and economic determinants of health, is crucial in rethinking the care of PEH in emergency medicine (EM). Methods: This paper is based on the proceedings of the SAEM24 didactic session, which utilized a structural competency framework to address common misconceptions about unhoused patients. The session was developed through comprehensive literature reviews conducted by a multidisciplinary team and focused on integrating structural competency into EM practice. Results: To confront the bias and stigma surrounding PEH, the didactic session provided evidence throughout four key areas: the diversity and changing demographics of homelessness, understanding the structural and infrastructural drivers of homelessness, identifying the impact of homelessness on health and health care access, and implementing practical interventions aimed at improving health outcomes for unhoused individuals. These areas are critical in educating EM providers on the complexities of caring for unhoused patients and the systemic issues that exacerbate their health crises. Conclusions: Addressing homelessness within EM through a structural competency framework is imperative for researching and delivering effective health care. Continuous education and policy advocacy are vital to confront the underlying structural determinants of health and enhance emergency care for unhoused populations.

Indexed as

health serviceshomelessnesshousing insecuritysocial emergency medicineunhoused

Identifiers

PMID40308874
PMCPMC12038730

What OpenQuestion holds

Textmetadata
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.