ArticleJournal of general internal medicine2025
"I Don't Want to Die on the Street": Patient and Practitioner Perspectives on Street-Based Care for Older Adults Experiencing Unsheltered Homelessness.
Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- Is moral adequacy possible in the face of structural disadvantage? The experiences of health and social care staff in supporting homeless people using substances at the end of life.Palliative care and social practice · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundUnsheltered older adults experiencing homelessness constitute the fastest-growing segment of the US unhoused population. Research shows that older unsheltered adults have more chronic health conditions and experience accelerated aging. Little is known about the unique considerations in providing care and support for this population.
objectiveTo explore the experiences of aging and managing serious illness from people experiencing unsheltered homelessness and from the street medicine team members who care for them.
designQualitative, semi-structured in-depth individual interviews.
participantsStreet medicine team members and patients receiving street medicine in Los Angeles. APPROACH: Interviews were guided by a semi-structured interview guide developed by the team, audio-recorded, and transcribed verbatim. Field notes supplemented transcripts. Transcripts and field notes were analyzed by two independent coders following a thematic analysis approach rooted in grounded theory. KEY
resultsEight street medicine team members with varying experience caring for patients experiencing homelessness (1-16 years) and from multidisciplinary backgrounds were interviewed. Team members were, on average, 39 years old (SD 7.4 years), 63% female, and 50% white. Eight patients were interviewed and identified as male (63%), having 3 + chronic health conditions (100%), and aged on average 56 years (range 50-71; SD 4.7 years). Thematic analysis of the interviews revealed two major themes on challenges and considerations for the following: (1) Caring for older adults experiencing unsheltered homelessness (subthemes: Medical, Interpersonal, Environmental, and Systemic), and (2) Shelter, long-term care, and end-of-life planning among older adults experiencing unsheltered homelessness (subthemes: Permanent shelter, Rehabilitative and institutional care, and End-of-life care planning).
conclusionsTeam member and patient perspectives offered insight into significant challenges faced when trying to apply conventional healthcare practices to the unique circumstances of the unsheltered setting. Findings suggest actionable strategies with implications for both policy and practice to better meet the needs of unsheltered homeless older adults.
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Registered trials
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