Display options
Cite
Steward J, Holt CL, Pollio DE, et al. Priorities in the primary care of persons experiencing homelessness: convergence and divergence in the views of patients and provider/experts. Patient Prefer Adherence. 2016;10:153-8doi: 10.2147/PPA.S75477.
Steward, J., Holt, C. L., Pollio, D. E., Austin, E. L., Johnson, N., Gordon, A. J., & Kertesz, S. G. (2016). Priorities in the primary care of persons experiencing homelessness: convergence and divergence in the views of patients and provider/experts. Patient preference and adherence, 10153-8. https://doi.org/10.2147/PPA.S75477
Steward, Jocelyn, et al. "Priorities in the primary care of persons experiencing homelessness: convergence and divergence in the views of patients and provider/experts." Patient preference and adherence vol. 10 (2016): 153-8. doi: https://doi.org/10.2147/PPA.S75477
Steward J, Holt CL, Pollio DE, Austin EL, Johnson N, Gordon AJ, Kertesz SG. Priorities in the primary care of persons experiencing homelessness: convergence and divergence in the views of patients and provider/experts. Patient Prefer Adherence. 2016 Feb 12;10:153-8. doi: 10.2147/PPA.S75477. eCollection 2016. PMID: 26929607; PMCID: PMC4760209.
Copy Download .nbib Format: NLM
Share it on

Patient Prefer Adherence. 2016 Feb 12;10:153-8. doi: 10.2147/PPA.S75477. eCollection 2016.

Priorities in the primary care of persons experiencing homelessness: convergence and divergence in the views of patients and provider/experts.

Patient preference and adherence

Jocelyn Steward, Cheryl L Holt, David E Pollio, Erika L Austin, Nancy Johnson, Adam J Gordon, Stefan G Kertesz

Affiliations

  1. Department of Health Care Management, Clayton State University, Morrow, GA, USA.
  2. Department of Psychology, University of Maryland, College Park, MD, USA.
  3. Department of Social Work, University of Alabama at Birmingham, Birmingham, AL, USA.
  4. Birmingham VA Medical Center, University of Alabama at Birmingham School of Public Health, Birmingham, AL, USA; Department of Biostatistics, University of Alabama at Birmingham School of Public Health, Birmingham, AL, USA.
  5. Birmingham VA Medical Center, University of Alabama at Birmingham School of Public Health, Birmingham, AL, USA.
  6. VA Pittsburgh Health Care System, Pittsburgh, PA, USA; University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
  7. Birmingham VA Medical Center, University of Alabama at Birmingham School of Public Health, Birmingham, AL, USA; Department of Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA.

PMID: 26929607 PMCID: PMC4760209 DOI: 10.2147/PPA.S75477

Abstract

PURPOSE: Homeless individuals face unique challenges in health care. Several US initiatives seeking to advance patient-centered primary care for homeless persons are more likely to succeed if they incorporate the priorities of the patients they are to serve. However, there has been no prior research to elicit their priorities in primary care. This study sought to identify aspects of primary care important to persons familiar with homelessness based on personal experience or professional commitment, and to highlight where the priorities of patients and professionals dedicated to their care converge or diverge.

METHODS: This qualitative exercise asked 26 homeless patients and ten provider/experts to rank 16 aspects of primary care using a card sort. Patient-level respondents (n=26) were recruited from homeless service organizations across all regions of the USA and from an established board of homeless service users. Provider/expert-level respondents (n=10) were recruited from veteran and non-veteran-focused homeless health care programs with similar geographic diversity.

RESULTS: Both groups gave high priority to accessibility, evidence-based care, coordination, and cooperation. Provider/experts endorsed patient control more strongly than patients. Patients ranked information about their care more highly than provider/experts.

CONCLUSION: Accessibility and the perception of care based on medical evidence represent priority concerns for homeless patients and provider/experts. Patient control, a concept endorsed by experts, is not strongly endorsed by homeless patients. Understanding how to assure fluid communication, coordination, and team member cooperation could represent more worthy targets for research and quality improvement in this domain.

Keywords: homeless persons; patient-centered care; primary care; provider perspectives

References

  1. J Gen Intern Med. 1989 Jan-Feb;4(1):23-30 - PubMed
  2. Med Care. 1999 Mar;37(3 Suppl):MS22-31 - PubMed
  3. J Med Ethics. 2010 Dec;36(12):834-7 - PubMed
  4. Am J Public Health. 2010 Dec;100(12):2493-9 - PubMed
  5. Jt Comm J Qual Improv. 2000 Jul;26(7):400-9 - PubMed
  6. Annu Rev Public Health. 2005;26:513-59 - PubMed
  7. N Engl J Med. 2011 Oct 13;365(15):e31 - PubMed
  8. Ann Intern Med. 2010 Jul 20;153(2):69-75 - PubMed
  9. J Gen Intern Med. 2005 Jun;20(6):531-5 - PubMed
  10. JAMA. 2001 Jan 10;285(2):200-6 - PubMed
  11. Med Care. 1998 May;36(5):728-39 - PubMed
  12. Am J Public Health. 2010 Jul;100(7):1326-33 - PubMed
  13. J Urban Health. 2014 Feb;91(1):33-45 - PubMed

Publication Types