Exploring Quality of Primary Care for Patients Who Experience Homelessness and the Clinicians Who Serve Them

What Are Their Aspirations

Bibliographic Data

ID4655487
AuthorsAllyson L Varley (0000-0002-1851-6502, Birmingham VA Medical Center, Birmingham, Alabama, USA, corresponding author), Ann Elizabeth Montgomery (0000-0002-4420-3526, Birmingham VA Medical Center, Birmingham, Alabama, USA), Jocelyn Steward (Georgia Highlands College, Rome, Georgia, USA), Erin Stringfellow (University of Missouri, St. Louis, Missouri, USA), Erin J Stringfellow (0000-0002-2286-1448, University of Missouri–St. Louis), Erika L Austin (Birmingham VA Medical Center, Birmingham, Alabama, USA), Adam J Gordon (0000-0002-2453-8871, VA Salt Lake City Health Care System, Salt Lake City, Utah, USA), David Pollio (University of Alabama at Birmingham, Birmingham, Alabama, USA), David E Pollio (0000-0002-4695-8498, University of Alabama at Birmingham), Aerin Derussy (Birmingham VA Medical Center, Birmingham, Alabama, USA), Aerin J Derussy (0000-0001-8960-6946, Birmingham VA Medical Center), April Hoge (Birmingham VA Medical Center, Birmingham, Alabama, USA), April E Hoge (Birmingham VA Medical Center), Lillian Gelberg (0000-0001-9772-0116, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA), Kevin Riggs (Birmingham VA Medical Center, Birmingham, Alabama, USA), Kevin R Riggs (0000-0002-0015-5809, University of Alabama at Birmingham), Theresa W Kim (0000-0001-6043-0721, Boston University School of Medicine, Boston, Massachusetts, USA), Sonia L Ruben (0000-0001-8273-2405, Santa Clara University, Santa Clara, California, USA), Sonia L Rubens, Stefan G Kertesz (0000-0001-6101-8421, Birmingham VA Medical Center, Birmingham, Alabama, USA)
Year2020
Volume30
Issue6
Pages865-879
Publication date2020-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732319895252
PMID31894725
OpenAlexW2998620680
LanguageEN
Citations received16
References cited42

To develop and evaluate an effective model of patient-centered, high-quality, homeless-focused primary care, our team explored key domains of primary care that may be important to patients. We anchored our conceptual framework in two reports from the Institute of Medicine (IOM) that defined components of primary care and quality of care. Using questions developed from this framework, we conducted semistructured interviews with 36 homeless-experienced individuals with past-year primary care engagement and 24 health care professionals (clinicians and researchers) who serve homeless-experienced patients in the primary care setting. Template analysis revealed factors important to this population. These included stigma, respect, and perspectives on patient control of medical decision-making in regard to both pain and addiction. For patients experiencing homelessness, the results suggest that quality primary care may have different meanings for patients and professionals, and that services should be tailored to meet homeless-specific needs

Family medicine · Population · Primary care · Psychiatry · Qualitative research · Sociology · Food Security and Health in Diverse Populations · Homelessness and Social Issues · Medicine · Mental Health and Patient Involvement · Nursing · Psychology

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