IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i2p309-d131228.html
   My bibliography  Save this article

Improving Health Care Management in Primary Care for Homeless People: A Literature Review

Author

Listed:
  • Maeva Jego

    (EA 3279 Research Unit—Public Health, Chronic Diseases and Quality of Life, Faculty of Medicine, Aix-Marseille University, 27 Bd Jean Moulin, 13385 Marseille CEDEX 5, France
    Department of General Practice, Faculty of Medicine, Aix-Marseille University, 27 Bd Jean Moulin, 13385 Marseille CEDEX 5, France)

  • Julien Abcaya

    (Department of General Practice, Faculty of Medicine, Aix-Marseille University, 27 Bd Jean Moulin, 13385 Marseille CEDEX 5, France)

  • Diana-Elena Ștefan

    (Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 37 Street Dionisie Lupu, Sector 1, 030167 Bucharest, Romania)

  • Céline Calvet-Montredon

    (Department of General Practice, Faculty of Medicine, Aix-Marseille University, 27 Bd Jean Moulin, 13385 Marseille CEDEX 5, France)

  • Stéphanie Gentile

    (EA 3279 Research Unit—Public Health, Chronic Diseases and Quality of Life, Faculty of Medicine, Aix-Marseille University, 27 Bd Jean Moulin, 13385 Marseille CEDEX 5, France)

Abstract

Background: Homeless people have poorer health status than the general population. They need complex care management, because of associated medical troubles (somatic and psychiatric) and social difficulties. We aimed to describe the main characteristics of the primary care programs that take care of homeless people, and to identify which could be most relevant. Methods: We performed a literature review that included articles which described and evaluated primary care programs for homeless people. Results: Most of the programs presented a team-based approach, multidisciplinary and/or integrated care. They often proposed co-located services between somatic health services, mental health services and social support services. They also tried to answer to the specific needs of homeless people. Some characteristics of these programs were associated with significant positive outcomes: tailored primary care organizations, clinic orientation, multidisciplinary team-based models which included primary care physicians and clinic nurses, integration of social support, and engagement in the community’s health. Conclusions: Primary health care programs that aimed at taking care of the homeless people should emphasize a multidisciplinary approach and should consider an integrated (mental, somatic and social) care model.

Suggested Citation

  • Maeva Jego & Julien Abcaya & Diana-Elena Ștefan & Céline Calvet-Montredon & Stéphanie Gentile, 2018. "Improving Health Care Management in Primary Care for Homeless People: A Literature Review," IJERPH, MDPI, vol. 15(2), pages 1-21, February.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:309-:d:131228
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/2/309/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/2/309/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Kertesz, S.G. & Holt, C.L. & Steward, J.L. & Jones, R.N. & Roth, D.L. & Stringfellow, E. & Gordon, A.J. & Kim, T.W. & Austin, E.L. & Henry, S.R. & Johnson, N.K. & Granstaff, U.S. & O'Connell, J.J. & G, 2013. "Comparing homeless persons' care experiences in tailored versus nontailored primary care programs," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 331-339.
    2. O'Toole, T.P. & Bourgault, C. & Johnson, E.E. & Redihan, S.G. & Borgia, M. & Aiello, R. & Kane, V., 2013. "New to care: Demands on a health system when homeless veterans are enrolled in a medical home model," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 374-379.
    3. Hwang, S.W. & Ueng, J.J.M. & Chiu, S. & Kiss, A. & Tolomiczenko, G. & Cowan, L. & Levinson, W. & Redeimeier, D.A., 2010. "Universal health insurance and health care access for homeless persons," American Journal of Public Health, American Public Health Association, vol. 100(8), pages 1454-1461.
    4. Schanzer, B. & Dominguez, B. & Shrout, P.E. & Caton, C.L.M., 2007. "Homelessness, health status, and health care use," American Journal of Public Health, American Public Health Association, vol. 97(3), pages 464-469.
    5. Hwang, S.W. & Chambers, C. & Chiu, S. & Katic, M. & Kiss, A. & Redelmeier, D.A. & Levinson, W., 2013. "A comprehensive assessment of health care utilization among homeless adults under a system of universal health insurance," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 294-301.
    6. Rowan, Margo S. & Mason, Melanie & Robitaille, Annie & Labrecque, Lise & Tocchi, Cathy Lambert, 2013. "An innovative medical and dental hygiene clinic for street youth: Results of a process evaluation," Evaluation and Program Planning, Elsevier, vol. 40(C), pages 10-16.
    7. O'Toole, T.P. & Buckel, L. & Bourgault, C. & Blumen, J. & Redlhan, S.G. & Jiang, L. & Frledmann, P., 2010. "Applying the chronic care model to homeless veterans: Effect of a population approach to primary care on utilization and clinical outcomes," American Journal of Public Health, American Public Health Association, vol. 100(12), pages 2493-2499.
    8. Bharel, M. & Lin, W.-C. & Zhang, J. & O'Connell, E. & Taube, R. & Clark, R.E., 2013. "Health care utilization patterns of homeless individuals in Boston: Preparing for Medicaid expansion under the Affordable Care Act," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 311-317.
    9. Tsai, J. & Doran, K.M. & Rosenheck, R.A., 2013. "When health insurance is not a factor: National comparison of homeless and nonhomeless US veterans who use veterans affairs emergency departments," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 225-231.
    10. De Vet, R. & Van Luijtelaar, M.J.A. & Brilleslijper-Kater, S.N. & Vanderplasschen, W. & Beijersbergen, M.D. & Wolf, J.R.L.M., 2013. "Effectiveness of case management for homeless persons: A systematic review," American Journal of Public Health, American Public Health Association, vol. 103(10), pages 13-26.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Tobias Schiffler & Ali Kapan & Alina Gansterer & Thomas Pass & Lisa Lehner & Alejandro Gil-Salmeron & Daragh T. McDermott & Igor Grabovac, 2023. "Characteristics and Effectiveness of Co-Designed Mental Health Interventions in Primary Care for People Experiencing Homelessness: A Systematic Review," IJERPH, MDPI, vol. 20(1), pages 1-14, January.
    2. Lianne A. Urada & Melanie J. Nicholls & Stephen R. Faille, 2022. "Homelessness at the San Diego Central Library: Assessing the Potential Role of Social Workers," IJERPH, MDPI, vol. 19(14), pages 1-20, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lan-Ping Lin & Li-Yun Wang & Tai-Wen Wang & Yun-Cheng Chen & Jin-Ding Lin, 2021. "Factors Associated with Free Hospital Outpatient Service Use among Middle-Aged and Older Urban Homeless Adults in Taipei," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
    2. Morgane Gabet & Guy Grenier & Zhirong Cao & Marie-Josée Fleury, 2019. "Predictors of Emergency Department Use among Individuals with Current or Previous Experience of Homelessness," IJERPH, MDPI, vol. 16(24), pages 1-12, December.
    3. Kaylee Ramage & Meaghan Bell & Lisa Zaretsky & Laura Lee & Katrina Milaney, 2021. "Is the Right to Housing Being Realized in Canada? Learning from the Experiences of Tenants in Affordable Housing Units in a Large Canadian City," Societies, MDPI, vol. 11(2), pages 1-9, June.
    4. Micheal L. Shier & John R. Graham & Eriko Fukuda & Alina Turner, 2016. "Predictors of Living in Precarious Housing Among Immigrants Accessing Housing Support Services," Journal of International Migration and Integration, Springer, vol. 17(1), pages 173-192, February.
    5. Lucía del Río-Casanova & Milagrosa Sánchez-Martín & Ana García-Dantas & Anabel González-Vázquez & Ania Justo, 2021. "Psychological Responses According to Gender during the Early Stage of COVID-19 in Spain," IJERPH, MDPI, vol. 18(7), pages 1-20, April.
    6. Chen Zhang & Kevin Fiscella & Yu Liu, 2022. "Exploring the Role of Provider–Patient Communication in Women’s Sexual Health and Pre-Exposure Prophylaxis Care in the Primary Care Settings in New York State of the United States," IJERPH, MDPI, vol. 19(13), pages 1-15, July.
    7. Downes, Henry & Phillips, David C. & Sullivan, James X., 2022. "The effect of emergency financial assistance on healthcare use," Journal of Public Economics, Elsevier, vol. 208(C).
    8. David Ponka & Eric Agbata & Claire Kendall & Vicky Stergiopoulos & Oreen Mendonca & Olivia Magwood & Ammar Saad & Bonnie Larson & Annie Huiru Sun & Neil Arya & Terry Hannigan & Kednapa Thavorn & Anne , 2020. "The effectiveness of case management interventions for the homeless, vulnerably housed and persons with lived experience: A systematic review," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-21, April.
    9. Chris O'Leary & Rob Ralphs & Jennifer Stevenson & Andrew Smith & Jordan Harrison & Zsolt Kiss & Harry Armitage, 2024. "The effectiveness of abstinence‐based and harm reduction‐based interventions in reducing problematic substance use in adults who are experiencing homelessness in high income countries: A systematic re," Campbell Systematic Reviews, John Wiley & Sons, vol. 20(2), June.
    10. Gurdak, Kristen & Bond, Lynden & Padgett, Deborah & Petering, Robin, 2022. "Transitioning to independent living: Experiences of homeless young adults in rapid rehousing," Evaluation and Program Planning, Elsevier, vol. 92(C).
    11. Bender, Kimberly & Schau, Nicholas & Begun, Stephanie & Haffejee, Badiah & Barman-Adhikari, Anamika & Hathaway, Jessica, 2015. "Electronic case management with homeless youth," Evaluation and Program Planning, Elsevier, vol. 50(C), pages 36-42.
    12. Anson Wong & Jerry Chen & Renée Dicipulo & Danielle Weiss & David A. Sleet & Louis Hugo Francescutti, 2020. "Combatting Homelessness in Canada: Applying Lessons Learned from Six Tiny Villages to the Edmonton Bridge Healing Program," IJERPH, MDPI, vol. 17(17), pages 1-19, August.
    13. Elizabeth M. Moore & Lillian Gelberg & Michael Soh & Cathy Alessi & Roya Ijadi-Maghsoodi, 2023. "Provider Perspectives on Sleep as a Determinant of Health and Housing Outcomes among Veterans Experiencing Homelessness: An Exploratory, Social-Ecological Study," IJERPH, MDPI, vol. 20(9), pages 1-13, May.
    14. Alison L. Weightman & Mark J. Kelson & Ian Thomas & Mala K. Mann & Lydia Searchfield & Simone Willis & Ben Hannigan & Robin J. Smith & Rhiannon Cordiner, 2023. "Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta‐analysis and thematic synthesis," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(2), June.
    15. Vitopoulos, Nina A. & Frederick, Tyler J. & Leon, Scott & Daley, Mardi & McDonald, Carol & Morales, Shaniah & Cerswell Kielburger, Leysa & Cohen, Sue & Eacott, Karen & Howes, Carol & Gutierrez, Rose &, 2018. "Development of a complex tertiary prevention intervention for the transition out of youth homelessness," Children and Youth Services Review, Elsevier, vol. 94(C), pages 579-588.
    16. Miyawaki, Atsushi & Burke, Laura G. & Khullar, Dhruv & Tsugawa, Yusuke, 2020. "Comparison of 30-day readmission and emergency department revisit rates among homeless patients at teaching versus non-teaching hospitals," Social Science & Medicine, Elsevier, vol. 263(C).
    17. Derrien, Monika M. & Bratman, Gregory N. & Cerveny, Lee K. & Levy, Chaja & Blahna, Dale J. & Frank, Paulo & Serio, Naomi, 2024. "Public nature and health for homeless populations: Professionals’ perceptions of contingent human benefits and harms," Social Science & Medicine, Elsevier, vol. 347(C).
    18. Gesthika Kaltsidis & Guy Grenier & Zhirong Cao & Marie-Josée Fleury, 2020. "Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study," IJERPH, MDPI, vol. 17(17), pages 1-16, August.
    19. Barbara Straaten & Gerda Rodenburg & Jorien Laan & Sandra N. Boersma & Judith R. L. M. Wolf & Dike Mheen, 2018. "Changes in Social Exclusion Indicators and Psychological Distress Among Homeless People Over a 2.5-Year Period," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 135(1), pages 291-311, January.
    20. Waldbrook, Natalie, 2015. "Exploring opportunities for healthy aging among older persons with a history of homelessness in Toronto, Canada," Social Science & Medicine, Elsevier, vol. 128(C), pages 126-133.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:309-:d:131228. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.