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Comparing homeless persons' care experiences in tailored versus nontailored primary care programs.

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اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • Publisher Information:
      eScholarship, University of California 2013-12-01
    • نبذة مختصرة :
      ObjectivesWe compared homeless patients' experiences of care in health care organizations that differed in their degree of primary care design service tailoring.MethodsWe surveyed homeless-experienced patients (either recently or currently homeless) at 3 Veterans Affairs (VA) mainstream primary care settings in Pennsylvania and Alabama, a homeless-tailored VA clinic in California, and a highly tailored non-VA Health Care for the Homeless Program in Massachusetts (January 2011-March 2012). We developed a survey, the "Primary Care Quality-Homeless Survey," to reflect the concerns and aspirations of homeless patients.ResultsMean scores at the tailored non-VA site were superior to those from the 3 mainstream VA sites (P < .001). Adjusting for patient characteristics, these differences remained significant for subscales assessing the patient-clinician relationship (P < .001) and perceptions of cooperation among providers (P = .004). There were 1.5- to 3-fold increased odds of an unfavorable experience in the domains of the patient-clinician relationship, cooperation, and access or coordination for the mainstream VA sites compared with the tailored non-VA site; the tailored VA site attained intermediate results.ConclusionsTailored primary care service design was associated with a superior service experience for patients who experienced homelessness.
    • الموضوع:
      Humans; Mental Health Services; Health Status; United States Department of Veterans Affairs; Socioeconomic Factors; Adult; Middle Aged; Homeless Persons; Patient Satisfaction; Primary Health Care; Health Services Accessibility; Quality of Health Care; United States; Female; Male; Prevention; Clinical Research; Homelessness; Health Services; 7.1 Individual care needs; Management of diseases and conditions; Medical and Health Sciences; Public Health; article
    • Availability:
      Open access content. Open access content
      public
    • Note:
      American journal of public health vol 103 Suppl 2, iss SUPPL. 2, S331-S339 0090-0036
    • Other Numbers:
      CDLER oai:escholarship.org:ark:/13030/qt5hn6k47f
      qt5hn6k47f
      https://escholarship.org/uc/item/5hn6k47f
      https://escholarship.org/
      1343800971
    • Contributing Source:
      UC MASS DIGITIZATION
      From OAIster®, provided by the OCLC Cooperative.
    • الرقم المعرف:
      edsoai.on1343800971
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