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Comparing Homeless Persons' Care Experiences in Tailored Versus Nontailored Primary Care Programs.

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Title: Comparing Homeless Persons' Care Experiences in Tailored Versus Nontailored Primary Care Programs.
Authors: Kertesz, Stefan G. (AUTHOR), Holt, Cheryl L. (AUTHOR), Steward, Jocelyn L. (AUTHOR), Jones, Richard N. (AUTHOR), Roth, David L. (AUTHOR), Stringfellow, Erin (AUTHOR), Gordon, Adam J. (AUTHOR), Kim, Theresa W. (AUTHOR), Austin, Erika L. (AUTHOR), Henry, Stephen Randal (AUTHOR), Johnson, Kay (AUTHOR), Granstaff, U. Shanette (AUTHOR), O'Connell, James J. (AUTHOR), Golden, Joya F. (AUTHOR), Young, Alexander S. (AUTHOR), Davis, Lori L. (AUTHOR), Pollio, David E. (AUTHOR)
Source: American Journal of Public Health. Dec2013 Supplement, Vol. 103 Issue S2, pS331-9. 1p.
Subjects: Research, American veterans, Hypothesis, Chi-squared test, Comparative studies, Confidence intervals, Epidemiology, Health services accessibility, Homeless persons, Interprofessional relations, Medical cooperation, Medical specialties & specialists, Patient satisfaction, Physician-patient relations, Primary health care, Questionnaires, Research funding, Statistical sampling, Surveys, United States. Dept. of Veterans Affairs, Data analysis, Multiple regression analysis, Descriptive statistics
Geographic Terms: United States
Abstract: Objectives. We compared homeless patients' experiences of care in health care organizations that differed in their degree of primary care design service tailoring. Methods. We 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. Results. Mean 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. Conclusions. Tailored primary care service design was associated with a superior service experience for patients who experienced homelessness. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Comparing Homeless Persons&#39; Care Experiences in Tailored Versus Nontailored Primary Care Programs.
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  Data: Objectives. We compared homeless patients&#39; experiences of care in health care organizations that differed in their degree of primary care design service tailoring. Methods. We 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 &#39;Primary Care Quality-Homeless Survey,&#39; to reflect the concerns and aspirations of homeless patients. Results. Mean scores at the tailored non-VA site were superior to those from the 3 mainstream VA sites (P &lt; .001). Adjusting for patient characteristics, these differences remained significant for subscales assessing the patient-clinician relationship (P &lt; .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. Conclusions. Tailored primary care service design was associated with a superior service experience for patients who experienced homelessness. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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