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Improving Health Care Management in Primary Care for Homeless People: A Literature Review
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| Zeitschriftentitel: | European Journal of Public Health |
|---|---|
| Personen und Körperschaften: | , , , |
| In: | European Journal of Public Health, 29, 2019, Supplement_4 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Oxford University Press (OUP)
|
| Schlagwörter: |
| author_facet |
Jego, M Abcaya, J Calvet-montredon, C Gentile, S Jego, M Abcaya, J Calvet-montredon, C Gentile, S |
|---|---|
| author |
Jego, M Abcaya, J Calvet-montredon, C Gentile, S |
| spellingShingle |
Jego, M Abcaya, J Calvet-montredon, C Gentile, S European Journal of Public Health Improving Health Care Management in Primary Care for Homeless People: A Literature Review Public Health, Environmental and Occupational Health |
| author_sort |
jego, m |
| spelling |
Jego, M Abcaya, J Calvet-montredon, C Gentile, S 1101-1262 1464-360X Oxford University Press (OUP) Public Health, Environmental and Occupational Health http://dx.doi.org/10.1093/eurpub/ckz186.005 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>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. However, they face multiple difficulties in accessing primary health care and receive less preventive health care than the general population.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>We performed a literature review that included articles which described and evaluated primary care programs for homeless people. We searched into the MEDLINE, PsycINFO, COCHRANE library, and Cairn.info databases primary articles published between 1 January 2012 and 15 December 2016. We also performed a grey literature search, and we added relative articles as we read the references of the selected articles. We described the main characteristics of the primary care programs presented in the selected articles. Then we classified these characteristics in main categories, as a descriptive thematic analysis. Secondarily, we synthetized the main results about the evaluation of each intervention or organization.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Key messages</jats:title> <jats:p>To improve the health care management of homeless people it seems necessary to priorize multidisciplinary approach, integrated care, involve community health and answer their specific needs. It is necessary to evaluate more non-tailored primary care programs that collaborate with tailored structures.</jats:p> </jats:sec> Improving Health Care Management in Primary Care for Homeless People: A Literature Review European Journal of Public Health |
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| title |
Improving Health Care Management in Primary Care for Homeless People: A Literature Review |
| title_unstemmed |
Improving Health Care Management in Primary Care for Homeless People: A Literature Review |
| title_full |
Improving Health Care Management in Primary Care for Homeless People: A Literature Review |
| title_fullStr |
Improving Health Care Management in Primary Care for Homeless People: A Literature Review |
| title_full_unstemmed |
Improving Health Care Management in Primary Care for Homeless People: A Literature Review |
| title_short |
Improving Health Care Management in Primary Care for Homeless People: A Literature Review |
| title_sort |
improving health care management in primary care for homeless people: a literature review |
| topic |
Public Health, Environmental and Occupational Health |
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http://dx.doi.org/10.1093/eurpub/ckz186.005 |
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2019 |
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| description |
<jats:title>Abstract</jats:title>
<jats:sec>
<jats:title>Background</jats:title>
<jats:p>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. However, they face multiple difficulties in accessing primary health care and receive less preventive health care than the general population.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Methods</jats:title>
<jats:p>We performed a literature review that included articles which described and evaluated primary care programs for homeless people. We searched into the MEDLINE, PsycINFO, COCHRANE library, and Cairn.info databases primary articles published between 1 January 2012 and 15 December 2016. We also performed a grey literature search, and we added relative articles as we read the references of the selected articles. We described the main characteristics of the primary care programs presented in the selected articles. Then we classified these characteristics in main categories, as a descriptive thematic analysis. Secondarily, we synthetized the main results about the evaluation of each intervention or organization.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Results</jats:title>
<jats:p>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.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Conclusions</jats:title>
<jats:p>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.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Key messages</jats:title>
<jats:p>To improve the health care management of homeless people it seems necessary to priorize multidisciplinary approach, integrated care, involve community health and answer their specific needs. It is necessary to evaluate more non-tailored primary care programs that collaborate with tailored structures.</jats:p>
</jats:sec> |
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| description | <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>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. However, they face multiple difficulties in accessing primary health care and receive less preventive health care than the general population.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>We performed a literature review that included articles which described and evaluated primary care programs for homeless people. We searched into the MEDLINE, PsycINFO, COCHRANE library, and Cairn.info databases primary articles published between 1 January 2012 and 15 December 2016. We also performed a grey literature search, and we added relative articles as we read the references of the selected articles. We described the main characteristics of the primary care programs presented in the selected articles. Then we classified these characteristics in main categories, as a descriptive thematic analysis. Secondarily, we synthetized the main results about the evaluation of each intervention or organization.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Key messages</jats:title> <jats:p>To improve the health care management of homeless people it seems necessary to priorize multidisciplinary approach, integrated care, involve community health and answer their specific needs. It is necessary to evaluate more non-tailored primary care programs that collaborate with tailored structures.</jats:p> </jats:sec> |
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| spelling | Jego, M Abcaya, J Calvet-montredon, C Gentile, S 1101-1262 1464-360X Oxford University Press (OUP) Public Health, Environmental and Occupational Health http://dx.doi.org/10.1093/eurpub/ckz186.005 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>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. However, they face multiple difficulties in accessing primary health care and receive less preventive health care than the general population.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>We performed a literature review that included articles which described and evaluated primary care programs for homeless people. We searched into the MEDLINE, PsycINFO, COCHRANE library, and Cairn.info databases primary articles published between 1 January 2012 and 15 December 2016. We also performed a grey literature search, and we added relative articles as we read the references of the selected articles. We described the main characteristics of the primary care programs presented in the selected articles. Then we classified these characteristics in main categories, as a descriptive thematic analysis. Secondarily, we synthetized the main results about the evaluation of each intervention or organization.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Key messages</jats:title> <jats:p>To improve the health care management of homeless people it seems necessary to priorize multidisciplinary approach, integrated care, involve community health and answer their specific needs. It is necessary to evaluate more non-tailored primary care programs that collaborate with tailored structures.</jats:p> </jats:sec> Improving Health Care Management in Primary Care for Homeless People: A Literature Review European Journal of Public Health |
| spellingShingle | Jego, M, Abcaya, J, Calvet-montredon, C, Gentile, S, European Journal of Public Health, Improving Health Care Management in Primary Care for Homeless People: A Literature Review, Public Health, Environmental and Occupational Health |
| title | Improving Health Care Management in Primary Care for Homeless People: A Literature Review |
| title_full | Improving Health Care Management in Primary Care for Homeless People: A Literature Review |
| title_fullStr | Improving Health Care Management in Primary Care for Homeless People: A Literature Review |
| title_full_unstemmed | Improving Health Care Management in Primary Care for Homeless People: A Literature Review |
| title_short | Improving Health Care Management in Primary Care for Homeless People: A Literature Review |
| title_sort | improving health care management in primary care for homeless people: a literature review |
| title_unstemmed | Improving Health Care Management in Primary Care for Homeless People: A Literature Review |
| topic | Public Health, Environmental and Occupational Health |
| url | http://dx.doi.org/10.1093/eurpub/ckz186.005 |