{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T02:06:11Z","timestamp":1771380371493,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T00:00:00Z","timestamp":1708041600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T00:00:00Z","timestamp":1708041600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Our aim was to determine the need for otolaryngology care within the homeless population, identify barriers to access that the homeless population may face, and develop a model system which would address these needs with respect to the barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective chart review of 812 patients seen between 1\/25\/16\u20133\/21\/2020 was performed. Charts were obtained from homeless patients seen at free general clinics held shelters in Chicago, IL (781 charts) and in Champaign, IL (31 charts). Records reporting at least one otolaryngology disease in a patient experiencing homelessness were included in this study. Patients were considered homeless if they resided at the shelter at the time of their appointment. To determine common barriers to care, a simple yes\/no questionnaire was administered to residents at west\u2010side Chicago homeless shelters. Questions addressed barriers to health care access that had been mentioned by patients seen at free clinics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Chart review findings demonstrated that 14.3% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009142) of all homeless patients seen at free in\u2010shelter clinics were seen for ENT\u2010related disorders. Survey results revealed that 76.3% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200971) of respondents believed that telemedicine services would be useful in shelters. 74.2% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200969) stated they were unable to afford prescribed medications. 93.5% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200987) stated that better access to transportation would increase their likelihood of seeking care.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In our attempt to bridge this inequity, we have launched a hybrid in\u2010person\/virtual care program to improve access to otolaryngology care for the homeless community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      N\/A\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 134:2705\u20132709, 2024\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.31332","type":"journal-article","created":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T04:10:07Z","timestamp":1708056607000},"page":"2705-2709","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Integrative Model of ENT Healthcare for the Homeless Population"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9742-4225","authenticated-orcid":false,"given":"Evan A.","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swapnil V.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Rush University Medical Center  Chicago Illinois U.S.A."},{"name":"Creighton University School of Medicine  Omaha Nebraska U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevor A.","family":"Poulson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashok A.","family":"Jagasia","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.180109"},{"key":"e_1_2_6_3_1","unstructured":"United States Department of Housing and Urban Development.The 2019 Annual Homeless Assessment Report (AHAR) to Congress. Part 1: Point\u2010In\u2010Time Estimates of Homelessness."},{"key":"e_1_2_6_4_1","unstructured":"The U.S. Department of Housing and Urban Development.The 2019 Annual Homeless Assessment Report (AHAR) to Congress.https:\/\/www.huduser.gov\/portal\/sites\/default\/files\/pdf\/2019-AHAR-Part-1.pdf."},{"issue":"1","key":"e_1_2_6_5_1","first-page":"1339","article-title":"Prevalence of hearing loss and ear morbidity among homeless individuals: a systematic review and meta\u2010analysis","volume":"18","author":"Wang JH","year":"2018","journal-title":"BMC Public Health"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.2.200"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)00364-Y"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijdrr.2023.103723"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2022.0534"},{"key":"e_1_2_6_10_1","unstructured":"Health Care for the Homeless Clinicians' Network.Health care for the homeless: Information and resources.https:\/\/www.nhchc.org\/clinical-resources\/."},{"issue":"12","key":"e_1_2_6_11_1","article-title":"Does homelessness affect health? A meta\u2010analysis of observational studies","volume":"5","author":"Tsai J","year":"2015","journal-title":"BMJ Open"},{"key":"e_1_2_6_12_1","unstructured":"The costs of homelessness. Greendoors.org. Accessed June 30 2021."},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.4056"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940911800701"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215120000201"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2020.6373"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1726288"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.59586\/jsrc.v6i1.91"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/jbcr\/iraa024.376"},{"key":"e_1_2_6_20_1","unstructured":"PenrodSM.Strategic community healthcare management.2016."},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-020-00445-2"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1945892420912152"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23981"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.31332","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.31332","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.31332","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T01:41:48Z","timestamp":1771378908000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.31332"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,16]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1002\/lary.31332"],"URL":"https:\/\/doi.org\/10.1002\/lary.31332","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,16]]},"assertion":[{"value":"2023-07-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}