{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T05:13:51Z","timestamp":1790745231899,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,11,7]],"date-time":"2012-11-07T00:00:00Z","timestamp":1352246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine health status and health care experiences of homeless patients in health centers and to compare them with their nonhomeless counterparts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources\/Study Setting<\/jats:title>\n                    <jats:p>\n                      Nationally representative data from the 2009\n                      <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>\n                      ealth\n                      <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\n                      enter\n                      <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\n                      atient\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      urvey.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>\n                      Cross\u2010sectional analyses were limited to adults (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a02,683). We compared sociodemographic characteristics, health conditions, access to health care, and utilization of services among homeless and nonhomeless patients. We also examined the independent effect of homelessness on health care access and utilization, as well as factors that influenced homeless patients' health care experiences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Collection<\/jats:title>\n                    <jats:p>Computer\u2010assisted personal interviews were conducted with health center patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>\n                      Homeless patients had worse health status\u2014lifetime burden of chronic conditions, mental health problems, and substance use problems\u2014compared with housed respondents. In adjusted analyses, homeless patients had twice the odds as housed patients of having unmet medical care needs in the past year (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a01.98, 95 percent\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      : 1.24\u20133.16) and twice the odds of having an\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      visit in the past year (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u00a0=\u00a02.00, 95 percent\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      : 1.37\u20132.92).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      There is an ongoing need to focus on the health issues that disproportionately affect homeless populations. Among health center patients, homelessness is an independent risk factor for unmet medical needs and\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      use.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.12009","type":"journal-article","created":{"date-parts":[[2012,11,7]],"date-time":"2012-11-07T23:34:11Z","timestamp":1352331251000},"page":"992-1017","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":176,"title":["Health Status and Health Care Experiences among Homeless Patients in Federally Supported Health Centers: Findings from the 2009 Patient Survey"],"prefix":"10.1111","volume":"48","author":[{"given":"Lydie A.","family":"Lebrun\u2010Harris","sequence":"first","affiliation":[{"name":"US Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care Rockville MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis P.","family":"Baggett","sequence":"additional","affiliation":[{"name":"Harvard Medical School Boston Health Care for the Homeless Program Massachusetts General Hospital Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darlene M.","family":"Jenkins","sequence":"additional","affiliation":[{"name":"National Health Care for the Homeless Council Nashville TN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alek","family":"Sripipatana","sequence":"additional","affiliation":[{"name":"US Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care Rockville MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Sharma","sequence":"additional","affiliation":[{"name":"US Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care Rockville MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. Seiji","family":"Hayashi","sequence":"additional","affiliation":[{"name":"US Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care Rockville MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles A.","family":"Daly","sequence":"additional","affiliation":[{"name":"US Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care Rockville MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quyen","family":"Ngo\u2010Metzger","sequence":"additional","affiliation":[{"name":"US Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care Rockville MD"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,11,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137284"},{"key":"e_1_2_6_3_1","volume-title":"Changing the U.S. Health Care System: Key Issues in Health Services Policy and Management","author":"Andersen R. 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