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Characteristics of the clinics were assessed through surveys of clinic staff using a new organizational survey developed through literature review, site visits, statistical analysis, and consensus deliberation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional examination of patients' ratings of care based on surveys of patients, and of clinic characteristics, analyzed with Classification and Regression Tree (CART) analysis, a form of machine learning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Collection Methods<\/jats:title><jats:p>Patient surveys (<jats:italic>n<\/jats:italic>\u2009=\u20093394) were obtained from a random sample of enrolled patients by both mail and telephone by an external survey contractor. Staff (<jats:italic>n<\/jats:italic>\u2009=\u200952 from 29 clinics) were interviewed by telephone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>This analysis identified service features that impact patient experience favorably, including aspects of patient\u2010centeredness, team identity, strong external leadership support, and service that reach beyond traditional primary care clinic confines. Results varied according to the patient experience scale analyzed. Individual characteristics of PEH, such as degree of social support, general health, and unsheltered status, were also correlated with how they rate care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Organizational characteristics correlate with ratings of primary care from patients with recent and ongoing homelessness. Primary care programs serving homeless individuals can assure better care based on who they hire, how they foster team identity, what services they provide, and the strength of leadership support to protect a homeless\u2010focused mission.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.14359","type":"journal-article","created":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T05:45:57Z","timestamp":1723009557000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Organizational and patient factors associated with positive primary care experiences for veterans with current or recent homelessness"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6101-8421","authenticated-orcid":false,"given":"Stefan G.","family":"Kertesz","sequence":"first","affiliation":[{"name":"Birmingham Alabama Veterans Health Care System  Birmingham Alabama USA"},{"name":"University of Alabama at Birmingham Heersink School of Medicine  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8960-6946","authenticated-orcid":false,"given":"Aerin J.","family":"deRussy","sequence":"additional","affiliation":[{"name":"Birmingham Alabama Veterans Health Care System  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"April E.","family":"Hoge","sequence":"additional","affiliation":[{"name":"Birmingham Alabama Veterans Health Care System  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1851-6502","authenticated-orcid":false,"given":"Allyson L.","family":"Varley","sequence":"additional","affiliation":[{"name":"Birmingham Alabama Veterans Health Care System  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally K.","family":"Holmes","sequence":"additional","affiliation":[{"name":"Birmingham Alabama Veterans Health Care System  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0015-5809","authenticated-orcid":false,"given":"Kevin R.","family":"Riggs","sequence":"additional","affiliation":[{"name":"Birmingham Alabama Veterans Health Care System  Birmingham Alabama USA"},{"name":"University of Alabama at Birmingham Heersink School of Medicine  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika L.","family":"Austin","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham School of Public Health  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2453-8871","authenticated-orcid":false,"given":"Adam J.","family":"Gordon","sequence":"additional","affiliation":[{"name":"Informatics, Decision\u2010Enhancement, and Analytic Sciences (IDEAS) Center, VA Salt Lake City Health Care System  Salt Lake City Utah USA"},{"name":"Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA), Division of Epidemiology, Department of Internal Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1790-4271","authenticated-orcid":false,"given":"Sonya E.","family":"Gabrielian","sequence":"additional","affiliation":[{"name":"HSR&amp;D Center for the Study of Healthcare Innovation, Implementation &amp; 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