{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T07:36:05Z","timestamp":1784446565316,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>People experiencing homelessness also experience poorer health and frequently attend acute care settings when primary health care would be better equipped to meet their needs. Existing scholarship identifies a complex mix of individual and structural\u2010level factors affecting primary health care engagement driving this pattern of health services utilisation. We build on this existing knowledge, by bringing the spatio\u2010temporal configurations of primary health care into focus. Specifically, we interrogate how space and time inflect situated practices and relations of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study took an ethnographic approach and was conducted 2021\u20132022 at an inclusive health and wellness centre (\"the Centre\") in Southeast Queensland, Australia. The data consists of 46 interviews with 48 people with lived experience of homelessness, including participants who use the services offered at the Centre (<jats:italic>n<\/jats:italic>\u2009=\u200926) and participants who do not (<jats:italic>n<\/jats:italic>\u2009=\u200919). We also interviewed 20 clinical and non\u2010clinical service providers affiliated with the Centre and observed how service delivery took place. Interviews and observations were complemented by visual data, including participant\u2010produced photography. All data were analysed employing a narrative framework.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We present three interrelated themes demonstrating how space and time affect care, that is \u2018staying safe\u2019, \u2018feeling welcome\u2019 and \u2018being seen\u2019. \u2018Staying safe\u2019 captures the perceptions and practices around safety, which sit in tension with making service users feel welcome. \u2018Feeling welcome\u2019 attends to the sense of being invited to use services free of judgment. \u2018Being seen\u2019 depicts capacities to see a health care provider as well as being understood in one's lived experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Spatio\u2010temporal configurations, such as attendance policies, consultation modalities and time allocated to care encounters afford differential opportunities to nurture reciprocal relations. We conclude that flexible service configurations can leverage a relational model of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>Service providers were consulted during the design stage of the project and had opportunities to inform data collection instruments. Two service providers contributed to the manuscript as co\u2010authors. People with lived experience of homelessness who use the services at the inclusive health centre contributed as research participants and provided input into the dissemination of findings. The photography they produced has been featured in an in\u2010person exhibition, to which some have contributed as consultants or curators. It is hoped that their insights into experiences of welcomeness, safety and being seen will inform flexible and relational primary health care design, delivery, and evaluation to better cater for people experiencing housing instability and poverty.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13858","type":"journal-article","created":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T15:48:10Z","timestamp":1693583290000},"page":"2620-2629","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Staying safe, feeling welcome, being seen: How spatio\u2010temporal configurations affect relations of care at an inclusive health and wellness centre"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7217-3806","authenticated-orcid":false,"given":"Stefanie","family":"Plage","sequence":"first","affiliation":[{"name":"ARC Centre of Excellence for Children and Families over the Life Course Indooroopilly Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5149-8775","authenticated-orcid":false,"given":"Kirsten","family":"Baker","sequence":"additional","affiliation":[{"name":"Australian Research Centre in Complementary and Integrative Medicine The University of Technology Sydney Broadway Australia"},{"name":"Inclusive Health and Wellness Hub South Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7289-896X","authenticated-orcid":false,"given":"Cameron","family":"Parsell","sequence":"additional","affiliation":[{"name":"ARC Centre of Excellence for Children and Families over the Life Course Indooroopilly Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8648-8371","authenticated-orcid":false,"given":"Rose\u2010Marie","family":"Stambe","sequence":"additional","affiliation":[{"name":"ARC Centre of Excellence for Children and Families over the Life Course Indooroopilly Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4124-6755","authenticated-orcid":false,"given":"Ella","family":"Kuskoff","sequence":"additional","affiliation":[{"name":"ARC Centre of Excellence for Children and Families over the Life Course Indooroopilly Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arif","family":"Mansuri","sequence":"additional","affiliation":[{"name":"Inclusive Health and Wellness Hub South Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Australian Institute of Health and Welfare.\u00a0Australia's Health 2020: in brief.2020. 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