{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T16:30:22Z","timestamp":1785774622637,"version":"3.56.0"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T00:00:00Z","timestamp":1513814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001775","name":"University of Technology Sydney","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001775","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Nursing Review"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the primary healthcare needs and health service use of homeless men in inner Sydney.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>People experiencing homelessness have greater health needs than the general population and place high demands on tertiary care, which is expensive and may not be the optimum service for their needs. Accessible, approachable and affordable primary healthcare services could improve the health of homeless persons and potentially decrease costs to the healthcare system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A multimethod design using a cross\u2010sectional survey (n\u00a0=\u00a040) and administrative data (n\u00a0=\u00a02\u00a0707 daily summaries) collected from a nurse\u2010led primary healthcare clinic for homeless men in Sydney.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Survey respondents were aged 27\u201076\u00a0years. Health problems reflected multimorbidity, with mental health issues present in almost all respondents. The majority had attended the clinic more than 20 times in the past year and said the services, treatments and referrals helped them avoid the emergency department. Administrative data indicated that medication administration was the most frequent service provided. Referrals to other health services doubled over the 7\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Multiple morbidities, particularly mental health issues, are associated with homelessness. A proactive approach by nurses including preventative services appeared to overcome barriers to health service use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This nurse\u2010led primary healthcare clinic highlights the importance of providing services to homeless men with multiple comorbidities. Respect and trust in addition to easy access to health services appear to be important facilitators of health service use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Nursing, and Implications for Health Policy<\/jats:title><jats:p>A greater number of primary health services that collaborate with specialist services, including nurse\u2010led clinics, may facilitate health care for persons who are homeless, reducing the burden on acute services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/inr.12419","type":"journal-article","created":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T14:44:58Z","timestamp":1513867498000},"page":"392-399","source":"Crossref","is-referenced-by-count":32,"title":["Nurse\u2010led primary health care for homeless men: a multimethods descriptive study"],"prefix":"10.1111","volume":"65","author":[{"given":"M.A.","family":"Roche","sequence":"first","affiliation":[{"name":"Mental Health Drug and Alcohol Nursing Northern Sydney Local Health District &amp; Australian Catholic University Sydney NSW Australia"},{"name":"Faculty of Health University of Technology Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Duffield","sequence":"additional","affiliation":[{"name":"Nursing &amp; Health Services Management University of Technology Sydney Sydney NSW Australia"},{"name":"Nursing &amp; Health Services Management Edith Cowan University Western Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Smith","sequence":"additional","affiliation":[{"name":"Primary Health Clinic Matthew Talbot Hostel St Vincent de Paul Society New South Wales Woolloomooloo NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Support Services St Vincent de Paul Society New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Cook","sequence":"additional","affiliation":[{"name":"Centre for Health Services Management University of Technology Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Bichel\u2010Findlay","sequence":"additional","affiliation":[{"name":"Digital Health and Innovation Centre for Health Services Management Faculty of Health University of Technology Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Saunders","sequence":"additional","affiliation":[{"name":"Centre for Health Services Management Faculty of Health University of Technology Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.J.","family":"Carter","sequence":"additional","affiliation":[{"name":"Faculty of Law University of Technology Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,21]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"City of Sydney(2017)Street count. 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