{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T08:28:18Z","timestamp":1794385698951,"version":"4.9.0"},"reference-count":22,"publisher":"Wiley","issue":"4p1","license":[{"start":{"date-parts":[[2004,6,28]],"date-time":"2004-06-28T00:00:00Z","timestamp":1088380800000},"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":[[2004,8]]},"abstract":"<jats:p><jats:bold>Objective. <\/jats:bold> To develop homeless\u2010youth\u2010identified process and outcome measures of quality of health care.<\/jats:p><jats:p><jats:bold>Data Sources\/Study Setting. <\/jats:bold> Primary data collection with homeless youth from both street and clinic settings in Seattle, Washington, for calendar year 2002.<\/jats:p><jats:p><jats:bold>Study Design. <\/jats:bold> The research was a focused ethnography, using key informant and in\u2010depth individual interviews as well as focus groups with a purposeful sample of 47 homeless youth aged 12\u201323 years.<\/jats:p><jats:p><jats:bold>Data Collection\/Extraction Methods. <\/jats:bold> All interviews and focus groups were tape\u2010recorded, transcribed, and preliminarily coded, with final coding cross\u2010checked and verified with a second researcher.<\/jats:p><jats:p><jats:bold>Principal Findings. <\/jats:bold> Homeless youth most often stated that cultural and interpersonal aspects of quality of care were important to them. Physical aspects of quality of care reported by the youth were health care sites separate from those for homeless adults, andsites that offered a choice of allopathic and complementary medicine. Outcomes of health care included survival of homelessness, functional and disease\u2010state improvement, and having increased trust and connections with adults and with the wider community.<\/jats:p><jats:p><jats:bold>Conclusions. <\/jats:bold> Homeless youth identified components of quality of care as well as how quality of care should be measured. Their perspectives will be included in a larger follow\u2010up study to develop quality of care indicators for homeless youth.<\/jats:p>","DOI":"10.1111\/j.1475-6773.2004.00253.x","type":"journal-article","created":{"date-parts":[[2004,7,2]],"date-time":"2004-07-02T06:16:25Z","timestamp":1088748985000},"page":"695-708","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Quality of Health Care: The Views of Homeless Youth"],"prefix":"10.1111","volume":"39","author":[{"given":"Josephine","family":"Ensign","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,6,28]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/106286060001500401"},{"issue":"11","key":"e_1_2_5_3_1","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1001\/archpedi.152.11.1071","article-title":"Alternative Medicine Use by Homeless Youth","volume":"152","author":"Breuner C. 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L. J. M.Greene M.Robertson andM.McPheeters.1998. \u201cThe Prevalence of Homelessness among Adolescents in the United States.\u201dAmerican Journal of Public Health88 (9): 1325\u20139.","DOI":"10.2105\/AJPH.88.9.1325"},{"key":"e_1_2_5_19_1","volume-title":"Addressing the Needs of Homeless Youth in Seattle\/King County","author":"Shaw M.","year":"2000"},{"key":"e_1_2_5_20_1","unstructured":"Switchboard N. R.2003. \u201cNational Runaway Switchboard Media Information Kit\u201d [accessed June 4 2003]. National Runaway Switchboard. Available athttp:\/\/www.nrscrisisline.org."},{"key":"e_1_2_5_21_1","volume-title":"Youth Friendly Health Services: A Review of Programmes and Lessons Learned","author":"World Health Organization.","year":"1997"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.17.2.127"},{"key":"e_1_2_5_23_1","unstructured":"Zerger S.2002. \u201cChronic Medical Illness and Homeless Individuals. 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