{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T09:21:32Z","timestamp":1788340892607,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Homelessness remains a pressing global issue affecting people of all ages. In the United States, the problem intensified in 2023, magnified by the pandemic, which has brought greater visibility to this crisis in urban settings. The health implications for those experiencing homelessness are severe, including higher rates of chronic illnesses and premature death due to lack of access to care. Key factors contributing to these health disparities include significant barriers to accessing health services, particularly primary care and preventive services. Nurse\u2010managed Health Clinics (NMHCs) have emerged as a credible solution. This report presents a Nurse\u2010led community partnership model that supported the development of a NMHC providing primary healthcare access for underserved populations in an urban setting. The Nurse\u2010managed Health Clinics Collaboration and Outcomes Model includes five key elements: (a) Nurse\u2010managed Practice; (b) Collaborative partnerships; (c) Multifaceted services and interprofessional collaboration; (d) Interprofessional Education; and (e) Comprehensive program evaluation to track community and educational outcomes. Program evaluation results on key outcomes for four years of clinic activities, including Interprofessional Education, illustrate the clinic's impact, supporting the applicability of the model. Recommendations are provided to replicate this model. Facilitating the development of NMHCs that effectively address the increasing healthcare needs of underserved individuals, is likely to improve health outcomes and overall quality of life for these vulnerable populations.<\/jats:p>","DOI":"10.1111\/phn.70157","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T16:26:53Z","timestamp":1785256013000},"page":"1200-1209","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Model for Nurse\u2010Managed Health Clinics: Expanding Access to Care for the Underserved"],"prefix":"10.1111","volume":"43","author":[{"given":"Shainy B.","family":"Varghese","sequence":"first","affiliation":[{"name":"University of Houston College of Nursing Health Clinic University of Houston  Houston Texas USA"},{"name":"Andy and Barbara Gessner College of Nursing University of Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa M.","family":"McIntyre","sequence":"additional","affiliation":[{"name":"Andy and Barbara Gessner College of Nursing and Texas Institute for Measurement, Evaluation and Statistics University of Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Tart","sequence":"additional","affiliation":[{"name":"Andy and Barbara Gessner College of Nursing University of Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"issue":"4","key":"e_1_2_10_2_1","first-page":"1","article-title":"The Nurse Practitioner's Role in the Practice","volume":"5","author":"Barton P.","year":"2015","journal-title":"Oncology Practice Management"},{"key":"e_1_2_10_3_1","volume-title":"StatPearls, [Internet]","author":"Boehning A. P.","year":"2023"},{"key":"e_1_2_10_4_1","volume-title":"Houston's Economic Future: Health Care 2022 \u2013 How Equity, Workforce and Innovation Affect Our Future","author":"Center for Houston's Future","year":"2022"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.13076"},{"key":"e_1_2_10_6_1","unstructured":"Community Solutions.2023. \u201cThe Costs and Harms of Homelessness.\u201dhttps:\/\/community.solutions."},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.01264"},{"key":"e_1_2_10_8_1","unstructured":"Federal Trade Commission.2014. \u201cPolicy Perspectives: Competition and the Regulation of Advanced Practice Nurses.\u201dhttps:\/\/www.ftc.gov\/reports\/policy\u2010perspectives\u2010competition\u2010regulation\u2010advanced\u2010practice\u2010nurses."},{"key":"e_1_2_10_9_1","unstructured":"Freking K.2023.\u201c2023 Annual Homeless Assessment Report: Part 1: Point\u2010in\u2010Time Estimates. U.S.\u201d Department of Housing and Urban Development.https:\/\/apnews.com\/article\/homelessness\u2010increase\u2010rent\u2010hud\u2010covid\u201060bd88687e1aef1b02d25425798bd3b1."},{"key":"e_1_2_10_10_1","unstructured":"Giacomino L.2021. \u201cImpact of Social Determinants of Health on Housing Instability and Homelessness.\u201dhttps:\/\/denvermedicalstudygroup.com\/impact\u2010of\u2010social\u2010determinants\u2010of\u2010health\u2010on\u2010housing\u2010instability\u2010and\u2010homelessness\/."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2014.06.005"},{"key":"e_1_2_10_12_1","unstructured":"Larson E. H.Andrella andL.Garberson.2020. \u201cSupply and Distribution of the Primary Care Workforce in Rural America: 2019.\u201dhttps:\/\/www.ruralhealthresearch.org\/publications\/1350#:~:text=The%20geographic%20maldistribution%20of%20primary Careas%20are%20relatively%20well%20supplied."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001271.pub3"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-020-00241-2"},{"key":"e_1_2_10_15_1","unstructured":"McIntyre T.2021. \u201cPatient Satisfaction Questionnaire\u2014Brief (PSQ\u2010B).\u201dUniversity of Houston."},{"key":"e_1_2_10_16_1","volume-title":"University of Houston College of Nursing Program Evaluation Report: Serving the Working Poor and those Experiencing Homelessness in Midtown Houston","author":"McIntyre T.","year":"2024"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/nursrep15120412"},{"key":"e_1_2_10_18_1","unstructured":"National Alliance to End Homelessness.2023. \u201cThe Alarming Data on Homeless Individuals Battling Substance Use Disorder and Untreated Mental Health: an Eye\u2010Opening Analysis.\u201dhttps:\/\/therecoverycenterusa.com\/the\u2010alarming\u2010data\u2010on\u2010homeless\u2010individuals\u2010battling\u2010substance\u2010use\u2010disorder\u2010and\u2010untreated\u2010mental\u2010health\u2010an\u2010eye\u2010opening\u2010analysis\/#:~:text=The%20National%20Alliance%20to%20End%20Homelessness%20reports%20that%20approximately%20one have%20a%20serious%20mental%20illness."},{"key":"e_1_2_10_19_1","unstructured":"National Health Care for the Homeless Council.2025. \u201cHomelessness and Health: What Is the Connection?\u201d Fact Sheet.https:\/\/nhchc.org\/wp\u2010content\/uploads\/2025\/10\/homelessness\u2010and\u2010health\u2010connection\u2010fact\u2010sheet.pdf."},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/10530789.2022.2080794"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.05.008"},{"key":"e_1_2_10_22_1","unstructured":"Ruff Institute for Global Homelessness.2024. \u201cAbout us.\u201dhttps:\/\/ighomelessness.org\/about\u2010us\/."},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.52678\/001c.74213"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182111660"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000530229"},{"key":"e_1_2_10_26_1","unstructured":"Substance Abuse and Mental Health Service Administration (SAMHSA).2025. \u201cBehavioral Health Services for People Who Are Homeless.\u201dhttps:\/\/yieldpro.com\/pdf\/infographics\/2025\/0304\/pep20\u201006\u201004\u2010003.pdf."},{"key":"e_1_2_10_27_1","volume-title":"The Way Home Continuum of Care: 2023 Homeless Count and Survey Analysis","author":"Troisi C.","year":"2024"},{"key":"e_1_2_10_28_1","unstructured":"U.S. Department of Health and Human Services. (n.d.). \u201cSocial Determinants of Health. Healthy People 2030.\u201dhttps:\/\/health.gov\/healthypeople\/priority-areas\/social-determinants-health."},{"key":"e_1_2_10_29_1","volume-title":"UH College of Nursing Health Clinic Patient Intake Form","author":"Varghese S.","year":"2021"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12245-022-00435-3"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2020.305579"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/2150132720910568"},{"key":"e_1_2_10_33_1","unstructured":"Zhang P. andP.Patel.2023. \u201cPractitioners and Prescriptive Authority.\u201d InStatPearls [Internet]. StatPearls Publishing; January 2025.https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK574557\/."}],"container-title":["Public Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.70157","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/phn.70157","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.70157","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T08:53:07Z","timestamp":1788339187000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/phn.70157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,28]]},"references-count":32,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/phn.70157"],"URL":"https:\/\/doi.org\/10.1111\/phn.70157","archive":["Portico"],"relation":{},"ISSN":["0737-1209","1525-1446"],"issn-type":[{"value":"0737-1209","type":"print"},{"value":"1525-1446","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,28]]},"assertion":[{"value":"2025-10-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}