{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T04:13:52Z","timestamp":1791864832795,"version":"4.3.4"},"reference-count":69,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,10,27]]},"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To analyse the views of general practitioners (GPs) about how they can provide care to homeless people (HP) and to explore which measures could influence their views.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Mixed-methods design (qualitative \u2013&gt; quantitative (cross-sectional observational) \u2192 qualitative). Qualitative data were collected through semistructured interviews and through questionnaires with closed questions. Quantitative data were analysed with descriptive statistical analyses on SPPS; a content analysis was applied on qualitative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Primary care; views of urban GPs working in a deprived area in Marseille were explored by questionnaires and\/or semistructured interview.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>19 GPs involved in HP's healthcare were recruited for phase 1 (qualitative); for phase 2 (quantitative), 150 GPs who provide routine healthcare (\u2018standard\u2019 GPs) were randomised, 144 met the inclusion criteria and 105 responded to the questionnaire; for phase 3 (qualitative), data were explored on 14 \u2018standard\u2019 GPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the quantitative phase, 79% of the 105 GPs already treated HP. Most of the difficulties they encountered while treating HP concerned social matters (mean level of perceived difficulties=3.95\/5, IC 95 (3.74 to 4.17)), lack of medical information (mn=3.78\/5, IC 95 (3.55 to 4.01)) patient's compliance (mn=3.67\/5, IC 95 (3.45 to 3.89)), loneliness in practice (mn=3.45\/5, IC 95 (3.18 to 3.72)) and time required for the doctor (mn=3.25, IC 95 (3 to 3.5)). From qualitative analysis we understood that maintaining a stable follow-up was a major condition for GPs to contribute effectively to the care of HP. Acting on health system organisation, developing a medical and psychosocial approach with closer relation with social workers and enhancing the collaboration between tailored and non-tailored programmes were also other key answers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>If we adapt the conditions of GPs practice, they could contribute to the improvement of HP's health. These results will enable the construction of a new model of primary care organisation aiming to improve access to healthcare for HP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-013610","type":"journal-article","created":{"date-parts":[[2016,11,30]],"date-time":"2016-11-30T22:30:28Z","timestamp":1480545028000},"page":"e013610","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Improving access and continuity of care for homeless people: how could general practitioners effectively contribute? Results from a mixed study"],"prefix":"10.1136","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3324-256X","authenticated-orcid":false,"given":"Maeva","family":"Jego","sequence":"first","affiliation":[{"name":"EA 3279 Research Unit\u2014Public Health, Chronic Diseases and Quality of Life, Aix-Marseille University, Marseille, France"},{"name":"Department of General Practice, Aix-Marseille University, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"Grassineau","sequence":"additional","affiliation":[{"name":"PASS, Department of Public Health, Timone University Hospital, APHM, Marseille, France"},{"name":"UMR 6278 A.D.E.S Research Unit\u2014Anthropology Rights Ethics and Health, Aix-Marseille University, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hubert","family":"Balique","sequence":"additional","affiliation":[{"name":"EA 3279 Research Unit\u2014Public Health, Chronic Diseases and Quality of Life, Aix-Marseille University, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anderson","family":"Loundou","sequence":"additional","affiliation":[{"name":"EA 3279 Research Unit\u2014Public Health, Chronic Diseases and Quality of Life, Aix-Marseille University, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Sambuc","sequence":"additional","affiliation":[{"name":"EA 3279 Research Unit\u2014Public Health, Chronic Diseases and Quality of Life, Aix-Marseille University, Marseille, France"},{"name":"PASS, Department of Public Health, Timone University Hospital, APHM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Daguzan","sequence":"additional","affiliation":[{"name":"Medical Evaluation Unit, Department of Public Health, Conception University Hospital, APHM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaetan","family":"Gentile","sequence":"additional","affiliation":[{"name":"Department of General Practice, Aix-Marseille University, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phanie","family":"Gentile","sequence":"additional","affiliation":[{"name":"EA 3279 Research Unit\u2014Public Health, Chronic Diseases and Quality of Life, Aix-Marseille University, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,11,30]]},"reference":[{"key":"2025121219433059000_6.11.e013610.1","unstructured":"Yaouancq F , Lebr\u00e8re A , Marpsat M , et al . 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