{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:06:04Z","timestamp":1788959164069,"version":"build-2803163510"},"reference-count":25,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2018,6,20]],"date-time":"2018-06-20T00:00:00Z","timestamp":1529452800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["Merit Award\/10-322"],"award-info":[{"award-number":["Merit Award\/10-322"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe the barriers and facilitators of end-of-life (EOL) care for Veterans without stable housing (VWSH) as perceived by Veterans at 1 VA medical center and EOL care staff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Qualitative descriptive study. Secondary applied content analysis of data from interviews and focus groups in our parent study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Participants:<\/jats:title>\n                    <jats:p>VA Puget Sound Health Care System and VWSH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The core emergent theme in the words of Veterans and health-care workers was \u201cmeet me where I am,\u201d a statement of what many Veterans want most from their health care. Barriers and facilitators often reflected the presence or absence of important factors such as relationship and trust building, care coordination and flexibility, key individuals and services, and assistance in navigating change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These findings suggest that to improve health care for VWSH, interventions must be multifaceted, including a suite of support services, flexibility and creative problem-solving, and adaptations in communication approaches. The authors offer specific recommendations for improving EOL care for VWSH based on these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1049909118784008","type":"journal-article","created":{"date-parts":[[2018,6,20]],"date-time":"2018-06-20T22:56:57Z","timestamp":1529535417000},"page":"1483-1489","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["\u201cMeet Me Where I Am\u201d: Removing Barriers to End-of-Life Care for Homeless Veterans and Veterans Without Stable Housing"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7215-3629","authenticated-orcid":false,"given":"David A.","family":"Gruenewald","sequence":"first","affiliation":[{"name":"Geriatrics and Extended Care Service, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA"},{"name":"Division of Gerontology and Geriatric Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Doan","sequence":"additional","affiliation":[{"name":"General Medicine Service, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Poppe","sequence":"additional","affiliation":[{"name":"Center of Excellence in Primary Care Education, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA"},{"name":"University of Washington School of Nursing, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Jones","sequence":"additional","affiliation":[{"name":"University of Colorado College of Nursing, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"Hutt","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Colorado School of Medicine, Denver, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,6,20]]},"reference":[{"key":"bibr1-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.21.3252"},{"key":"bibr2-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-015-3193-x"},{"key":"bibr3-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1177\/1049909115572992"},{"key":"bibr4-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1177\/1049909117722383"},{"key":"bibr5-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1177\/1049909112448925"},{"key":"bibr6-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-11-14"},{"key":"bibr7-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311402713"},{"key":"bibr8-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-312"},{"key":"bibr9-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-006-0045-8"},{"issue":"6","key":"bibr10-1049909118784008","first-page":"1273","volume":"34","author":"Gelberg L","year":"2000","journal-title":"Health Serv Res"},{"key":"bibr11-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"bibr12-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.24.2959"},{"key":"bibr13-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2013.03.008"},{"key":"bibr14-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2015.01.010"},{"key":"bibr15-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2015.02.001"},{"key":"bibr16-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000112"},{"key":"bibr17-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2003.21209.x"},{"key":"bibr18-1049909118784008","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2014.0087"},{"key":"bibr19-1049909118784008","unstructured":"Balshem H, Christensen V, Tuepker A, Department of Veterans Affairs Health Services Research & Development Service. VA Evidence-based Synthesis Program Reports. A Critical Review of the Literature Regarding Homelessness Among Veterans. 2011. https:\/\/www.hsrd.research.va.gov\/publications\/esp\/homelessness.pdf. 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