{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:43:35Z","timestamp":1777859015721,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"VA, Veterans Health Administration, National Center on Homelessness Among Veterans"},{"name":"Career Development Award from VA HSR","award":["(IK2 HX003090)"],"award-info":[{"award-number":["(IK2 HX003090)"]}]},{"name":"Department of Veterans Affairs (VA) Health Systems Research","award":["(HSR; IIR 15-095)"],"award-info":[{"award-number":["(HSR; IIR 15-095)"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To examine whether, among persons with recent homeless experience, minoritized clients rate primary care differently from non-minoritized clients in Veterans Affairs (VA) mainstream and homeless tailored clinics, through the largest survey of homeless-experienced Black, White, and Latino Veterans to date.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Surveys were collected from HEVs in Homeless-tailored Patient-Aligned Care Teams (HPACTs) and mainstream Patient Aligned Care Teams (PACTs; n\u2009=\u20094894). We tested multivariable associations between race\/ethnicity, clinic (HPACT vs mainstream-PACT), and their interaction, on care experience ratings and service utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were no major differences in care ratings by race\/ethnicity; medical and social vulnerability factors were associated with worse ratings. Black HEVs rated team Cooperation and Access\/Coordination modestly better compared to White HEVs, while being Latino was nonsignificant. HPACTs were rated higher than mainstream-PACTs. Better Access\/Coordination ratings were associated with more primary care (+1.12 additional visits per point increase) and mental health outpatient visits (+4.37 additional visits per point increase).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In VA primary care, homeless-tailored clinics outperformed mainstream ones while racial\/ethnic differences in ratings were minor. Optimizing perceived Access\/Coordination of services may offer a path to increased service use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319251382520","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T05:49:23Z","timestamp":1762753763000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Primary Care Experiences and Outpatient Health Service Utilization Among Black and Latino Homeless-Experienced Veterans: An Analysis of Patient-Centered Medical Homes"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7546-0827","authenticated-orcid":false,"given":"Melissa","family":"Chinchilla","sequence":"first","affiliation":[{"name":"University of California Los Angeles, USA"},{"name":"Veterans Affairs Greater Los Angeles Healthcare System, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audrey L.","family":"Jones","sequence":"additional","affiliation":[{"name":"University of Utah School of Medicine, Salt Lake City, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aerin","family":"DeRussy","sequence":"additional","affiliation":[{"name":"Birmingham VA Medical Center, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael F.","family":"Green","sequence":"additional","affiliation":[{"name":"University of California Los Angeles, USA"},{"name":"Veterans Affairs Greater Los Angeles Healthcare System, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lillian","family":"Gelberg","sequence":"additional","affiliation":[{"name":"University of California Los Angeles, USA"},{"name":"Veterans Affairs Greater Los Angeles Healthcare System, CA, USA"},{"name":"Greater Los Angeles Healthcare System, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander S.","family":"Young","sequence":"additional","affiliation":[{"name":"University of California Los Angeles, USA"},{"name":"Veterans Affairs Greater Los Angeles Healthcare System, CA, USA"},{"name":"VA Desert Pacific Mental Illness Research, Education, and Clinical Center, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0329-648X","authenticated-orcid":false,"given":"Jack","family":"Tsai","sequence":"additional","affiliation":[{"name":"U.S. Department of Veterans Affairs, Washington, DC, USA"},{"name":"University of Texas Health Science Center at Houston, USA"},{"name":"Yale University School of Medicine, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1790-4271","authenticated-orcid":false,"given":"Sonya E.","family":"Gabrielian","sequence":"additional","affiliation":[{"name":"University of California Los Angeles, USA"},{"name":"Veterans Affairs Greater Los Angeles Healthcare System, CA, USA"},{"name":"VA Desert Pacific Mental Illness Research, Education, and Clinical Center, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan G.","family":"Kertesz","sequence":"additional","affiliation":[{"name":"Birmingham VA Medical Center, AL, USA"},{"name":"University of Alabama at Birmingham School of Medicine, USA"},{"name":"University of Alabama at Birmingham School of Public Health, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,9]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.304246"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usac152"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/10511482.2022.2026995"},{"key":"e_1_3_2_5_2","unstructured":"National Academies of Sciences Engineering and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on Community-Based Solutions to Promote Health Equity in the United States; Baciu A Negussie Y Geller A et al. 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