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There is very little data available on the feasibility of telemedicine solutions regarding the chronic care of homeless persons.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In our study, 75 participants experiencing homelessness were recruited from four social institutions in Budapest, Hungary. The telecare pilot service consisted of six online consultations with a physician and was available in shelters biweekly. Self-developed questionnaires were used after every online session on the originating and remote sites as well, while a follow-up study was also completed among patients after four to six months of pilot closure. Parameters as frequencies, averages, and percentage distributions were analyzed and two linear regression models were built on explaining the doctors\u2019 and patients\u2019 overall rating of visits.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>During the pilot, 92.2% (<jats:italic>n<\/jats:italic> = 415) of originally planned visits were delivered and 55 clients (73.3%) attended the full program. Both the patients\u2019 and physicians\u2019 overall satisfaction was very high (4.52 and 4.79, respectively, on a 5-point Likert scale) and the patients\u2019 overall rating remained similarly high during the follow-up. Comparing the first and sixth visits, physicians reported significant improvements in almost all aspects. The linear regression models proved that confidence in the patients\u2019 assessment and diagnosis had the most prominent effect on the physicians\u2019 overall rating, while ease of use and lack of communication gaps influenced positively the patients\u2019 rating.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The results suggest that telehealth services represent a promising tool to ensure better care continuity while using shelter infrastructure and on-site assistance might reduce the digital exclusion of people experiencing homelessness.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12939-022-01803-4","type":"journal-article","created":{"date-parts":[[2022,12,17]],"date-time":"2022-12-17T05:02:51Z","timestamp":1671253371000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Telemedicine in community shelters: possibilities to improve chronic care among people experiencing homelessness in Hungary"],"prefix":"10.1186","volume":"21","author":[{"given":"S\u00e1ndor","family":"B\u00e9k\u00e1si","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edmond","family":"Girasek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsuzsa","family":"Gy\u0151rffy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,12,17]]},"reference":[{"key":"1803_CR1","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1056\/NEJMra1601705","volume":"375","author":"ER Dorsey","year":"2016","unstructured":"Dorsey ER, Topol EJ. 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