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Little is known about whether the recent changes required to deliver services to people experiencing homelessness will help to address or compound inequality in accessing care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the experience and impact of organisational and technology changes in response to COVID-19 on access to health care for people experiencing homelessness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and setting<\/jats:title><jats:p>An action-led and participatory research methodology was employed in three case study sites made up of primary care services delivering care for people experiencing homelessness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Individual semi-structured interviews were conducted with 21 people experiencing homelessness and 22 clinicians and support workers. Interviews were analysed using a framework approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The move to remote telephone consultations highlighted the difficulties experienced by participants in accessing health care. These barriers included problems at the practice level associated with remote triage as participants did not always have access to a phone or the means to pay for a phone call. This fostered increased reliance on support workers and clinicians working in the community to provide or facilitate a primary care appointment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings have emphasised the importance of addressing practical and technology barriers as well as supporting communication and choice for mode of consultation. The authors argue that consultations should not be remote \u2018by default\u2019 and instead take into consideration both the clinical and social factors underpinning health.<\/jats:p><\/jats:sec>","DOI":"10.3399\/bjgp.2021.0596","type":"journal-article","created":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T14:05:33Z","timestamp":1646316333000},"page":"e492-e500","source":"Crossref","is-referenced-by-count":34,"title":["Remote primary care during the COVID-19 pandemic for people experiencing homelessness: a qualitative study"],"prefix":"10.3399","volume":"72","author":[{"given":"Kelly","family":"Howells","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mat","family":"Amp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Burrows","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Brennan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Dickinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaun","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wan-Ley","family":"Yeung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"Ashcroft","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Campbell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Blakeman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Sanders","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1987","published-online":{"date-parts":[[2022,3,3]]},"reference":[{"key":"2022092209350847000_72.720.e492.1","unstructured":"Fitzpatrick S Pawson H Bramley G (2019) The homelessness monitor: England 2019, https:\/\/researchportal.hw.ac.uk\/en\/publications\/the-homelessness-monitor-england-2019 [accessed 2 Feb 2022]."},{"key":"2022092209350847000_72.720.e492.2","unstructured":"(2017) Shelter. 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