{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:17:25Z","timestamp":1787030245509,"version":"build-2736575974"},"reference-count":29,"publisher":"Royal College of General Practitioners","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJGP Open"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People experiencing homelessness (PEH) often experience poor health, multimorbidity, and early mortality and experience barriers to accessing high quality health care. Little is known about how best to provide specialist primary care for these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the health care provided to patients experiencing homelessness who were seen in a specialist primary care service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design &amp; setting<\/jats:title>\n                    <jats:p>A qualitative evaluation of a city centre primary healthcare service for excluded and vulnerable people, such as rough sleepers, who find it difficult to visit mainstream GP services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Data on patient characteristics and service use were extracted from primary care records using electronic and free-text searches to provide context to the evaluation. Semi-structured interviews with 11 patients and four staff were used to explore attitudes and experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients had high needs compared with the general population. Patients valued continuity of care, ease of access, multidisciplinary care, and person-centred care. Staff were concerned that they lacked opportunities for reflection and learning, and that low clinical capacity affected service safety and quality. Staff also wanted more patient involvement in service planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PEH\u2019s complex health and social problems benefited from a specialist primary care service, which is thought to reduce barriers to access, treat potentially challenging patients in a non-judgmental way, and provide personal continuity of care in order to develop trust.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgpopen20x101049","type":"journal-article","created":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T00:47:31Z","timestamp":1594169251000},"page":"bjgpopen20X101049","source":"Crossref","is-referenced-by-count":10,"title":["Evaluating a specialist primary care service for patients experiencing homelessness: a qualitative study"],"prefix":"10.3399","volume":"4","author":[{"given":"Emily","family":"Clark","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Player","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Gillam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Hanson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Steel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1987","published-online":{"date-parts":[[2020,7,7]]},"reference":[{"key":"2020120311350808000_4.3.bjgpopen20X101049.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31869-X"},{"key":"2020120311350808000_4.3.bjgpopen20X101049.2","unstructured":"Thomas B (2012) Homelessness kills: an analysis of the mortality of homeless people in early twenty-first century England (Crisis), 13 May 2020. https:\/\/www.crisis.org.uk\/media\/236798\/crisis_homelessness_kills2012.pdf."},{"key":"2020120311350808000_4.3.bjgpopen20X101049.3","doi-asserted-by":"publisher","DOI":"10.3109\/13814780109048777"},{"key":"2020120311350808000_4.3.bjgpopen20X101049.4","unstructured":"NHS (2010) Healthcare for single homeless people (Department of Health), 13 May 2020."},{"key":"2020120311350808000_4.3.bjgpopen20X101049.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31959-1"},{"key":"2020120311350808000_4.3.bjgpopen20X101049.6","unstructured":"Cresswell J (2014) A concise introduction to mixed methods research (SAGE Publications, London)."},{"key":"2020120311350808000_4.3.bjgpopen20X101049.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a1655"},{"key":"2020120311350808000_4.3.bjgpopen20X101049.8","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12175"},{"key":"2020120311350808000_4.3.bjgpopen20X101049.9","unstructured":"Tracy SJ (2012) Qualitative research methods: Collecting evidence, crafting analysis, communicating impact (John Wiley & Sons, Ltd.)"},{"key":"2020120311350808000_4.3.bjgpopen20X101049.10","doi-asserted-by":"crossref","unstructured":"Ezzy D (2013) Qualitative analysis (Routledge, London).","DOI":"10.4324\/9781315015484"},{"key":"2020120311350808000_4.3.bjgpopen20X101049.11","unstructured":"Silverman D (2009) Doing qualitative research (Sage, London), 3rd edn."},{"key":"2020120311350808000_4.3.bjgpopen20X101049.12","doi-asserted-by":"crossref","unstructured":"Grimm P (2010) Wiley international encyclopedia of marketing (John Wiley & Sons), In. 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