Next Article in Journal
Inappropriate Use of Medication by Elderly, Polymedicated, or Multipathological Patients with Chronic Diseases
Next Article in Special Issue
Food Insecurity in Homeless Families in the Paris Region (France): Results from the ENFAMS Survey
Previous Article in Journal
The Uncertain Geographic Context Problem in the Analysis of the Relationships between Obesity and the Built Environment in Guangzhou
Previous Article in Special Issue
Prevalence of Mental Disorders and Addictions among Homeless People in the Greater Paris Area, France
Article Menu
Issue 2 (February) cover image

Export Article

Open AccessReview
Int. J. Environ. Res. Public Health 2018, 15(2), 309; https://doi.org/10.3390/ijerph15020309

Improving Health Care Management in Primary Care for Homeless People: A Literature Review

1
EA 3279 Research Unit—Public Health, Chronic Diseases and Quality of Life, Faculty of Medicine, Aix-Marseille University, 27 Bd Jean Moulin, 13385 Marseille CEDEX 5, France
2
Department of General Practice, Faculty of Medicine, Aix-Marseille University, 27 Bd Jean Moulin, 13385 Marseille CEDEX 5, France
3
Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 37 Street Dionisie Lupu, Sector 1, 030167 Bucharest, Romania
*
Author to whom correspondence should be addressed.
Received: 9 December 2017 / Revised: 4 February 2018 / Accepted: 7 February 2018 / Published: 10 February 2018
(This article belongs to the Special Issue Health and Health Care for Homeless People in Various Contexts)
Full-Text   |   PDF [740 KB, uploaded 10 February 2018]   |  

Abstract

Background: Homeless people have poorer health status than the general population. They need complex care management, because of associated medical troubles (somatic and psychiatric) and social difficulties. We aimed to describe the main characteristics of the primary care programs that take care of homeless people, and to identify which could be most relevant. Methods: We performed a literature review that included articles which described and evaluated primary care programs for homeless people. Results: Most of the programs presented a team-based approach, multidisciplinary and/or integrated care. They often proposed co-located services between somatic health services, mental health services and social support services. They also tried to answer to the specific needs of homeless people. Some characteristics of these programs were associated with significant positive outcomes: tailored primary care organizations, clinic orientation, multidisciplinary team-based models which included primary care physicians and clinic nurses, integration of social support, and engagement in the community’s health. Conclusions: Primary health care programs that aimed at taking care of the homeless people should emphasize a multidisciplinary approach and should consider an integrated (mental, somatic and social) care model. View Full-Text
Keywords: homeless persons; primary health care; access to health care; health services accessibility homeless persons; primary health care; access to health care; health services accessibility
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Supplementary material

SciFeed

Share & Cite This Article

MDPI and ACS Style

Jego, M.; Abcaya, J.; Ștefan, D.-E.; Calvet-Montredon, C.; Gentile, S. Improving Health Care Management in Primary Care for Homeless People: A Literature Review. Int. J. Environ. Res. Public Health 2018, 15, 309.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top