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Crane M, Joly L, Daly BJM, et al. Integration, effectiveness and costs of different models of primary health care provision for people who are homeless: an evaluation study. Southampton (UK): National Institute for Health and Care Research; 2023 Oct. (Health and Social Care Delivery Research, No. 11.16.)

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Integration, effectiveness and costs of different models of primary health care provision for people who are homeless: an evaluation study.

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Appendix 1Two additional tables relating to case study participants

TABLE 45

Reasons why interviews were not conducted with case study participants at 4 and 8 months by Health Service Model

Participants, n (%)
Time point and reasonAll (N = 363)Dedicated Centre (N = 96)Mobile Team (N = 96)Specialist GP (N = 96)Usual Care GP (N = 75)
4-month interviews
Participants interviewed272 (74.9)68 (70.8)73 (76.0)67 (69.8)64 (85.3)
Reasons why not interviewed
  In hospital/rehabilitation8 (2.2)1 (1.0)2 (2.1)3 (3.1)2 (2.7)
  In prison12 (3.3)6 (6.3)2 (2.1)4 (4.2)0 (0.0)
  Not in the UK7 (1.9)0 (0.0)7 (7.3)0 (0.0)0 (0.0)
  In other UK town/city8 (2.2)5 (5.2)1 (1.0)2 (2.1)0 (0.0)
  Located but declined/did not respond to interview attempts24 (6.6)12 (12.5)3 (3.1)6 (6.2)3 (4.0)
  Could not find30 (8.3)4 (4.2)7 (7.3)13 (13.5)6 (8.0)
  Safety reasons2 (0.6)0 (0.0)1 (1.0)1 (1.0)0 (0.0)
8-month interviews
Participants interviewed263 (72.5)65 (67.7)70 (72.9)70 (72.9)58 (77.3)
Reasons why not interviewed
  In hospital/rehabilitation/died13 (3.6)4 (4.2)2 (2.1)5 (5.2)2 (2.7)
  In prison16 (4.4)10 (10.4)2 (2.1)4 (4.2)0 (0.0)
  Not in UK8 (2.2)0 (0.0)8 (8.3)0 (0.0)0 (0.0)
  In other UK town/city11 (3.0)7 (7.3)4 (4.2)0 (0.0)0 (0.0)
  Located but declined/did not respond to interview attempts27 (7.4)8 (8.4)9 (9.4)4 (4.1)6 (8.0)
  Could not find23 (6.3)1 (1.0)1 (1.0)12 (12.5)9 (12.0)
  Safety reasons2 (0.6)1 (1.0)0 (0.0)1 (1.0)0 (0.0)

TABLE 46

Self-reported physical health problems at baseline by Health Service Model

Physical health problemsParticipants (%)
AllDedicated CentreMobile TeamSpecialist GPUsual Care GP
Respiratory problems (n = 363)38.337.530.246.938.7
Hypertension (n = 342)15.815.420.213.014.3
Embolism/thrombosis (n = 361)13.921.18.315.89.3
Stroke/circulation problems (n = 360)9.79.56.316.85.3
Gastric/intestinal problems (n = 362)30.927.440.627.128.0
Hepatitis C (n = 360)21.924.510.432.620.0
Cirrhosis/liver problems (not hepatitis) (n = 361)19.422.121.915.817.3
Urinary/renal problems (n = 362)15.216.819.811.512.0
Epilepsy/blackouts (n = 362)20.226.317.712.525.3
Arthritis/osteoarthritis (n = 362)14.416.89.415.616.0
Injuries as a result of accidents/assaults (n = 362)14.412.618.813.512.0
Other musculoskeletal problemsa (n = 362)34.541.136.532.326.7
Infections/abscesses (not dental) (n = 362)6.410.55.25.24.0
Leg ulcers (n = 362)7.710.58.39.41.3
Other skin problems/rashes (n = 362)20.416.825.018.821.3
Sores on feet/other foot problems (n = 362)21.021.128.218.813.3
Eye/visual problems (n = 362)26.020.026.022.937.3
Other problemsb (n = 363)38.436.841.737.537.3
Total participants (N)36396969675
a

Includes muscle and joint aches, spinal problems and sciatica; does not include arthritis or injuries.

b

Includes angina/heart problems (6.7%), diabetes (5%), nerve damage/neurological problems other than epilepsy or blackouts (7.2%), and hearing problems (9.9%). A few also reported HIV, hepatitis A/B, thyroid problems, pancreatitis, sinusitis, anaemia, ovarian cyst, hernia, cancer of breast, lesions on face and head.

Copyright © 2023 Crane et al.

This work was produced by Crane et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This is an Open Access publication distributed under the terms of the Creative Commons Attribution CC BY 4.0 licence, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. See: https://creativecommons.org/licenses/by/4.0/. For attribution the title, original author(s), the publication source – NIHR Journals Library, and the DOI of the publication must be cited.

Bookshelf ID: NBK596132

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