TY - JOUR
T1 - Addressing health disparities of individuals experiencing homelessness in the U.S. with community institutional partnerships
T2 - An integrative review
AU - Lee, Jennifer J.
AU - Jagasia, Emma
AU - Wilson, Patty R.
N1 - Funding Information:
E. Jagasia's time spent on writing this article was supported in part by the National Institutes of Child Health and Development (T32‐HD 094687), Interdisciplinary Research Training on Trauma and Violence.
Publisher Copyright:
© 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
PY - 2023/5
Y1 - 2023/5
N2 - Aims: To examine existing community-institutional partnerships providing health care services to people experiencing homelessness by addressing social determinants of health (SDOH) at multiple socioecological levels. Design: Integrative review. Data Sources: PubMed (Public/Publisher MEDLINE), CINAHL (The Cumulative Index of Nursing and Allied Health Literature database), and EMBASE (Excerpta Medica database) were searched to identify articles on health care services, partnerships, and transitional housing. Review Methods: Database search used the following keywords: Public-private sector partnerships, community-institutional relation, community-academic, academic community, community university, university community, housing, emergency shelter, homeless persons, shelter, and transitional housing. Articles published until November 2021 were eligible for inclusion. The Johns Hopkins Nursing Evidence-Based Practice Quality Guide was used to appraise the quality of articles included in the review by two researchers. Results: Seventeen total articles were included in the review. The types of partnerships discussed in the articles included academic-community partnerships (n = 12) and hospital-community partnerships (n = 5). Health services were also provided by different kinds of health care providers, including nursing and medical students, nurses, physicians, social workers, psychiatrists, nutritionists, and pharmacists. Health care services spanning from preventative care services to acute and specialized care services and health education were also made possible through community-institutional partnerships. Conclusion: There is a need for more studies on partnerships that aim to improve the health of homeless populations by addressing social determinants of health at multiple socioecological levels of individuals who experience homelessness. Existing studies do not utilize elaborate evaluation methods to determine partnership efficacy. Impact: Findings from this review highlight gaps in the current understanding of partnerships that seek to increase access to care services for people who experience homelessness. No Patient or Public Contribution: The results of the systematic review were solely from the articles reviewed and do not include information from patients, service users, caregivers, or members of the public.
AB - Aims: To examine existing community-institutional partnerships providing health care services to people experiencing homelessness by addressing social determinants of health (SDOH) at multiple socioecological levels. Design: Integrative review. Data Sources: PubMed (Public/Publisher MEDLINE), CINAHL (The Cumulative Index of Nursing and Allied Health Literature database), and EMBASE (Excerpta Medica database) were searched to identify articles on health care services, partnerships, and transitional housing. Review Methods: Database search used the following keywords: Public-private sector partnerships, community-institutional relation, community-academic, academic community, community university, university community, housing, emergency shelter, homeless persons, shelter, and transitional housing. Articles published until November 2021 were eligible for inclusion. The Johns Hopkins Nursing Evidence-Based Practice Quality Guide was used to appraise the quality of articles included in the review by two researchers. Results: Seventeen total articles were included in the review. The types of partnerships discussed in the articles included academic-community partnerships (n = 12) and hospital-community partnerships (n = 5). Health services were also provided by different kinds of health care providers, including nursing and medical students, nurses, physicians, social workers, psychiatrists, nutritionists, and pharmacists. Health care services spanning from preventative care services to acute and specialized care services and health education were also made possible through community-institutional partnerships. Conclusion: There is a need for more studies on partnerships that aim to improve the health of homeless populations by addressing social determinants of health at multiple socioecological levels of individuals who experience homelessness. Existing studies do not utilize elaborate evaluation methods to determine partnership efficacy. Impact: Findings from this review highlight gaps in the current understanding of partnerships that seek to increase access to care services for people who experience homelessness. No Patient or Public Contribution: The results of the systematic review were solely from the articles reviewed and do not include information from patients, service users, caregivers, or members of the public.
KW - community institutional partnership
KW - community-academic partnership
KW - health services
KW - homelessness
KW - partnership
KW - prevention
KW - shelter
KW - systematic review
KW - transitional housing
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U2 - 10.1111/jan.15591
DO - 10.1111/jan.15591
M3 - Review article
C2 - 36882981
AN - SCOPUS:85150453110
SN - 0309-2402
VL - 79
SP - 1678
EP - 1690
JO - Journal of advanced nursing
JF - Journal of advanced nursing
IS - 5
ER -