Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Nov;29(6):e259-e268.
doi: 10.1111/hsc.13348. Epub 2021 Mar 11.

Perceived care coordination among permanent supportive housing participants: Evidence from a managed care plan in the United States

Alina I Palimaru  1 , Ryan K McBain  2 , Keisha McDonald  1 , Priya Batra  3 , Sarah B Hunter  1
Affiliations

Perceived care coordination among permanent supportive housing participants: Evidence from a managed care plan in the United States

Alina I Palimaru et al. Health Soc Care Community. 2021 Nov.

Abstract

Homelessness is a pervasive public health problem in the United States (U.S.). Under the U.S. Affordable Care Act, the nation's public health insurance program (Medicaid) was expanded to serve more individuals, including those experiencing homelessness. Coupled with changes in financial incentives designed to reduce healthcare costs, health plans, hospitals and large health systems have started to operate permanent supportive housing (PSH) programmes as a healthcare benefit. To better understand patient perceptions of care coordination in a PSH programme operated by a large health plan in Southern California, we conducted 22 semi-structured in-depth patient interviews between October and November 2019. Two coders analysed these data inductively and deductively, using pre-identified domains and open coding. Coding reliability and thematic saturation were also assessed. Findings indicated positive experiences with care coordination for physical health and social supports, such as food distribution and transportation. Identified service gaps included mental health support and help securing public assistance (e.g., cash benefits). Opportunities to enhance PSH care coordination were also identified, such as the need for a simplified approach. Hospitals, health plans and systems considering PSH programmes may look to these results for implementation guidance.

Keywords: care coordination; health plan; homelessness; in-depth interviews; managed care; permanent supportive housing; qualitative methods.

PubMed Disclaimer

References

REFERENCES

    1. Allen, N., Barker, J., Boris, L. O., Cookson, E., Crecelius, A., Dannen, L., Forington, M. L., Iacino, B., Kelly, J., May, M., Otto, D., Parvensky, J., Perlman, J., Snead, M., & Sanford, G. (2013). Developing an integrated health care model for homeless and other vulnerable populations in Colorado: A report from the colorado coalition for the homeless. Retrieved from https://www.coloradocoalition.org/sites/default/files/2017-01/CCH.SIM_.2...
    1. Baggett, T. P., Liauw, S. S., & Hwang, S. W. (2018). Cardiovascular disease and homelessness. Journal of the American College of Cardiology, 71(22), 2585-2597. https://doi.org/10.1016/j.jacc.2018.02.077
    1. Baggett, T. P., O'Connell, J. J., Singer, D. E., & Rigotti, N. A. (2010). The unmet health care needs of homeless adults: A National Study. American Journal of Public Health, 100(7), 1326-1333. https://doi.org/10.2105/AJPH.2009.180109
    1. Baxter, A. J., Tweed, E. J., Katikireddi, S. V., & Thomson, H. (2019). Effects of Housing First approaches on health and well-being of adults who are homeless or at risk of homelessness: Systematic review and meta-analysis of randomised controlled trials. Journal of Epidemiology and Community Health, 73(5), 379-387. https://doi.org/10.1136/jech-2018-210981
    1. Bernard, R. H., & Ryan, G. W. (1998). Text analysis qualitative and quantitative methods. In R. H. Bernard (Ed.), Handbook of methods in cultural anthropology (pp. 595-646). AltaMira Press.

LinkOut - more resources