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. 2025 Oct 13;13:1672014. doi: 10.3389/fpubh.2025.1672014

Table 2.

Evidence sources underpinning the integrated holistic diabetes care model for people experiencing homelessness (IHD-CMPH).

IHD-CMPH domain Supported by survey analytics (quantitative predictors) Supported by thematic analysis (qualitative data) Supported primarily by literature/references
Clinical and service delivery solutions Frequent service contact reduced perceived management difficulty; outreach effectiveness associated with better outcomes Themes of fragmentation, inflexible appointments, and lack of access to screening Reinforced by international evidence on outreach/mobile clinics
Organisational integration and social support Clear organisational policy and cross-sector collaboration associated with better perceived outcomes (univariate) Barriers included unstable housing, food insecurity, lack of coordination Supported by NHS inclusion health frameworks and housing-linked care models
Training and provider empowerment Outreach-specific training and peer support independently predicted preparedness and outcomes Calls for blended, trauma-informed, practice-focused training Supported by evidence on interdisciplinary and peer-mentor models
Digital access, monitoring and improvement Not directly measured Limited mention in qualitative responses (digital exclusion) Strongly evidenced by literature on digital health equity and connectivity