TABLE 2.
Evaluation criteria | Status quo model | Standard facility/clinic site | Fixed outreach site | Mobile outreach service |
---|---|---|---|---|
Entitlement documents not required for healthcare or for ancillary services | poor | excellent | excellent | excellent |
Service available at venues likely to suit homeless persons | poor | well | excellent | excellent |
Collaboration with public health authorities on harm reduction strategies | poor | well | adequate | adequate |
Multidisciplinary team care | poor | excellent | excellent | excellent |
Established referral routes for specialty services | excellent | excellent | excellent | adequate |
Social work assistance available for benefit entitlement, housing | poor | excellent | excellent | well |
Service available at times likely to suit homeless persons | poor | well | adequate | excellent |
Evidence of reduced emergency room use | poor | adequate | unknown | unknown |
Special expertise in areas germane to the clinical conditions of homeless persons, e.g., substance abuse, sexually transmitted diseases | poor | excellent | excellent | well |
User involvement in service planning and operation | poor | poor | poor | adequate |
Appropriate access to electronic medical records by multiple providers | poor | well | adequate | well |
Mechanisms to contact patients | poor | well | fair | fair |
Hospital liaison for planning discharge | poor | unknown | poor | poor |
Assessment scale: poor–fair–adequate–well–excellent.