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Background: Substantial barriers exist between persons experiencing homelessness and the health care system, which contributes to significant health disparities. Innovations to connect patients to long-term primary care via the ‘medical home’ model have had mixed results. This study evaluates the effectiveness of an innovative, student-run, shelter-based clinic model that leverages its onsite location to link patients to a medical home. Methods: A retrospective chart review of patient visits at two shelter-based, student-run clinics between October 1, 2016 and October 1, 2017 was performed. Data collected included demographics, health risk factors, medical histories, and visit chief concerns. Patients referred to a medical home were assessed for successful follow-up at that location within 90 days. Successful medical home follow-up attendance was modeled using multivariable logistic regression with backwards elimination and a significance threshold of p |
