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Table 3 Modified framework of quality core values

From: A scoping review examining patient experience and what matters to people experiencing homelessness when seeking healthcare

Core Values

Definition

Themes

Dignity & Respect

All views are accepted and respected in decision making

Are inclusive

Strength based approach

Recovery oriented

Support people to overcome stigma

Confidentiality/Anonymity/Privacy

Kindness with Compassion

Appreciation of the human side of the person. Patient/Kin are kind to the provider

Empathetic and non judgemental

Clinicians and non clinicians warm and welcoming

   

Holistic

Care addresses physical needs as well as spirituality and mental wellbeing in an integrated manner

Consider using psychologically informed environments and trauma informed care

Treats patient as person not disease and integrates care

Scope of services

Integration of care (brings siloed services together to create a more seamless patient experience)

 

Partnership and coproduction

Be an active partner in designing health. Able to choose where and how to receive care

Relationship/Continuous healing relationship

Continuity of care

Person at the centre of control

Recognise the value of codesigning and codelivering services with people with lived experience of homelessness, to improve the quality of health and social care

Recognise that people experiencing homelessness, especially those with experience of rough sleeping, need services that provide a long-term commitment to care to promote recovery, stability and lasting positive outcomes

Support re-engagement

Communication

The effective exchange of information between healthcare providers and patients, aiming to enhance understanding, decision-making and improved health outcomes

Literacy/No Jargon acronyms

Provide extra support for people with low literacy levels or with speech, language and communication difficulties. Information Sharing.

Give people information to access other services

Awareness of services. Communication with Kin

Use communication methods based on the person's preferences/

Consider the persons circumstances & access to phone or internet

Send clear information about contacts or appointments and reminders that reach people in time, and follow up people who do not attend

Provide translation and interpretation services if needed, ensure written information is available in different formats and languages, easy to read

  1. Definitions taken from Lachman’s multidimensional quality model, with the exception of the communication definition, which was developed by the authors
  2. Themes within boxes shaded in grey were taken from NICE guidelines for integrated health and social care for people