Table 4.

Retention and engagementa

AuthorOutreach settingNumber of patientsNumbers of visitsRate of appointment attendanceRates of treatment completionSuboptimal population reached
Bajis et al.53Hostel20249% patients positively screened for hepatitis C virus (HCV) accepted direct-acting antiviral therapy (DAT), but 38% of these did not attend follow-up appointment33% patients with “significant liver fibrosis” commenced DAT, compared to 61% of those with “no/mild liver fibrosis”
Daly et al.38Homeless hostels, open access day centers for HPs20451% attended follow-up appointments18% patients completed treatment as judged by dentist.
Of the 51% that did attend, 71% made first contact at an outreach session. 85% of all appointments were drop-in
Elissen et al.57Day shelters, night shelters, welfare shelters75Patients visited the outreach service 8.8 times/year on average (2.2 times every 3 months). This is in comparison to fewer than 2 visits/year a Dutch homeless person would visit a mainstream GP practice.58% patients who accessed this outreach GP service were registered with it already (as opposed to first time visitors)
Lowrie et al.52Homeless hostels, homeless day centers, soup kitchens, charities5285% patients attended appointment after initial visit
O’Toole et al.58Homeless shelter, homeless drop-in centers, soup kitchen lines, social service agencies185Model that included both personal health assessment/brief intervention and clinic orientation significantly encouraged more visits (+88.7% patients/6 months) relative to model involving clinic orientation only (+80%/6 months), personal assessment/brief assessment only (+56.4%/6 months), or a model with no extra intervention at all (+37.1%/6 months)
Roche et al.37Hostel90% patients visited outreach service >20 times/year
Simons et al.44Street, other fixed sites34999% patients identified as needing treatment. 36.7% did not attend subsequent appointments, and 11.7% were not treated at all61% patients completed treatments, taking 1–18 appointmentsDedicated dental clinic (DDS) had higher proportion of patients finish treatment (67% vs. 42%) and a lower proportion quitting after their first appointment (13% vs. 46.2%) than outreach mobile dental clinic (MDS). 34% of DDS patients were homeless compared to 100% of those who used MDS. Overall, MDS patients were younger, less likely to have benefits and more likely to be rough sleepers
Stormon et al.47Community organizations for HPs7685% of patients attended an appointment after the initial visit.
Appointments were more likely to be missed in the afternoon than in the morning
Stormon et al.39Community organization providing services to young HPs11257% patients lost to follow-up, even with reminders56% of patients completed their treatment
34% were drop-in appointments
Stormon et al.59Community organizations for HPsN = 76 (Model 1) N = 66 (Model 2) N = 43 (Model 3)Making dental appointments in person, directly following screen (Model 1), was the most effective model (84.2% patients attending the appointment). Making appointments through the phone following a screen (Model 2) was less effective (56.1%). Making appointments through a referral scheme without a screen (Model 3) was least effective (29.3%)
Tommasello et al.48Homeless shelter, street, soup kitchens, abandoned buildings, shooting galleries, prisons110 (but 91 for 12-month follow-up)Patients accessed outreach service 28.6 times/year on average (median: 4.1 times). 82.7% returned to complete second part of questionnaire.
Patients’ scores on multiple health measures positively correlated with increased visits to the clinic: those who did not visit the clinic or who visited the clinic less than 10 times during the study period declined on most measures.
Study targeted HIV positive HPs suffering from mental illness. However, more visits were made for problems other than mental health, such as medical care, social services, and addiction treatment
AuthorOutreach settingNumber of patientsNumbers of visitsRate of appointment attendanceRates of treatment completionSuboptimal population reached
Bajis et al.53Hostel20249% patients positively screened for hepatitis C virus (HCV) accepted direct-acting antiviral therapy (DAT), but 38% of these did not attend follow-up appointment33% patients with “significant liver fibrosis” commenced DAT, compared to 61% of those with “no/mild liver fibrosis”
Daly et al.38Homeless hostels, open access day centers for HPs20451% attended follow-up appointments18% patients completed treatment as judged by dentist.
Of the 51% that did attend, 71% made first contact at an outreach session. 85% of all appointments were drop-in
Elissen et al.57Day shelters, night shelters, welfare shelters75Patients visited the outreach service 8.8 times/year on average (2.2 times every 3 months). This is in comparison to fewer than 2 visits/year a Dutch homeless person would visit a mainstream GP practice.58% patients who accessed this outreach GP service were registered with it already (as opposed to first time visitors)
Lowrie et al.52Homeless hostels, homeless day centers, soup kitchens, charities5285% patients attended appointment after initial visit
O’Toole et al.58Homeless shelter, homeless drop-in centers, soup kitchen lines, social service agencies185Model that included both personal health assessment/brief intervention and clinic orientation significantly encouraged more visits (+88.7% patients/6 months) relative to model involving clinic orientation only (+80%/6 months), personal assessment/brief assessment only (+56.4%/6 months), or a model with no extra intervention at all (+37.1%/6 months)
Roche et al.37Hostel90% patients visited outreach service >20 times/year
Simons et al.44Street, other fixed sites34999% patients identified as needing treatment. 36.7% did not attend subsequent appointments, and 11.7% were not treated at all61% patients completed treatments, taking 1–18 appointmentsDedicated dental clinic (DDS) had higher proportion of patients finish treatment (67% vs. 42%) and a lower proportion quitting after their first appointment (13% vs. 46.2%) than outreach mobile dental clinic (MDS). 34% of DDS patients were homeless compared to 100% of those who used MDS. Overall, MDS patients were younger, less likely to have benefits and more likely to be rough sleepers
Stormon et al.47Community organizations for HPs7685% of patients attended an appointment after the initial visit.
Appointments were more likely to be missed in the afternoon than in the morning
Stormon et al.39Community organization providing services to young HPs11257% patients lost to follow-up, even with reminders56% of patients completed their treatment
34% were drop-in appointments
Stormon et al.59Community organizations for HPsN = 76 (Model 1) N = 66 (Model 2) N = 43 (Model 3)Making dental appointments in person, directly following screen (Model 1), was the most effective model (84.2% patients attending the appointment). Making appointments through the phone following a screen (Model 2) was less effective (56.1%). Making appointments through a referral scheme without a screen (Model 3) was least effective (29.3%)
Tommasello et al.48Homeless shelter, street, soup kitchens, abandoned buildings, shooting galleries, prisons110 (but 91 for 12-month follow-up)Patients accessed outreach service 28.6 times/year on average (median: 4.1 times). 82.7% returned to complete second part of questionnaire.
Patients’ scores on multiple health measures positively correlated with increased visits to the clinic: those who did not visit the clinic or who visited the clinic less than 10 times during the study period declined on most measures.
Study targeted HIV positive HPs suffering from mental illness. However, more visits were made for problems other than mental health, such as medical care, social services, and addiction treatment

Positive findings are highlighted in light gray, negative findings are highlighted in dark gray.

Table 4.

Retention and engagementa

AuthorOutreach settingNumber of patientsNumbers of visitsRate of appointment attendanceRates of treatment completionSuboptimal population reached
Bajis et al.53Hostel20249% patients positively screened for hepatitis C virus (HCV) accepted direct-acting antiviral therapy (DAT), but 38% of these did not attend follow-up appointment33% patients with “significant liver fibrosis” commenced DAT, compared to 61% of those with “no/mild liver fibrosis”
Daly et al.38Homeless hostels, open access day centers for HPs20451% attended follow-up appointments18% patients completed treatment as judged by dentist.
Of the 51% that did attend, 71% made first contact at an outreach session. 85% of all appointments were drop-in
Elissen et al.57Day shelters, night shelters, welfare shelters75Patients visited the outreach service 8.8 times/year on average (2.2 times every 3 months). This is in comparison to fewer than 2 visits/year a Dutch homeless person would visit a mainstream GP practice.58% patients who accessed this outreach GP service were registered with it already (as opposed to first time visitors)
Lowrie et al.52Homeless hostels, homeless day centers, soup kitchens, charities5285% patients attended appointment after initial visit
O’Toole et al.58Homeless shelter, homeless drop-in centers, soup kitchen lines, social service agencies185Model that included both personal health assessment/brief intervention and clinic orientation significantly encouraged more visits (+88.7% patients/6 months) relative to model involving clinic orientation only (+80%/6 months), personal assessment/brief assessment only (+56.4%/6 months), or a model with no extra intervention at all (+37.1%/6 months)
Roche et al.37Hostel90% patients visited outreach service >20 times/year
Simons et al.44Street, other fixed sites34999% patients identified as needing treatment. 36.7% did not attend subsequent appointments, and 11.7% were not treated at all61% patients completed treatments, taking 1–18 appointmentsDedicated dental clinic (DDS) had higher proportion of patients finish treatment (67% vs. 42%) and a lower proportion quitting after their first appointment (13% vs. 46.2%) than outreach mobile dental clinic (MDS). 34% of DDS patients were homeless compared to 100% of those who used MDS. Overall, MDS patients were younger, less likely to have benefits and more likely to be rough sleepers
Stormon et al.47Community organizations for HPs7685% of patients attended an appointment after the initial visit.
Appointments were more likely to be missed in the afternoon than in the morning
Stormon et al.39Community organization providing services to young HPs11257% patients lost to follow-up, even with reminders56% of patients completed their treatment
34% were drop-in appointments
Stormon et al.59Community organizations for HPsN = 76 (Model 1) N = 66 (Model 2) N = 43 (Model 3)Making dental appointments in person, directly following screen (Model 1), was the most effective model (84.2% patients attending the appointment). Making appointments through the phone following a screen (Model 2) was less effective (56.1%). Making appointments through a referral scheme without a screen (Model 3) was least effective (29.3%)
Tommasello et al.48Homeless shelter, street, soup kitchens, abandoned buildings, shooting galleries, prisons110 (but 91 for 12-month follow-up)Patients accessed outreach service 28.6 times/year on average (median: 4.1 times). 82.7% returned to complete second part of questionnaire.
Patients’ scores on multiple health measures positively correlated with increased visits to the clinic: those who did not visit the clinic or who visited the clinic less than 10 times during the study period declined on most measures.
Study targeted HIV positive HPs suffering from mental illness. However, more visits were made for problems other than mental health, such as medical care, social services, and addiction treatment
AuthorOutreach settingNumber of patientsNumbers of visitsRate of appointment attendanceRates of treatment completionSuboptimal population reached
Bajis et al.53Hostel20249% patients positively screened for hepatitis C virus (HCV) accepted direct-acting antiviral therapy (DAT), but 38% of these did not attend follow-up appointment33% patients with “significant liver fibrosis” commenced DAT, compared to 61% of those with “no/mild liver fibrosis”
Daly et al.38Homeless hostels, open access day centers for HPs20451% attended follow-up appointments18% patients completed treatment as judged by dentist.
Of the 51% that did attend, 71% made first contact at an outreach session. 85% of all appointments were drop-in
Elissen et al.57Day shelters, night shelters, welfare shelters75Patients visited the outreach service 8.8 times/year on average (2.2 times every 3 months). This is in comparison to fewer than 2 visits/year a Dutch homeless person would visit a mainstream GP practice.58% patients who accessed this outreach GP service were registered with it already (as opposed to first time visitors)
Lowrie et al.52Homeless hostels, homeless day centers, soup kitchens, charities5285% patients attended appointment after initial visit
O’Toole et al.58Homeless shelter, homeless drop-in centers, soup kitchen lines, social service agencies185Model that included both personal health assessment/brief intervention and clinic orientation significantly encouraged more visits (+88.7% patients/6 months) relative to model involving clinic orientation only (+80%/6 months), personal assessment/brief assessment only (+56.4%/6 months), or a model with no extra intervention at all (+37.1%/6 months)
Roche et al.37Hostel90% patients visited outreach service >20 times/year
Simons et al.44Street, other fixed sites34999% patients identified as needing treatment. 36.7% did not attend subsequent appointments, and 11.7% were not treated at all61% patients completed treatments, taking 1–18 appointmentsDedicated dental clinic (DDS) had higher proportion of patients finish treatment (67% vs. 42%) and a lower proportion quitting after their first appointment (13% vs. 46.2%) than outreach mobile dental clinic (MDS). 34% of DDS patients were homeless compared to 100% of those who used MDS. Overall, MDS patients were younger, less likely to have benefits and more likely to be rough sleepers
Stormon et al.47Community organizations for HPs7685% of patients attended an appointment after the initial visit.
Appointments were more likely to be missed in the afternoon than in the morning
Stormon et al.39Community organization providing services to young HPs11257% patients lost to follow-up, even with reminders56% of patients completed their treatment
34% were drop-in appointments
Stormon et al.59Community organizations for HPsN = 76 (Model 1) N = 66 (Model 2) N = 43 (Model 3)Making dental appointments in person, directly following screen (Model 1), was the most effective model (84.2% patients attending the appointment). Making appointments through the phone following a screen (Model 2) was less effective (56.1%). Making appointments through a referral scheme without a screen (Model 3) was least effective (29.3%)
Tommasello et al.48Homeless shelter, street, soup kitchens, abandoned buildings, shooting galleries, prisons110 (but 91 for 12-month follow-up)Patients accessed outreach service 28.6 times/year on average (median: 4.1 times). 82.7% returned to complete second part of questionnaire.
Patients’ scores on multiple health measures positively correlated with increased visits to the clinic: those who did not visit the clinic or who visited the clinic less than 10 times during the study period declined on most measures.
Study targeted HIV positive HPs suffering from mental illness. However, more visits were made for problems other than mental health, such as medical care, social services, and addiction treatment

Positive findings are highlighted in light gray, negative findings are highlighted in dark gray.

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