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Homeless-experienced patients prioritize social well-being and health promotion. Understanding these personal health goals can improve patient-centered care for veterans with complex health needs.

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Area of Science:

  • Health Services Research
  • Patient-Centered Care
  • Veteran Health

Background:

  • High-need patients with a history of homelessness require tailored, patient-centered care.
  • Understanding personal health goals is crucial for effective interventions in this population.

Purpose of the Study:

  • To identify personal health goals and underlying domains in high-need, homeless-experienced patients.
  • To examine associations between these goal domains and various health-related needs.

Main Methods:

  • 176 veterans from 3 VA Medical Centers were interviewed about personal health goals and needs.
  • Exploratory factor analysis identified broad domains underlying health goals.
  • Exploratory structural equation modeling examined associations between goal domains and health needs (substance use, mental/physical health, treatment engagement, psychosocial).

Main Results:

  • Three domains underlie personal health goals: social functioning, health promotion, and substance use.
  • Social functioning and health promotion goals were highly correlated.
  • Substance use goals were associated with substance use needs; mental/physical health needs linked to health promotion goals; treatment engagement and psychosocial needs spanned all goal domains.

Conclusions:

  • Homeless-experienced patients highly value social well-being.
  • Measuring deficiency and growth needs can enhance care for this population.
  • Findings inform clinical practice and future research directions for veteran health.