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Advancing Street Medicine - Aligning Research, Implementation, and Policy for Impact.
Kaitlin J Schwan1,2, Corinne T Feldman3,4, Brett J Feldman1,5
1Associate Professor of Family Medicine, Department of Family Medicine, University of Southern California, Los Angeles, CA, USA.
NEJM Catalyst Innovations in Care Delivery
|July 15, 2026
Summary
Street medicine provides essential care to unsheltered individuals. A national agenda is proposed to overcome barriers like data fragmentation and funding, aiming for scalable, evidence-based programs.
Area of Science:
- Public Health
- Health Policy
- Social Determinants of Health
Background:
- Street medicine offers vital healthcare and social support to unsheltered homeless populations.
- Traditional healthcare systems present access barriers for many experiencing homelessness.
- Expanding street medicine programs face challenges including data systems, research infrastructure, payment models, and basic needs access.
Purpose of the Study:
- To synthesize recommendations from the United States Street Medicine Summit.
- To propose a national research and policy agenda for street medicine.
- To identify key priorities for scalable and equitable street medicine programs.
Main Methods:
- Synthesis of recommendations from the United States Street Medicine Summit.
- Identification of key barriers to scalability and impact.
- Development of a proposed national research and policy agenda.
Main Results:
- Identified significant barriers limiting scalability and impact of street medicine programs.
- Highlighted the need for standardized metrics and interoperable data platforms.
- Emphasized the necessity of sustainable payment models and cross-sector partnerships.
Conclusions:
- A coordinated national research and policy agenda is crucial for advancing street medicine.
- Addressing data, payment, and partnership challenges will enhance program effectiveness.
- Focusing on these priorities will support equitable, evidence-based street medicine initiatives.
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