Factors associated with satisfaction with outpatient service use among permanent supportive housing residents
Bibliographic record
Abstract
Permanent supportive housing (PSH) is the main approach advocated for eradicating homelessness and coordinating outpatient care. Since service user satisfaction is a key quality-of-care indicator, this study sought to identify predisposing, need, and enabling factors associated with outpatient service use satisfaction among 308 PSH residents. In 2020–2022, participants were recruited through 25 Montreal (Canada) housing organizations and completed a structured interview. Multivariable linear regression was performed based on the Gelberg-Andersen Behavioral Model to test comprehensive factors associated with service use satisfaction over 12 months. Being 50–64 years old, having suicidal behaviors and greater functional disability were found to be negatively associated with outpatient service use satisfaction. Conversely, PSH residents with more outpatient service use and higher community integration reported more service satisfaction—though living in scatter- or single-site PSH and length of residency were not related to service satisfaction. These findings suggest that monitoring prompt access to care and adequate follow-up care may be enhanced for PSH residents, especially for those aged 50–64 who show suicidal behaviors or greater functional disability. Moreover, PSH could better promote community integration to increase their residents’ knowledge of neighborhood resources and sense of belonging. Active participation in community-based activities might also bolster service satisfaction.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".