A qualitative examination of the challenges and needs during hospital discharge for people with lived experience of homelessness
Bibliographic record
Abstract
People with lived or living experiences of homelessness (PWLEH) have higher rates of chronic and acute health problems and present to hospitals at a higher rate than their housed counterparts. Limited research has explored how PWLEH characterize their own discharge experiences. To improve hospital discharge processes and policies for PWLEH, this qualitative study conducted a thematic analysis of semi-structured interviews with 20 PWLEH in Metro Vancouver, Canada. Participants reported challenges to hospital discharge planning, including (1) stigma, discrimination, and negative interactions with hospital staff, (2) limited communication and collaboration with hospital staff, (3) rushed and careless treatment, and (4) losing shelter/housing while in the hospital. For effective discharge planning, reported needs included (1) opportunities for self-determination, (2) increased communication and information, (3) support from formal and informal networks, (4) a person-centered approach to care, (5) transportation upon discharge, and (6) increased affordable housing. Study findings highlight factors that influence hospital discharge experiences for PWLEH at the individual, interpersonal, and systems levels and suggest opportunities for improvements in discharge policies and practices.
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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 | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| 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".