abstract: 'Introduction People who are homeless or vulnerably housed are subject to

  disproportionately high risks of physical and mental illness and are

  further disadvantaged by difficulties in access to services. Research

  has been conducted examining a wide range of issues in relation to

  end-of-life care for homeless and vulnerably housed people, however, a

  contemporary scoping review of this literature is lacking. Objectives To

  understand the provision of palliative care for people who are homeless

  or vulnerably housed from the perspective of, and for the benefit of,

  all those who should be involved in its provision. Design Scoping review

  with thematic synthesis of qualitative and quantitative literature. Data

  sources MEDLINE, Embase, PsycINFO, Social Policy and Practice and CINAHL

  databases were searched, from inception to May 2020. Citation chasing

  and manual searching of grey literature were also employed. Results

  Sixty-four studies, involving 2117 homeless and vulnerably housed people

  were included, with wide variation in methodology, population and

  perspective. The thematic synthesis identified three themes around:

  experiences, beliefs and wishes; relationships; and end-of-life care.

  Conclusion Discussion highlighted gaps in the evidence base, especially

  around people experiencing different types of homelessness. Existing

  evidence advocates for service providers to offer needs-based and

  non-judgemental care, for organisations to use existing assets in

  co-producing services, and for researchers to address gaps in the

  evidence base, and to work with providers in transforming existing

  knowledge into evaluable action.'
affiliation: 'James, R (Corresponding Author), Leeds Teaching Hosp NHS Trust, Publ
  Hlth, Leeds LS9 7TF, W Yorkshire, England.

  James, Richard, Leeds Teaching Hosp NHS Trust, Publ Hlth, Leeds LS9 7TF, W Yorkshire,
  England.

  Flemming, Kate, Univ York, Dept Hlth Sci, York, N Yorkshire, England.

  Hodson, Melanie, Hosp UK, London, England.

  Oxley, Tammy, Leeds Teaching Hosp NHS Trust, Palliat Med, Leeds, W Yorkshire, England.'
author: James, Richard and Flemming, Kate and Hodson, Melanie and Oxley, Tammy
author-email: richard.james14@nhs.net
author_list:
- family: James
  given: Richard
- family: Flemming
  given: Kate
- family: Hodson
  given: Melanie
- family: Oxley
  given: Tammy
da: '2023-09-28'
doi: 10.1136/bmjspcare-2021-003020
earlyaccessdate: MAY 2021
eissn: 2045-4368
files: []
issn: 2045-435X
journal: BMJ SUPPORTIVE \& PALLIATIVE CARE
keywords: cultural issues; communication
keywords-plus: 'OF-LIFE CARE; PERSONS EXPERIENCING HOMELESSNESS; HIGH-INCOME COUNTRIES;

  ADVANCE DIRECTIVES; HEALTH-CARE; END; DEATH; INTERVENTION; INDIVIDUALS;

  CHALLENGES'
language: English
month: 2021 MAY 3
number-of-cited-references: '101'
orcid-numbers: James, Richard/0000-0002-9891-7137
papis_id: a3a9d0c2fd7ede61d707476ae0242b8c
ref: James2021palliativecare
researcherid-numbers: James, Richard/GRY-6246-2022
tags:
- review
times-cited: '1'
title: 'Palliative care for homeless and vulnerably housed people: scoping review
  and thematic synthesis'
type: Review; Early Access
unique-id: WOS:000727502000001
usage-count-last-180-days: '1'
usage-count-since-2013: '6'
web-of-science-categories: Health Care Sciences \& Services
year: '2021'