Abstract

“Taking it to the Streets” originated from the 1960s social and political activism (Doohan & Mishori, 2019). The term reflects the 1990s movement when a Philadelphia physician decided that caring for the unhoused population was necessary and started street medicine. Street medicine is an alternative medical approach to formal healthcare intended to address unhoused individuals in their lived environment. In the street medicine model, healthcare providers offer medical support for the unhoused in alleyways, parks, under bridges, and encampments. The purpose of this comparative case study was to examine two street medicine programs’ administrative processes and how they provide healthcare accessibility and healthcare for the unhoused population. The constructivist theoretical approach explored the perspectives and experiences of the participants in their programs and used their insights to generate meaning. This study highlighted the differences in how traditional and nontraditional street medicine programs meet the needs of vulnerable, unhoused populations.

The research focused on a guiding question: “What administrative processes are involved in providing healthcare access for the unhoused population using a street medicine program approach?” The sample included 12 street medicine healthcare professional participants selected through purposive sampling. Virtual, structured interviews were conducted. The researcher used a HyperRESEARCH coding system (https://www.researchware.com/) to analyze and develop themes.

The findings revealed that the researcher ascertained the similarities between traditional and nontraditional programs. Both programs provided direct care, including medical treatment, preventative care, and medical assessments (Enich et al., 2023). However, the nontraditional program was limited due to university guidelines. In addition, the nontraditional program actively provided health education to the public at health fairs and expos in the community (Medellin et al., 2024). An examination of administrative processes focused on verifying medical records, establishing trust, implementing cultural competence, and promoting community involvement.

Although there were similarities and differences in administrative processes, both programs maintained successful delivery systems to the unhoused. The study’s implications suggest a diverse staff that receives mandated training, maintains safety protocols, and provides passionate care while working with the unhoused. The success of street medicine programs contributes to traditional healthcare delivery systems and promotes health equity for all.

Library of Congress Subject Headings

Homeless persons—Medical care; Health services accessibility; Community health services—Administration

Date of Award

2025

School Affiliation

Graduate School of Education and Psychology

Department/Program

Education

Degree Type

Dissertation

Degree Name

Doctorate

Faculty Advisor

Ebony Cain

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