Bridging Housing Instability and Healthcare Fragmentation Through Management-Driven Coordination Models

Homelessness is a chronic factor in healthcare fragmentation, restricting access to healthcare and exacerbating the situation among vulnerable groups. The existing literature usually addresses social determinants or coordination of care in isolation, without merging management-oriented models matched with housing-environment-health and health-governance systems. This paper fills this gap by carrying out a conceptual-comparative synthesis of current peer-reviewed studies on management-based coordination models. The paper provides strategies that enhance service linkage and alleviate inefficiencies by using systems thinking, data-driven decision-making, and cross-sector leadership. The study can add to a coherent model that explains how integrated care could be maintained by organizational leadership and multi-level governance. The results suggest that the policy design and institutional cooperation should be organized and effective to attain equitable, accountable, and robust healthcare systems to support housing-unstable populations.