Rising inability to obtain needed health care among homeless persons in birmingham, alabama (1995-2005)

Journal of General Internal Medicine

Volumn 24, Issue 7, 2009, Pages 841-847

  Kertesz, Stefan G ^a   Hwang, Stephen W ^b,c   Irwin, Jay ^d   Ritchey, Ferris J ^d   Lagory, Mark E ^d  

^a UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE   (United States)

^b ST MICHAEL'S HOSPITAL   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

^d UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

Author keywords

Access to care; Homeless persons; Safety net; Survey

Indexed keywords

ADULT; ARTICLE; DEMOGRAPHY; FEMALE; HEALTH CARE ACCESS; HEALTH CARE NEED; HEALTH CARE UTILIZATION; HEALTH SERVICE; HEALTH SURVEY; HOMELESSNESS; HUMAN; MALE; SOCIAL STATUS; UNITED STATES; CONFIDENCE INTERVAL; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HISTORY; INFORMATION PROCESSING; MULTIVARIATE ANALYSIS; REGRESSION ANALYSIS; RISK; STATISTICS AND NUMERICAL DATA;

ALABAMA; CONFIDENCE INTERVALS; DATA COLLECTION; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HISTORY, 20TH CENTURY; HISTORY, 21ST CENTURY; HOMELESS PERSONS; HUMANS; MEDICALLY UNDERSERVED AREA; MULTIVARIATE ANALYSIS; ODDS RATIO; REGRESSION ANALYSIS;

EID: 67649427307     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-009-0990-0     Document Type: Article

References (54)

1. Committee on the Health Care of Homeless People. Homelessness, Health, and Human Needs. Washington, D.C.: Institute of Medicine; 1988.
2. Brickner PW, Scharer LK, Conanan BA, Savarese M, Scanlan BC. Under the safety net: The Health and Social Welfare of the Homeless in the United States. New York, NY: W.W. Norton & Co.; 1990.
3. MB Kushel E Vittingoff JS Haas 2001 Factors associated with the health care utilization of homeless persons JAMA 285 200 206 (Pubitemid 32048523)
4. L Gelberg TC Gallagher RM Andersen P Koegel 1997 Competing priorities as a barrier to medical care among homeless adults in Los Angeles Am J Public Health 87 217 2120
5. SW Hwang 2000 Mortality among men using homeless shelters in Toronto, Ontario JAMA 283 2152 2157 (Pubitemid 30241313)
6. SW Hwang EJ Orav JJ O'Connell JM Lebow TA Brennan 1997 Causes of death in homeless adults in Boston Ann Intern Med 126 625 628 (Pubitemid 27172190)
7. SA Salit EM Kuhn AJ Hartz JM Vu AL Mosso 1998 Hospitalization costs associated with homelessness in New York City N Engl J Med 338 1734 1740 (Pubitemid 28268591)
8. BS Strunk PJ Cunningham 2004 Trends in Americans' Access to Needed Medical Care, 2001-2003 Center for Studying Health System Change Washington, DC http://www.hschange.org/CONTENT/701/. Accessed 3/29/09 Strunk BS, Cunningham PJ. Trends in Americans' Access to Needed Medical Care, 2001-2003. Washington, DC: Center for Studying Health System Change; 2004. http://www.hschange.org/CONTENT/ 701/. Accessed 3/29/09.
9. Institute of Medicine. America's Health Care Safety Net: Intact but Endangered. Washington, DC: National Academies Press; 2000.
10. C Hoffman SS Sered 2005 Threadbare: Holes in America's Health Care Safety Net The Henry A. Kaiser Family Foundation Menlo Park http://www.kff.org/ uninsured/upload/Threadbare-Holes-in-America-s-Health-Care-Safety-Net-report. pdf. Accessed 3/29/09 Hoffman C, Sered SS. Threadbare: Holes in America's Health Care Safety Net. Menlo Park: The Henry A. Kaiser Family Foundation; 2005. http://www.kff.org/uninsured/upload/Threadbare-Holes-in-America-s-Health-Care- Safety-Net-report.pdf. Accessed 3/29/09.
11. J Hadley M Cravens T Coughlin J Holahan 2005 Federal Spending on the Health Care Safety Net from 2001-2004: Has Spending Kept Pace with the Growth in the Uninsured? Kaiser Family Foundation Washington, DC Available at: http://www.kff.org/uninsured/7425.cfm. Accessed 3/29/09 Hadley J, Cravens M, Coughlin T, Holahan J. Federal Spending on the Health Care Safety Net from 2001-2004: Has Spending Kept Pace with the Growth in the Uninsured? Washington, DC: Kaiser Family Foundation; 2005. Available at: http://www.kff.org/uninsured/ 7425.cfm. Accessed 3/29/09.
12. LE Fishman JD Bentley 1997 The evolution of support for safety-net hospitals Health Aff (Millwood) 16 30 47 (Pubitemid 127464330)
13. J Holahan A Cook 2008 The U.S. economy and changes in health insurance coverage, 2000-2006 Health Aff (Millwood) 27 w135 144
14. TA Coughlin S Zuckerman J McFeeters 2007 Restoring fiscal integrity to Medicaid financing? Health Aff (Millwood) 26 1469 1480
15. United States Congress. Deficit Reduction Act of 2005. Available at: http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=109-cong- bills&docid = f:s1932enr.txt.pdf. Accessed 3/29/09
16. Kaiser Commission on Medicaid and the Uninsured 2005 Deficit Reduction Act of 2005: Implications for Medicaid Kaiser Family Foundation Washington, DC Available at: http://www.kff.org/medicaid/7465.cfm. Accessed 3/29/09 Kaiser Commission on Medicaid and the Uninsured. Deficit Reduction Act of 2005: Implications for Medicaid. Washington, DC: Kaiser Family Foundation; 2005. Available at: http://www.kff.org/medicaid/7465.cfm. Accessed 3/29/09.
17. Duke EM. Remarks to the 33rd Annual Convention of the National Association of Community Health Centers. Washington, DC: United States Department of Health and Human Services Health Resources and Services Administration; September 17, 2002. Available at: http://archive.hrsa.gov/ newsroom/releases/2002speeches/nachc-sept.htm. Accessed 3/29/09.
18. LA Aday R Andersen 1974 A framework for the study of access to medical care Health Serv Res 9 208 220
19. SL Wenzel L Bakhtiar NH Caskey 1995 Homeless veterans' utilization of medical, psychiatric, and substance abuse services Med Care 33 1132 1144
20. P Koegel G Sullivan A Burnam SC Morton S Wenzel 1999 Utilization of mental health and substance abuse services among homeless adults in Los Angeles Med Care 37 306 317
21. MM Desai RA Rosenheck WJ Kasprow 2003 Determinants of receipt of ambulatory medical care in a national sample of mentally ill homeless veterans Med Care 41 275 287
22. L Gelberg RM Andersen BD Leake 2000 The behavioral model for vulnerable populations: application to medical care use and outcomes for homeless people Health Serv Res 34 1273 1302 (Pubitemid 30075409)
23. LaGory M, Ritchey FJ, Gerald L. Homelessness in Birmingham and Jefferson County: A Needs Assessment. Birmingham, AL: Office of Community Development of the City of Birmingham, and the Office of Planning and Community Development of Jefferson County; 1995.
24. Ritchey FJ, Lagory ME, Fitzpatrick KM, Hale T, Irwin J. Report of Results of the Birmingham, Alabama Metropolitan Area Survey of Homeless Persons, January 27-28, 2005. Birmingham: University of Alabama at Birmingham; 2005.
25. PH Rossi JD Wright GA Fisher G Willis 1987 The urban homeless: estimating composition and size Science 235 1336 1341
26. United States Congress. McKinney Homeless Assistance Act. Pub L No. 100-77; 1987.
27. LaGory M, Ritchey FJ, Fitzpatrick K, Irwin J. A Needs Assessment of the Homeless of Birmingham and Jefferson County. Birmingham: University of Alabama at Birmingham; 2005.
28. ML Berk CL Schur JC Cantor 1995 Ability to obtain health care: recent estimates from the Robert Wood Johnson Foundation National Access to Care Survey Health Aff (Millwood) 14 139 146
29. MR Burt LY Aron T Douglas J Valente E Lee B Iwen 1999 Homelessness: Programs and the People They Serve. Technical Report of Findings of the National Survey of Homeless Assistance Providers and Clients Urban Institute Washington, DC Available at: http://www.huduser.org/publications/homeless/homeless-tech. html. Accessed 3/29/09 Burt MR, Aron LY, Douglas T, Valente J, Lee E, Iwen B. Homelessness: Programs and the People They Serve. Technical Report of Findings of the National Survey of Homeless Assistance Providers and Clients. Washington, DC: Urban Institute; 1999. Available at: http://www.huduser.org/publications/ homeless/homeless-tech.html. Accessed 3/29/09.
30. PJ Cunningham J Hadley 2007 Differences between symptom-specific and general survey questions of unmet need in measuring insurance and racial/ethnic disparities in access to care Med Care 45 842 850
31. SK Long J King TA Coughlin 2005 The implications of unmet need for future health care use: findings for a sample of disabled Medicaid beneficiaries in New York Inquiry 42 413 420
32. MJ Robertson MR Cousineau 1986 Health status and access to health services among the urban homeless Am J Public Health 76 561 563 (Pubitemid 16088254)
33. MB Kushel S Perry D Bangsberg R Clark AR Moss 2002 Emergency department use among the homeless and marginally housed: results from a community-based study Am J Public Health 92 778 784 (Pubitemid 34441631)
34. TW Kim SG Kertesz NJ Horton N Tibbetts JH Samet 2006 Episodic homelessness and health care utilization in a prospective cohort of HIV-infected persons with alcohol problems BMC Health Serv Res 6 19
35. SG Kertesz MJ Larson DM Cheng 2006 Need and non-need factors associated with addiction treatment utilization in a cohort of homeless and housed urban poor Med Care 44 225 233
36. MM Desai RA Rosenheck WJ Kasprow 2003 Determinants of receipt of ambulatory medical care in a national sample of mentally Ill homeless veterans Med Care 41 275 287
37. CE Bird KJ Jinnett MA Burnam 2002 Predictors of contact with public service sectors among homeless adults with and without alcohol and other drug disorders J Stud Alcohol 63 716 725 (Pubitemid 36042320)
38. SL Wenzel M Audrey Burnam P Koegel 2001 Access to inpatient or residential substance abuse treatment among homeless adults with alcohol or other drug use disorders Med Care 39 1158 1169 (Pubitemid 33603661)
39. M LaGory F Ritchey K Fitzpatrick 1991 Homelessness and affiliation Sociol Q 32 201 218
40. National Institute on Alcohol Abuse and Alcoholism 2005 Helping Patients Who Drink Too Much: A Clinician's Guide National Institutes of Health Rockville, MD Available at: http://pubs.niaaa.nih.gov/publications/Practitioner/ CliniciansGuide2005/guide.pdf. Accessed 3/29/09 National Institute on Alcohol Abuse and Alcoholism. Helping Patients Who Drink Too Much: A Clinician's Guide. Rockville, MD: National Institutes of Health; 2005. Available at: http://pubs.niaaa.nih.gov/publications/Practitioner/CliniciansGuide2005/guide. pdf. Accessed 3/29/09.
41. SG Kertesz MJ Pletcher M Safford 2007 Illicit drug use in young adults and subsequent decline in general health: the Coronary Artery Risk Development in Young Adults (CARDIA) Study Drug Alcohol Depend 88 224 233 (Pubitemid 46482825)
42. TW Kim DP Alford A Malabanan MF Holick JH Samet 2006 Low bone density in patients receiving methadone maintenance treatment Drug Alcohol Depend 85 258 262 (Pubitemid 44666285)
43. L Gelberg LS Linn 1988 Social and physical health of homeless adults previously treated for mental health problems Hospital & Community Psychiatry 39 510 516 (Pubitemid 18128688)
44. JJ O'Connell 2004 Dying in the shadows: the challenge of providing health care for homeless people Can Med Assoc J 170 1251 1252 (Pubitemid 38553309)
45. JR Hibbs L Benner L Klugman 1994 Mortality in a cohort of homeless adults in Philadelphia N Engl J Med 331 304 309 (Pubitemid 24236019)
46. AM Cheung SW Hwang 2004 Risk of death among homeless women: a cohort study and review of the literature Can Med Assoc J 170 1243 1247 (Pubitemid 38553308)
47. AB Bindman K Grumbach D Osmond 1995 Preventable hospitalizations and access to health care JAMA 274 305 311
48. LA Petersen HR Burstin AC O'Neil EJ Orav TA Brennan 1998 Nonurgent emergency department visits: the effect of having a regular doctor Med Care 36 1249 1255 (Pubitemid 128456414)
49. B Han BL Wells 2003 Inappropriate emergency department visits and use of the Health Care for the Homeless Program services by Homeless adults in the northeastern United States J Public Health Manag Pract 9 530 537
50. GJ Bazzoli R Kang R Hasnain-Wynia RC Lindrooth 2005 An update on safety-net hospitals: coping with the late 1990s and early 2000s Health Aff (Millwood) 24 1047 1056 (Pubitemid 41058605)
51. DJ Lipson N Naierman 1996 Effects of health system changes on safety-net providers Health Aff (Millwood) 15 33 48
52. MM Desai RA Rosenheck 2005 Unmet need for medical care among homeless adults with serious mental illness Gen Hosp Psych 27 418 425 (Pubitemid 41566068)
53. D Padgett EL Struening H Andrews 1990 Factors affecting the use of medical, mental health, alcohol, and drug treatment services by homeless adults Med Care 28 805 821
54. PJ Cunningham GJ Bazzoli A Katz 2008 Caught in the competitive crossfire: safety-net providers balance margin and mission in a profit-driven health care market Health Aff (Millwood) 27 w374 382