Factors associated with use of urban emergency departments by the U.S. homeless population

Public Health Reports

Volumn 125, Issue 3, 2010, Pages 398-405

  Ku, Bon S ^a   Scott, Kevin C ^a   Kertesz, Stefan G ^b,c   Pitts, Stephen R ^d  

^a THOMAS JEFFERSON UNIVERSITY   (United States)

^b BIRMINGHAM VA MEDICAL CENTER   (United States)

^c UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^d EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGE DISTRIBUTION; AMBULANCE; ARTICLE; CONTROLLED STUDY; EMERGENCY WARD; FEMALE; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HOMELESSNESS; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAID; MENTAL DISEASE; PRIORITY JOURNAL; SEX DIFFERENCE; SUBSTANCE ABUSE; UNITED STATES; URBAN AREA;

EID: 77951543812     PISSN: 00333549     EISSN: 14682877     Source Type: Journal    
DOI: 10.1177/003335491012500308     Document Type: Article

References (44)

1. U.S. Conference of Mayors. Hunger and Homelessness Survey: a status report on hunger and homelessness in America's cities-a 25-city survey. December 2008 [cited 2009 Aug 16]. Available from: URL: http://usmayors.org/ pressreleases/documents/hungerhomelessnessreport-121208.pdf
2. Khadduri J, Culhane DP, Buron L, Cortes A, Holin MJ, Poulin S. The second annual homeless assessment report to Congress. Washington: Department of Housing and Urban Development (US), Office of Community Planning and Development; March 2008. Also available from: URL: http://www.hudhre.info/ documents/2ndHomelessAssessmentReport.pdf [cited 2008 Dec18].
3. Levy BD, O'Connell JJ. Health care for homeless persons. N Engl J Med 2004;350:2329-2332
4. Hibbs JR, Benner L, Klugman L, Spencer R, Macchia I, Mellinger A, et al. Mortality in a cohort of homeless adults in Philadelphia. N Engl J Med 1994;331:304-309 (Pubitemid 24236019)
5. Fischer PJ, Breakey WR. The epidemiology of alcohol, drug, and mental disorders among homeless persons. Am Psychol 1991;46:1115-1128
6. Kim MM, Swanson JW, Swartz MS, Bradford DW, Mustillo SA, Elbogen EB. Healthcare barriers among severely mentally ill homeless adults: evidence from the five-site health and risk study. Adm Policy Ment Health 2007;34:363-375
7. Heslin KC, Robinson PL, Baker RS, Gelberg L. Community characteristics and violence against homeless women in Los Angeles County. J Health Care Poor Underserved 2007;18:203-218
8. Kushel MB, Vittinghoff E, Haas JS. Factors associated with the health care utilization of homeless persons. JAMA 2001;285:200-206 (Pubitemid 32048523)
9. Gelberg L, Gallagher TC, Andersen RM, Koegel P. Competing priorities as a barrier to medical care among homeless adults in Los Angeles. Am J Public Health 1997;87:217-220 (Pubitemid 27120557)
10. Han B, Wells BL. 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 2003;9:530-537
11. O'Toole TP, Conde-Martel A, Gibbon JL, Hanusa BH, Freyder PJ, Fine MJ. Where do people go when they first become homeless? A survey of homeless adults in the USA. Health Soc Care Community 2007;15:446-453
12. Kessell ER, Bhatia R, Bamberger JD, Kushel MB. Public health care utilization in a cohort of homeless adult applicants to a supportive housing program. J Urban Health 2006;83:860-873 (Pubitemid 44310353)
13. Kushel MB, Perry S, Bangsberg D, Clark R, Moss AR. Emergency department use among the homeless and marginally housed: results from a community-based study. Am J Public Health 2002;92:778-784 (Pubitemid 34441631)
14. Mandelberg JH, Kuhn RE, Kohn MA. Epidemiologic analysis of an urban, public emergency department's frequent users. Acad Emerg Med 2000;7:637-646
15. D'Amore J, Hung O, Chiang W, Goldfrank L. The epidemiology of the homeless population and its impact on an urban emergency department. Acad Emerg Med 2001;8:1051-1055 (Pubitemid 33032293)
16. Salit SA, Kuhn EM, Hartz AJ, Vu JM, Mosso AL. Hospitalization costs associated with homelessness in New York City. N Engl J Med 1998;338:1734-1740
17. Padgett DK, Struening EL, Andrews H, Pittman J. Predictors of emergency room use by homeless adults in New York City: the influence of predisposing, enabling and need factors. Soc Sci Med 1995;41:547-556
18. Ruger JP, Richter CJ, Spitznagel EL, Lewis LM. Analysis of costs, length of stay, and utilization of emergency department services by frequent users: implications for health policy. Acad Emerg Med 2004;11:1311-1317
19. Nawar EW, Niska RW, Xu J. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary. Adv Data 2007;386:1-32.
20. Pitts SR, Niska RW, Xu J, Burt CW. National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary. Natl Health Stat Rep 2008;6:1-38.
21. Sirken MG, Shimizu I, French DK, Brock DB. Manual on standards and procedures for reviewing statistical reports. Hyattsville (MD): National Center for Health Statistics; 1990.
22. American Hospital Association. AHA hospital statistics 2008. Chicago: American Hospital Association; 2009.
23. American Hospital Association. AHA hospital statistics 2007. Chicago: American Hospital Association; 2008.
24. National Center for Health Statistics (US). Public-use data file documentation NHAMCSH, MD. 2008 [cited 2008 Dec 18]. Available from: URL: http://www.cdc.gov/nchs/ahcd.htm
25. Census Bureau (US). Annual estimates of the population for the United States, regions, states, and for Puerto Rico: April 1, 2000, to July 1, 2006 [cited 2008 Dec 18]. Available from: URL: http://www.census.gov/popest/states/ NST-ann-est2006.html
26. StatCorp. Stata® : Version 10.0. College Station (TX): StataCorp.; 2007.
27. Dunford JV, Castillo EM, Chan TC, Vilke GM, Jenson P, Lindsay SP. Impact of the San Diego Serial Inebriate Program on use of emergency medical resources. Ann Emerg Med 2006;47:328-336
28. Pearson DA, Bruggman AR, Haukoos JS. Out-of-hospital and emergency department utilization by adult homeless patients. Ann Emerg Med 2007;50:646-652 (Pubitemid 350101899)
29. Daiski I. Perspectives of homeless people on their health and health needs priorities. J Adv Nurs 2007;58:273-281
30. The homeless and hate crimes. Los Angeles Times 2008 Oct 30;A22.
31. Green A. Attacks on the homeless rise, with youths mostly to blame. The New York Times 2008 Feb 15;A12.
32. Raghunathan A. Attacks on homeless rising. St. Petersburg Times 2007 Feb 19;3B.
33. Folsom DP, Hawthorne W, Lindamer L, Gilmer T, Bailey A, Golshan S, et al. Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system. Am J Psychiatry 2005;162:370-376 (Pubitemid 40216219)
34. McNiel DE, Binder RL. Psychiatric emergency service use and homelessness, mental disorder, and violence. Psychiatr Serv 2005;56:699-704. (Pubitemid 40770964)
35. Backer TE, Howard EA, Moran GE. The role of effective discharge planning in preventing homelessness. J Prim Prev 2007;28:229-243 (Pubitemid 47087428)
36. Simmons WJ. Discharging the homeless. Hosp Health Netw 2007;81:10.
37. Okin RL, Boccellari A, Azocar F, Shumway M, O'Brien K, Gelb A, et al. The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med 2000;18:603-608
38. Pope D, Fernandes CM, Bouthillette F, Etherington J. Frequent users of the emergency department: a program to improve care and reduce visits. CMAJ 2000;162:1017-1020
39. Buchanan D, Doblin B, Sai T, Garcia P. The effects of respite care for homeless patients: a cohort study. Am J Public Health 2006;96:1278-1281 (Pubitemid 43967856)
40. Kertesz SG, Posner MA, O'Connell JJ, Swain S, Mullins AN, Shwartz M, et al. Post-hospital medical respite care and hospital readmission of homeless persons. J Prev Interv Community 2009;37:129-142
41. Tsemberis S, Gulcur L, Nakae M. Housing First, consumer choice and harm reduction for homeless individuals with a dual diagnosis. Am J Public Health 2004;94:651-656 (Pubitemid 38436512)
42. Larimer ME, Malone DK, Garner MD, Atkins DC, Burlingham B, Lonczak HS, et al. Health care and public service use and costs before and after provision of housing for chronically homeless persons with severe alcohol problems. JAMA 2009;301:1349-1357
43. Sadowski LS, Kee RA, VanderWeele TJ, Buchanan D. Effect of a housing and case management program on emergency department visits and hospitalizations among chronically ill homeless adults: a randomized trial. JAMA 2009;301:1771-1778
44. Kertesz SG, Weiner SJ. Housing the chronically homeless: high hopes, complex realities. JAMA 2009;301:1822-1824