Universal health insurance and health care access for homeless persons

American Journal of Public Health

Volumn 100, Issue 8, 2010, Pages 1454-1461

  Hwang, Stephen W ^a   Ueng, Joanna J M ^a   Chiu, Shirley ^a   Kiss, Alex ^b   Tolomiczenko, George ^c,d   Cowan, Laura ^e   Levinson, Wendy ^f   Redeimeier, Donald A ^f,g  

^a ST MICHAEL'S HOSPITAL   (Canada)

^b SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^c Crohn's and Colitis Foundation of Canada   (Canada)

^d UNIVERSITY OF TORONTO   (Canada)

^e Street Health Community Nursing Foundation ^*  (Canada)

^f UNIVERSITY OF TORONTO   (Canada)

^g INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADDICTION; ADULT; ANALYSIS OF VARIANCE; ARTICLE; CANADA; CHILD; EPIDEMIOLOGY; FEMALE; HEALTH BEHAVIOR; HEALTH CARE DELIVERY; HEALTH CARE SURVEY; HEALTH SERVICE; HOMELESSNESS; HUMAN; INSURANCE; MALE; MENTAL DISEASE; NEEDS ASSESSMENT; ORGANIZATION AND MANAGEMENT; PATIENT ATTITUDE; PREVALENCE; PSYCHOLOGICAL ASPECT; PUBLIC HEALTH; QUESTIONNAIRE; STATISTICS; VULNERABLE POPULATION;

ADULT; ANALYSIS OF VARIANCE; CAUSALITY; CHILD; FEMALE; HEALTH BEHAVIOR; HEALTH CARE SURVEYS; HEALTH SERVICES ACCESSIBILITY; HOMELESS PERSONS; HUMANS; MALE; MENTAL DISORDERS; NATIONAL HEALTH PROGRAMS; NEEDS ASSESSMENT; ONTARIO; PATIENT ACCEPTANCE OF HEALTH CARE; PREVALENCE; QUESTIONNAIRES; SUBSTANCE-RELATED DISORDERS; UNIVERSAL COVERAGE; URBAN HEALTH SERVICES; VULNERABLE POPULATIONS;

EID: 77954531721     PISSN: 00900036     EISSN: 15410048     Source Type: Journal    
DOI: 10.2105/AJPH.2009.182022     Document Type: Article

References (31)

1. Homelessness Research Institute, National Alliance to End Homelessness. Homelessness Counts, January 2007. Washington, DC: Homelessness Research Institute; 2007. Available at: http://www.endhomelessness.org/content/general/ detail/1440. Accessed April. 18, 2010.
2. City of Toronto. 2006 Street Needs Assessment: Results and Findings. 2006. Available at: http://www.toronto.ca/housing/pdf/streetneedsassessm.e. ntpdf. Accessed September 7, 2008.
3. Hunger and Homelessness Survey: A Status Report on Hunger and Homelessness in America's Cities, A 24-City Survey, December 2005. Washington, DC: US Conference of Mayors; 2005.
4. Cheung AM, Hwang SW. Risk of death among homeless women: a cohort study and review of the literature. CMAJ. 2004;170(8):1243-1247.
5. Street Health. The Street Health Report 2007. Available at: http://www.streethealth.ca. Accessed August 28, 2008.
6. Lewis JH, Andersen RM, Gelberg L. Health care for homeless women: unmet needs and barriers to care. J Gen Intern Med. 2003:18(11):921-928.
7. Kushel MB, Vittinghoff E, Haas JS. Factors associated with the health care utilization of homeless people. JAMA. 2001;285(2):200-206.
8. 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(2):217-220.
9. Wen CK, Hudak PL, Hwang SW. Homeless people's perceptions of welcomeness and unwelcomeness in healthcare encounters. J Gen Intern Med 2007;22(7): 1011-1017.
10. Hwang SW, O'Connell JJ, Lebow JM, et al. Health care utilization among homeless adults prior to death. J Health Care Poor Underserved. 2001;12(1):50-58.
11. Hwang SW, Dunn JR. Homeless people. In: Galea S, Vlahov D, eds. Handbook of Urban Health: Populations, Methods, and Practice. New York, NY: Kluwer/Plenum; 2005.
12. Cousineau MR. Health status of and access to health services by residents of urban encampments in Los Angeles. J Heath Care Poor Underserved 1997;8(1):70-82.
13. Homelessness: Programs and the People They Serve. Findings of the National Survey of Homeless Assistance Providers and Clients. Washington, DC: Interagency Council on the Homeless; 1999.
14. O'Toole TP, Arbelaez J, Haggerty C; Baltimore Community Health Consortium. The urban, safety net: can it keep people heallhy and out of the hospital? J Urban Health. 2004;81(2):179-190.
15. Kertesz SG, Hwang SW, Irwin J, Ritchey FJ, Lagory ME. Rising inability to obtain needed health care among homeless persons in Birmingham, Alabama (1995-2005). J Gen Intern Med. 2009;24(7):841-847.
16. James PD, Wilkins R, Detsky AS, Tugwell P, Manuel DG. Avoidable mortality by neighbourhood income in Canada: 25 years after the establishment of universal health insurance. J Epidemiol Community Health. 2007; 61(4):287-296.
17. Allin S. Does equity in healthcare use vary across Canadian, provinces? Healthc Policy. 2008;3(4):83-99.
18. City of Toronto. The Toronto Report Card on Housing and Homelessness 2003. Available at: http://www.toronto.ca/homelessness/pdf/reportcard2003.pdf. Accessed September 23, 2008.
19. Koegel P, Burnam MA, Morton SC. Enumerating homeless people: alternative strategies and their consequences. Eval Rev. 1996;20(4):378-403.
20. Hwang SW, Chiu S, Kiss A, et al. Use of meal programs and shelters by homeless people in Toronto. J Urban Health. 2005;82(suppl. 2):ii46.
21. Statistics Canada. Ethnic Diversity Survey, April 2002. Available at: http://www.statcan.gc.ca/cgi-bin/imdb/p2SV.pl?I'unction=getSurvey&SDDS= 4508& lang=en&db=imdb&adm=8&dis=2. Accessed April 18, 2010.
22. Gelberg L, Andersen RM, Leake BD. The behavioral model for vulnerable populations: application to medical care use and outcomes for homeless people. Health Serv Res. 2000;34(6):1273-1302.
23. Bindman AB, Grumbach K, Osmond. D, et al. Preventable hospitalizations and access to health, care. JAMA. 1995;274(4):305-311.
24. Joyner LM, Wright JD, Devine JA. Reliability and validity of the Addiction Severity Index among homeless substance misusers. Subst Use Misuse. 1996:31 (6):729-751.
25. Larson CO. Use of the SF-12 instrument for measuring the health of homeless persons. Health Serv Res. 2002;37(3):733-749.
26. Statistics Canada, Special Surveys Division. Coreadian Community Health Survey Cycle 3.1.2006. Available at: http://www.chass.utoron.to.ca/datalib/ codebooks/cstdli/cchs.htm. Accessed May 15, 2008.
27. Barkin SL, Balkrishnan R, Manuel J, Andersen RM, Gelberg L. Health care utilization among homeless adolescents and young adults. J Adolesc Health. 2003; 32(4):253-256.
28. Bassuk EL, Melnick S, Browne A. Responding to the needs of low-income and homeless women who are survivors of family violence. J Am Med Womens Assoc. 1998;53(2):57-64.
29. Wenzel SL, Leake BD, Gelberg L. Health of homeless women, with recent experience of rape. J Gen Intern Med. 2000;15(4):265-268.
30. Statistics Canada. Canadian Community Health Survey, 2007. Available at: http://www.statcan.ca/Daily/English/080618/d.080618a.htm. Accessed September 30, 2008.
31. Berk ML, Schur CL, Cantor JC. Ability to obtain health care: recent estimates from the Robert Wood Johnson Foundation. National Access to Care Survey. Health Aff (Millwood). 1995:14(3):139-146.