Homelessness: Patterns of emergency department use and risk factors for re-presentation

Emergency Medicine Journal

Volumn 28, Issue 5, 2011, Pages 422-427

  Moore, Gaye ^a   Gerdtz, M F ^a   Hepworth, G ^b   Manias, E ^a  

^a THE UNIVERSITY OF MELBOURNE   (Australia)

^b UNIVERSITY OF MELBOURNE   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EMERGENCY WARD; HEALTH CARE ACCESS; HEALTH CARE UTILIZATION; HOMELESSNESS; HOUSING; HUMAN; LOGISTIC REGRESSION ANALYSIS; PRIORITY JOURNAL; RISK FACTOR;

ADULT; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOMELESS PERSONS; HOSPITALS, URBAN; HUMANS; LINEAR MODELS; LOGISTIC MODELS; MALE; PATIENT ACCEPTANCE OF HEALTH CARE; PATIENT READMISSION; RETROSPECTIVE STUDIES; RISK FACTORS; VICTORIA;

EID: 79955028591     PISSN: 14720205     EISSN: 14720213     Source Type: Journal    
DOI: 10.1136/emj.2009.087239     Document Type: Article

References (21)

1. Thomson Goodall and Associates. It can be done: healthcare for people who are homeless. Melbourne: Royal District Nursing Service, 1992.
2. Digiusto E, Treloar C. Equity of access to treatment, and barriers to treatment for illicit drug use in Australia. Addiction 2007;102:958-69. (Pubitemid 46802245)
3. Hwang S, Bugeja A. Barriers to appropriate diabetes management among homeless people in Toronto. CMAJ 2000;163:161.
4. Australasian College for Emergency Medicine. Patient's right to access emergency department care (Policy document). Emerg Med Australas 2004;16:256.
5. Phillips G, Brophy D, Weiland T, et al. The effect of multidisciplinary case management on selected outcomes for frequent attenders at an emergency department. Med J Aust 2006;184:602-6. (Pubitemid 43950329)
6. Kushel M, Perry S, Bangsberg D, et al. Emergency department use among the homeless and marginally housed: results from a community-based study. Am J Public Health 2002;92:778.
7. Moore G, Gerdtz MF, Manias E, et al. Socio-demographic and clinical characteristics of re-presentation to an Australian inner city emergency department: implications for service delivery. BMC Public Health 2007;7:320.
8. Homelessness Taskforce. The road home. A national approach to reducing homelessness. Canberra: Department of Families, Housing, Community Services and Indigenous Affairs, 2008.
9. Moss J, Flower C, Houghton L, et al. A multidisciplinary care coordination team improves emergency department discharge planning practice. Med J Aust 2002;177:435-9. (Pubitemid 35396364)
10. Okin RL, Boccellari A, Azocar F, et al. The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med 2000;18:603-8.
11. Case Management Society of Australia. What is case management. Melbourne: CMSA, 2004. http://www.cmsa.org.au/definition.html (accessed 24 Jan 2008).
12. 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;34:1273-302. (Pubitemid 30075409)
13. Phillips K, Morrison K, Andersen R, et al. Understanding the context of health care utilization: assessing environmental and provider-related variables in the behavioral model of utilization. Health Serv Res 1998;33:571-94.
14. Chamberlain C, Johnson G. The debate about homelessness. Aust J Soc Issues 2001;26:35-50. (Pubitemid 33674344)
15. Gillis L, Singer J. Breaking through the barriers: healthcare for the homeless. J Nurs Admin 1997;27:30-4. (Pubitemid 27263672)
16. Herrman H, Neil C. Homelessness and mental health: lessons from Australia. In: Bhugra D, ed. Homelessness and mental health studies in social and community psychiatry. Cambridge: Cambridge University Press, 1996:244-64.
17. Hwang S. Homelessness and health. CMAJ 2001;164:229.
18. Folsom DP, Hawthorne W, Lindamer L, 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;162:370-6. (Pubitemid 40216219)
19. Joly L. Health and homelessness. Primary Health Care 2004;14:8.
20. Morris D, Gordon J. The role of the emergency department in the care of homeless and disadvantaged populations. Emerg Med Clin North Am 2006;24:839-48. (Pubitemid 44374862)
21. Buchanan D, Doblin B, Sai T, et al. The effects of respite care for homeless patients: a cohort study. Am J Public Health 2006;96:1278-81. (Pubitemid 43967856)