New to care: Demands on a health system when homeless veterans are enrolled in a medical home model

American Journal of Public Health

Volumn 103, Issue SUPPL. 2, 2013, Pages

  O'Toole, Thomas P ^a,b   Bourgault, Claire ^a,b   Johnson, Erin E ^a,b   Redihan, Stephen G ^a,b   Borgia, Matthew ^a,b   Aiello, Riccardo ^c   Kane, Vincent ^c  

^a BROWN UNIVERSITY   (United States)

^b NATIONAL CENTER ON HOMELESSNESS AMONG VETERANS   (United States)

^c National Center on Homeless among Veterans   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CHRONIC DISEASE; EMERGENCY HEALTH SERVICE; FEMALE; GOVERNMENT; HEALTH SERVICE; HEALTH STATUS; HOMELESSNESS; HUMAN; MALE; MENTAL HEALTH; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PRIMARY HEALTH CARE; STATISTICS; UNITED STATES; UTILIZATION REVIEW; VETERAN; STATISTICS AND NUMERICAL DATA; UTILIZATION;

ADULT; CHRONIC DISEASE; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH SERVICES; HEALTH STATUS; HOMELESS PERSONS; HUMANS; MALE; MENTAL HEALTH; MIDDLE AGED; PATIENT-CENTERED CARE; PRIMARY HEALTH CARE; RHODE ISLAND; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS; VETERANS;

EID: 84888263427     PISSN: 00900036     EISSN: 15410048     Source Type: Journal    
DOI: 10.2105/AJPH.2013.301632     Document Type: Article

References (27)

1. Hwang SW, Orav J, O'Connell JJ, Lebow JM, Brennan TA. Causes of death in homeless adults in Boston. Ann Intern Med. 1997;126(8):625-628.
2. Baggett TP, Hwang SW, O'Connell JJ, et al. Mortality among homeless adults in Boston: shifts in causes of death over a 15-year period. JAMA Intern Med. 2013; 173(3):189-195.
3. Brickner PW, Scharer LK, Conanan BA, Savarese M, Scanlan BC, eds. Under the Safety Net. New York, NY: WW Norton Co; 1990.
4. Institute of Medicine/Committee on Health Care for Homeless People. Homelessness, Health, and Human Needs. Washington, DC: National Academy Press; 1988.
5. McMurray-Avilla M. Organizing Health Services for Homeless People. Nashville, TN: National Health Care for the Homeless Council; 1997.
6. 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(5):778-784.
7. US Department of Veterans. Engaging homeless veterans in primary care. Available at: http://clinicaltrials.gov/show/NCT00858507. Accessed June 4, 2013.
8. US Department of Veterans. Homeless Veterans. Available at: http://www.va.gov/homeless/nationalcenter.asp. Accessed July 10, 2012.
9. Schanzer B, Dominguez B, Shrout PE, Caton CM. Homelessness, health status and health care use. Am J Public Health. 2007;97(3):464-469.
10. American College of Physicians. American College of Physicians Medical Home Builder 2.0. Available at: http://www.acponline.org/about-acp/chapters/fyn- mhb-brochure.pdf. Accessed July 10, 2012.
11. International Classification of Diseases, Ninth Revision, Clinical Modification. Hyattsville, MD: National Center for Health Statistics; 1980.
12. O'Toole TP, Buckel L, Bourgault C, et al. Applying the chronic care model to homeless veterans: can a tailored primary care model reduce emergency department use and improve clinical outcomes? Am J Public Health. 2010;100(12):2493-2499.
13. Blue-Howells J, McGuire J, Nakashima J. Co-location of health care services for homeless veterans: a case study of innovation in program innovation. Soc Work Health Care. 2008;47(3):219-231.
14. 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(6):530-537.
15. US Department of Housing and Urban Development. US Department of Veterans Affairs. Veteran Homelessness: A Supplemental Report to the 2010 Annual Homeless Assessment Report to Congress. Washington, DC: US Department of Housing and Urban Development; 2010.
16. Joyce DP, Limbos M. Identification of cognitive impairment and mental illness in elderly homeless men: before and after access to primary health care. Can Fam Physician. 2009;55(11):1110-1111.
17. Wenzel SL, Bakhtiar L, Caskey NH, et al. Homeless veterans' utilization of medical, psychiatric, and substance abuse services. Med Care. 1995;33(11):1132-1144.
18. Okin RL, Boccellari A, Azocar F, et al. The effects of clinical case management in hospital service use among ED frequent users. Am J Emerg Med. 2000;18(5):603-608.
19. Redelmeier DA, Molin JP, Tibshirani RJ. A randomised trial of compassionate care for the homeless in an emergency department. Lancet. 1995;345(8958): 1131-1134.
20. McGuire J, Gelberg L, Blue-Howells J, Rosenheck RA. Access to primary care for homeless veterans with serious mental illness or substance abuse: a follow-up evaluation of co-located primary care and homeless social services. Adm Policy Ment Health. 2009;36(4):255-264.
21. Samet JH, Larson MJ, Horton NJ, Doyle K, Winter M, Saitz R. Linking alcohol- and drug-dependent adults to primary medical care: a randomized controlled trail of a multi-disciplinary health intervention in a detoxification unit. Addiction. 2003;98(4):509-516.
22. Gelberg L, Gallagher TC, Andersen RM, Koegl P. Competing priorities as a barrier to medical care among homeless adults in Los Angeles. Am J Public Health. 1997;87(2):217-220.
23. 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(17):1771-1778.
24. 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(24):1734-1740.
25. Kushel MB, Vittinghoff E, Haas JS. Factors associated with the health care utilization of homeless persons. JAMA. 2001;285(2):200-206.
26. O'Toole TP, Gibbon JL, Hanusa BH, Fine MJ. Utilization of health care services among subgroups of urban homeless. J Health Polit Policy Law. 1999;24(1): 91-114.
27. Adams J, Rosenheck R, Gee L, Seibyl CL, Kushel M. Hospitalized younger: a comparison of a national sample of homeless and housed inpatient veterans. J Health Care Poor Underserved. 2007;18(1):173-184.