scholarly journals Impact of hepatitis B and C infection on health services utilization in homeless adults: A test of the Gelberg-Andersen behavioral model for vulnerable populations.

2012 ◽  
Vol 31 (1) ◽  
pp. 20-30 ◽  
Author(s):  
Judith A. Stein ◽  
Ronald M. Andersen ◽  
Marjorie Robertson ◽  
Lillian Gelberg
Keyword(s):  
Hepatitis B ◽  
Health Services ◽  
Vulnerable Populations ◽  
Health Services Utilization ◽  
Behavioral Model ◽  
Homeless Adults ◽  
Services Utilization ◽  
Andersen Behavioral Model

scholarly journals Health Services Utilization Between Older and Younger Homeless Adults

2005 ◽  
Vol 45 (2) ◽  
pp. 249-254 ◽  
Author(s):  
Paul A. Nakonezny ◽  
Michael Ojeda
Keyword(s):  
Health Services ◽  
Health Services Utilization ◽  
Homeless Adults ◽  
Services Utilization

scholarly journals Integrating Interprofessional Trainees into a Complex Care Program for Veterans Experiencing Homelessness: Effects on Health Services Utilization

2021 ◽  
Author(s):  
Lillian Gelberg ◽  
Samuel T. Edwards ◽  
Elizabeth R. Hooker ◽  
Meike Niederhausen ◽  
Andrew Shaner ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Vulnerable Populations ◽  
Health Professionals ◽  
Health Services Utilization ◽  
Psychological Needs ◽  
Care Utilization ◽  
Post Intervention ◽  
Ambulatory Clinic ◽  
Services Utilization

Abstract PURPOSE High-quality, comprehensive care of vulnerable populations requires interprofessional ambulatory care teams skilled in addressing complex social, medical, and psychological needs. Training health professionals in interprofessional settings is crucial for building a competent future workforce. The impacts on care utilization of adding continuity trainees to ambulatory teams serving vulnerable populations have not been described. We aim to understand how the addition of interprofessional trainees to an ambulatory clinic caring for Veterans experiencing homelessness impacts medical and mental health services utilization. METHODS Trainees from five professions were incorporated into an interprofessional ambulatory clinic for Veterans experiencing homelessness starting in July 2016. We performed clinic-level interrupted time series (ITS) analyses of pre- and post-intervention utilization measures among patients enrolled in this training continuity clinic, compared to three similar VA homeless clinics without training programs from October 2015 to September 2018. RESULTS Our sample consisted of 37,671 patient- months. There was no significant difference between the intervention and comparison groups’ post-intervention slopes for numbers of primary care visits (difference in slopes =−0.16 visits/100 patients/month; 95% CI −0.40, 0.08; p=0.19), emergency department visits (difference in slopes = 0.08 visits/100 patients/month; 95% CI −0.16, 0.32; p=0.50), mental health visits (difference in slopes = −1.37 visits/month; 95% CI −2.95, 0.20; p= 0.09), and psychiatric hospitalizations (−0.005 admissions/100 patients/month; 95% CI −0.02, 0.01; p= 0.62). We found a clinically insignificant change in medical hospitalizations. CONCLUSIONS Adding continuity trainees from five health professions to an interprofessional ambulatory clinic caring for Veterans experiencing homelessness did not adversely impact inpatient and outpatient care utilization. An organized team-based care approach is beneficial for vulnerable patients and provides a meaningful educational experience for interprofessional trainees by building health professionals’ capabilities to care for vulnerable populations.

scholarly journals Food Insufficiency and Health Services Utilization in a National Sample of Homeless Adults

2011 ◽  
Vol 26 (6) ◽  
pp. 627-634 ◽  
Author(s):  
Travis P. Baggett ◽  
Daniel E. Singer ◽  
Sowmya R. Rao ◽  
James J. O’Connell ◽  
Monica Bharel ◽  
...  
Keyword(s):  
Health Services ◽  
Health Services Utilization ◽  
National Sample ◽  
Food Insufficiency ◽  
Homeless Adults ◽  
Services Utilization

scholarly journals UTILIZATION OF HEALTH SERVICES REGARDING HEPATITIS B IN KARACHI, PAKISTAN: A COMMUNITY SURVEY

2018 ◽  
Vol 8 (2) ◽  
pp. 95-99
Author(s):  
Subhana Akber ◽  
Laila Rizvi ◽  
Saad Khalid Niaz ◽  
Nighat Nisar
Keyword(s):  
Hepatitis B ◽  
Health Services ◽  
Health Services Utilization ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Health Seeking ◽  
Cross Sectional ◽  
Services Utilization ◽  
Multi Stage ◽  
Community Residents

Background: Hepatitis B virus (HBV) is considered as the smallest human DNA virus known to the world at present. Concerning the primary level of prevention against hepatitis B, health services utilization of community residents is essential to their health seeking behavior. This community-based study was designed to determine health services utilization regarding hepatitis B among residents of Korangi, Karachi. Methods: A cross-sectional study design and multi-stage random sampling technique was used. Data was entered and analyzed in SPSS version-21. Sample size calculated at 95% CI with 5% absolute precision was 286 households. Data of 293 study respondents were entered for analysis after obtaining an informed consent. All participants were assured of their privacy and confidentiality to be protected. A pre-tested study questionnaire containing two main parts was administered to the study respondents. Results: The results of our survey have elucidated that the residents of Korangi, Karachi were adherent to utilize health services regarding hepatitis B which mainly included vaccination. A majority of the study participants reported to have their children vaccinated against hepatitis B at their schools. Whereas, no significant association was observed for other covariates with health services utilization regarding hepatitis B. Conclusion: The findings of this survey have generally found that health services utilization regarding hepatitis B was known to the community residents which can be attributed to better awareness. However, importance of screening and uptake of vaccination against hepatitis B must be raised so as to reduce prevalence of disease in the community.

Predicting Health Services Utilization Among Homeless Adults: A Prospective Analysis

2000 ◽  
Vol 11 (2) ◽  
pp. 212-230 ◽  
Author(s):  
Judith A. Stein ◽  
Ronald M. Andersen ◽  
Paul Koegel ◽  
Lillian Gelberg
Keyword(s):  
Health Services ◽  
Health Services Utilization ◽  
Prospective Analysis ◽  
Homeless Adults ◽  
Services Utilization

Nonelective hospital admissions, discharge disposition, and health services utilization in epilepsy patients: A population‐based study

Epilepsia ◽  
2020 ◽  
Vol 61 (9) ◽  
pp. 1969-1978
Author(s):  
Churl‐Su Kwon ◽  
Bonnie Wong ◽  
Parul Agarwal ◽  
Jung‐Yi Lin ◽  
Madhu Mazumdar ◽  
...  
Keyword(s):  
Health Services ◽  
Hospital Admissions ◽  
Health Services Utilization ◽  
Population Based ◽  
Population Based Study ◽  
Services Utilization ◽  
Discharge Disposition
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