scholarly journals Factors associated with access to care and healthcare utilization in the homeless population of England

2016 ◽  
pp. fdw008 ◽  
Author(s):  
Tim Elwell-Sutton ◽  
Jonathan Fok ◽  
Francesca Albanese ◽  
Helen Mathie ◽  
Richard Holland
Keyword(s):  
Access To Care ◽  
Healthcare Utilization ◽  
Homeless Population ◽  
Factors Associated

scholarly journals Factors Associated With Healthcare Utilization Among Children With Noncardiac Chest Pain and Innocent Heart Murmurs

2012 ◽  
Vol 37 (7) ◽  
pp. 817-825 ◽  
Author(s):  
K. A. Loiselle ◽  
J. L. Lee ◽  
J. Gilleland ◽  
R. Campbell ◽  
P. Simpson ◽  
...  
Keyword(s):  
Chest Pain ◽  
Healthcare Utilization ◽  
Noncardiac Chest Pain ◽  
Factors Associated ◽  
Heart Murmurs

scholarly journals Factors Associated with Use of Urban Emergency Departments by the U.S. Homeless Population

2010 ◽  
Vol 125 (3) ◽  
pp. 398-405 ◽  
Author(s):  
Bon S. Ku ◽  
Kevin C. Scott ◽  
Stefan G. Kertesz ◽  
Stephen R. Pitts
Keyword(s):  
Emergency Departments ◽  
Homeless Population ◽  
Factors Associated ◽  
The U.S

scholarly journals Homeless population: characterization and contextualization by census research

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Anai Adario Hungaro ◽  
Aroldo Gavioli ◽  
Rosangela Christóphoro ◽  
Sônia Regina Marangoni ◽  
Renan Filipe Altrão ◽  
...  
Keyword(s):  
Drug Use ◽  
Association Analysis ◽  
Negative Correlation ◽  
Confidence Level ◽  
Homeless People ◽  
Homeless Population ◽  
Income Source ◽  
Factors Associated ◽  
Sociodemographic Data ◽  
Structured Questionnaire

ABSTRACT Objectives: to analyze characteristics of homeless people and factors associated with living on the streets. Methods: a census-type sectional survey carried out between 2015 and 2018, in the municipality of Maringá-Paraná. A total of 701 homeless answered a structured questionnaire with sociodemographic data, living conditions, and drug use. We used Pearson’s correlation test for the association analysis of the variables at a 95% confidence level. Results: men (90.7%) the average age of 37.7 years had been homeless for an average of 5.39 years. Most had little education (54.2%), and homelessness was due to drug use (47.2%) and family disagreements (38.9%). Conclusions: drug use and family disagreements were the main reasons for homelessness. Time on the street, gender, and drugs were associated with a negative correlation to be homeless; and age, mean daily income, the number of daily meals, having been in prison, and having an income source were associated with positive correlation.

Factors associated with healthcare utilization and trajectories in retirement village residents

2021 ◽  
Author(s):  
Katherine Bloomfield ◽  
Zhenqiang Wu ◽  
Joanna B. Broad ◽  
Annie Tatton ◽  
Cheryl Calvert ◽  
...  
Keyword(s):  
Healthcare Utilization ◽  
Factors Associated ◽  
Retirement Village

Factors Associated with Parent Report of Access to Care and the Quality of Care Received by Children 4 to 17 Years of Age in Georgia

2012 ◽  
Vol 16 (S1) ◽  
pp. 129-142 ◽  
Author(s):  
Chinelo Ogbuanu ◽  
David Goodman ◽  
Katherine Kahn ◽  
Brendan Noggle ◽  
Cherie Long ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Access To Care ◽  
Parent Report ◽  
Factors Associated

Factors Associated with Refugee Acute Healthcare Utilization in Southern Connecticut

2017 ◽  
Vol 20 (2) ◽  
pp. 327-333 ◽  
Author(s):  
Wagahta Semere ◽  
Pooja Agrawal ◽  
Katherine Yun ◽  
Isha Di Bartolo ◽  
Aniyizhai Annamalai ◽  
...  
Keyword(s):  
Healthcare Utilization ◽  
Factors Associated ◽  
Acute Healthcare

scholarly journals Healthcare Utilization of Homeless Minors with Diabetes Mellitus in New York State from 2009 to 2014

2020 ◽  
Author(s):  
Rie Sakai-Bizmark ◽  
Laurie A. Mena ◽  
Dennys Estevez ◽  
Eliza J. Webber ◽  
Emily H. Marr ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
New York ◽  
Hospital Mortality ◽  
Healthcare Utilization ◽  
Regression Models ◽  
New York State ◽  
Hospitalization Rate ◽  
Homeless Population ◽  
Hospitalization Cost ◽  
Hospitalization Costs

<i>Objective</i>: This study aims to describe differences in healthcare utilization between homeless and non-homeless minors with diabetes mellitus (DM). <p><i>Research Design and Methods</i>: Data from the Healthcare Cost and Utilization Project’s Statewide Inpatient Database from New York for years 2009-2014 was examined to identify pediatric patients <18 years old with DM. Outcomes of interest included: hospitalization rate, in-hospital mortality, admission through the emergency department (ED), diabetic ketoacidosis (DKA), hospitalization cost, and lengths of stay (LOS). Other variables of interest included: age group, race/ethnicity, insurance type, and year. Multivariate logistic regression models were used for in-hospital mortality, admission through ED, and DKA. Log-transformed linear regression models were used for hospitalization cost, and negative binomial regression models were used for LOS.</p> <p><i>Results</i>: A total of 643 homeless and 10,559 non-homeless cases were identified. The hospitalization rate was higher among homeless minors, with 3.64 per 1,000 homeless population and 0.38 per 1,000 non-homeless population, respectively. A statistically significant higher readmission rate was detected among homeless minors (20.4% among homeless and 14.1% among non-homeless, <i>p</i> <0.01). Lower rates of DKA (OR 0.75, <i>p</i>=0.02), hospitalization costs (point estimate 0.88,<i> p</i> <.01), and longer LOS (Incidence Rate Ratio (IRR) 1.20, <i>p</i> <0.01) were detected among homeless minors compared to non-homeless minors. </p> <p><i>Conclusions</i>: This study found that among minors with DM, those who are homeless experience a higher hospitalization rate than the non-homeless. Housing instability, among other environmental factors, may be targeted for intervention to improve health outcomes.</p>

Social determinants of poor outcomes following frostbite injury: a study of the National Inpatient Sample

2021 ◽  
Author(s):  
Frederick W Endorf ◽  
Rachel M Nygaard
Keyword(s):  
Medical Care ◽  
Black Population ◽  
The United States ◽  
National Sample ◽  
Homeless Population ◽  
Admission Diagnosis ◽  
National Inpatient Sample ◽  
Factors Associated ◽  
Poor Outcomes ◽  
Functional Limb

Abstract Severe frostbite injury can result in significant disability from amputation of limbs and digits which may be mitigated through prompt medical care. The reported rates of amputation vary widely between centers. Our aim is to describe the incidence and factors associated with amputation secondary to frostbite injury in the United States using a national sample of hospitalizations. Admissions for frostbite injury were identified in the National Inpatient Sample (2016-18). Factors associated with amputation were assessed by multivariable logistic regression and clustered by hospital. The overall incidence of frostbite injury in the U.S. is 0.83/100,000 people. Of the social factors associated with frostbite injury, homelessness and Black race were independently associated with a higher likelihood of amputation at the primary admission. Diagnosis of cellulitis was a predictor of amputation. Homeless frostbite patients more frequently discharged AMA and were less likely to discharge with supportive medical care, despite having a higher rate of more severe injury. Disability from amputation following frostbite injury impacts at least 20% of frostbite injured patients and disproportionally impacts the homeless population. Further study is needed to ascertain the decision-making that leads to early amputation following frostbite injury, especially in the homeless and Black population. Outreach and education efforts should be initiated to promote salvage of functional limb length following frostbite injury.

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