Kelly M. Doran

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BACKGROUND Patients experiencing homelessness represent a disproportionate share of emergency department (ED) visits due to poor access to primary care and high levels of unmet health care needs. This is in part due to the difficulty of communicating and following up with patients who are experiencing homelessness. OBJECTIVE To determine the prevalence(More)
STUDY OBJECTIVE There is widespread concern about patients with frequent emergency department (ED) use. We identify sociodemographic and clinical factors most strongly associated with frequent ED use within the Veterans Health Administration (VHA) nationally. METHODS We conducted a cross-sectional analysis of national VHA databases (N=5,531,379) in 2010.(More)
BACKGROUND National attention is increasingly focused on hospital readmissions. Little prior research has examined readmissions among patients who are homeless. OBJECTIVE The aim of the study was to determine 30-day hospital readmission rates among patients who are homeless and examine factors associated with hospital readmissions in this population. (More)
Nearly 90 million Americans live below 200% of the federal poverty threshold. The links between lower socioeconomic status and poor health are clear, and all physicians face the resulting challenges in patient care. Current medical school curricula do not adequately prepare students to address this issue despite recommendations from the Association of(More)
From the Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania (C.A.W., D.A.A.), and the Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center (D.A.A.) — both in Philadelphia; and the Pediatric Residency Program, Seattle Children’s Hospital and the University of Washington School of(More)
OBJECTIVES To examine patients' reasons for using the emergency department (ED) for low-acuity health complaints, and determine whether reasons differed for frequent ED users versus nonfrequent ED users. STUDY DESIGN Prospective cross-sectional survey. METHODS Patients presenting to an urban public hospital for low-acuity health complaints were surveyed(More)
STUDY OBJECTIVE Our objective is to determine whether a point-of-care intervention that navigates willing, low-acuity patients from the emergency department (ED) to a Primary Care Clinic will increase future primary care follow-up. METHODS We conducted a quasi-experimental trial at an urban safety net hospital. Adults presenting to the ED for select(More)
Cisplatin (cis-diammine-dichloro-platinum) administered at a dose of 3 mg/kg iv induced a reproducible and characteristic emetic response in the dog. It was characterized by a latency period (90-120 min) and multiple emetic episodes occuring within 5 hours following drug administration with sporadic delayed emesis later within the first 24 hours. There was(More)
OBJECTIVE We aimed to characterize the geographic distribution of post-Hurricane Sandy emergency department use in administrative flood evacuation zones of New York City. METHODS Using emergency claims data, we identified significant deviations in emergency department use after Hurricane Sandy. Using time-series analysis, we analyzed the frequency of(More)