Homelessness and other social determinants of health among emergency department patients

@article{Doran2016HomelessnessAO,
  title={Homelessness and other social determinants of health among emergency department patients},
  author={Kelly M Doran and Nathan M. Kunzler and Tod Mijanovich and Samantha W. Lang and Ada Rubin and Paul A. Testa and Donna R Shelley},
  journal={Journal of Social Distress and the Homeless},
  year={2016},
  volume={25},
  pages={71 - 77}
}
Abstract Emergency departments (EDs) are often called the ‘safety net’ of the U.S. health care system. Little is known, however, about the social determinants of health (SDOH) – including rates and types of homelessness – of ED patients. This study sought to quantify the presence of housing instability, homelessness, and other selected SDOH in ED patients. We conducted a cross-sectional survey of a random sample of 625 patients presenting to an urban ED. 13.8% of patients were currently living… Expand
Profiles of persons with current or previous experience of homelessness using emergency departments
Abstract A typology for emergency department (ED) use was developed among persons with current or previous experience of homelessness in Quebec (Canada) (n = 455). Cluster analysis identified fourExpand
Prevalence and Temporal Characteristics of Housing Needs in an Urban Emergency Department
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The association between substance use and homelessness is multifaceted and social relationships are a complex factor linking the two and ED-based substance use interventions should consider the high prevalence of homelessness and the impact of social relationships on the interaction between homelessness and substance use. Expand
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The findings suggest that HRMNs may act additively and that homelessness is particularly salient in public hospital ED patients, and patients’ comorbid HR MNs may affect the success of ED-based substance use interventions. Expand
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Even after accounting for several demographic and health-related factors, adverse SDH demonstrated strong positive associations with VHA ED utilization. Expand
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The plurality of prior research confirms that the ED serves a vulnerable population with high rates of material needs, and future research is needed to better understand the role these needs play for ED patients and how to best address them. Expand
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Social determinants are critical to promote the quality of life and health equity of people with IDD and for every one unit increase in the number of social determinant outcomes present, there was a 7.97% decrease in emergency department visits. Expand
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TLDR
CBPR is a promising approach to address gaps in homeless health care as it provides a comprehensive view incorporating various critical perspectives and key ED-based interventions addressing recidivism include improved identification of housing insecurity, reinforced relationships between ED and community resources, and better discharge planning. Expand
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TLDR
Street-based general practice services are critical to facilitate easy access to primary and secondary management of chronic multimorbid conditions in marginalised (especially Aboriginal) patients. Expand
Identifying Homeless Population Needs in the Emergency Department Using Community-Based Participatory Research
TLDR
CBPR is a promising approach to address gaps in homeless health care as it provides a comprehensive view incorporating various critical perspectives and key ED-based interventions addressing recidivism include improved identification of housing insecurity, reinforced relationships between ED and community resources, and better discharge planning. Expand
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