Post-hospital medical respite care and hospital readmission of homeless persons.
Medical respite programs offer medical, nursing, and other care as well as accommodation for homeless persons discharged from acute hospital stays. They represent a community-based adaptation of urban health systems to the specific needs of homeless persons. This article examines whether post-hospital discharge to a homeless medical respite program was associated with a reduced chance of 90-day readmission compared to other disposition options. Adjusting for imbalances in patient characteristics using propensity scores, respite patients were the only group that was significantly less likely to be readmitted within 90 days compared to those released to Own Care. Respite programs merit attention as a potentially efficacious service for homeless persons leaving the hospital.
Birmingham Veterans Affairs Medical Center Research Enhancement Award Program, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35294-0001, USA. skertesz@uab.edu
Stefan G
SG
Kertesz
Michael A
MA
Posner
James J
JJ
O'Connell
Stacy
S
Swain
Ashley N
AN
Mullins
Michael
M
Shwartz
Arlene S
AS
Ash
D000328:Adult; D001900:Boston; D019058:Community Networks; D005260:Female; D006703:Ill-Housed Persons; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D010359:Patient Readmission / Q000639:trends*; D015397:Program Evaluation; D012144:Respite Care / Q000592:standards*; D012189:Retrospective Studies; D055815:Young Adult