The Frequent Fliers of New Mexico: Hospital Readmissions among the Homeless Population.
It is estimated that there are 1.7 million homeless individuals in the United States; 36% are families with children under the age of 18. Due to lack of resources, individuals who are homeless frequent emergency departments for immediate health care needs. The aim of this study was to examine a homeless population over a 3-year time period who were admitted to an Albuquerque area hospital at any time during the time period. A comparison of demographic characteristics as well as hospitalization characteristics between two populations was analyzed: individuals who were homeless and had a 30-day readmission compared to those that did not have a 30-day readmission. There were 850 unique homeless patients that were admitted to an Albuquerque area hospital during the 3-year time period. The mean age was 43.8 years with the majority of the population being male. The 3-year average 30-day readmission rate was 30.1%. Multivariate regression analysis indicated that homeless patients older than 19 years, individuals with more than 1 admission during the time period, and individuals who left against medical advice had increased odds of a 30-day readmission. Individuals who were homeless who were admitted for respiratory conditions or cardiovascular disease had decreased odds of a 30-day readmission compared to patients admitted for neuropsychiatric conditions. In New Mexico, patients who were homeless experienced a high 30-day readmission rate. These results suggest a need for further research into the healthcare needs of this population and how to improve discharge protocols to prevent future readmissions.
a Health Systems Epidemiology Program, New Mexico Department of Health , Santa Fe , New Mexico , USA.
Victoria F
VF
Dirmyer
D000293:Adolescent; D000328:Adult; D016208:Databases, Factual; D005260:Female; D006703:Ill-Housed Persons; D006760:Hospitalization / Q000639:trends*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009516:New Mexico; D010359:Patient Readmission / Q000639:trends*; D012189:Retrospective Studies; D055815:Young Adult
Homelessness; health inequalities; hospital stay; readmission