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Post-Hospital Medical Respite Care and Hospital Readmission of Homeless Persons |
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| Authors: | Stefan G Kertesz Michael A Posner James J O'Connell Stacy Swain Ashley N Mullins Michael Shwartz |
| Institution: | 1. Birmingham Veterans Affairs Medical Center Research Enhancement Award Program , Birmingham, Alabama, USA;2. Department of Medicine , University of Alabama at Birmingham , Birmingham, Alabama, USA skertesz@uab.edu;4. Department of Mathematical Sciences , Villanova University , Villanova, Pennsylvania, USA;5. Harvard Medical School and Boston University School of Medicine , Boston, Massachusetts, USA;6. Boston Health Care for the Homeless Program , Boston, Massachusetts, USA;7. The Wright Institute , Berkely, California, USA;8. School of Management, Boston University , Boston, Massachusetts, USA |
| Abstract: | 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. |
| Keywords: | discharge planning health services homeless readmission retrospective studies |