Emergency department use among the homeless and marginally housed: Results from a community-based study
Emergency department use among the homeless and marginally housed: Results from a community-based study
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DOI：
10.2105/ajph.92.5.778
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发表时间：
2002-05-01
影响因子：
12.7
通讯作者：
Moss, AR
中科院分区：
文献类型：
--
作者：
Kushel, MB;Perry, S;Moss, AR
目标.本研究探讨了与无家可归者和边缘居住者使用急诊室相关的因素。对2578名无家可归者和边缘居住者进行了访谈，并在多变量模型中评估了与不同急诊使用模式相关的因素。调查结果显示，40.4%的受访者在过去一年中有过1次或多次急诊就诊; 7.9%的受访者使用率很高（超过3次就诊），占所有就诊的54.5%。与高使用率相关的因素包括不稳定的住房、受害、逮捕、身心疾病和药物滥用。诱发因素和需求因素出现驱动急诊使用。减少无家可归者使用急诊室的努力应该针对那些表现出高使用率的潜在风险因素。
Objectives. This study examined factors associated with emergency department use among homeless and marginally housed persons.Methods. Interviews were conducted with 2578 homeless and marginally housed persons, and factors associated with different patterns of emergency department use were assessed in multivariate models.Results. Findings showed that 40.4% of respondents had 1 or more emergency department encounters in the previous year; 7.9% exhibited high rates of use (more than 3 visits) and accounted for 54.5% of all visits. Factors associated with high use rates included less stable housing, victimization, arrests, physical and mental illness, and substance abuse. Predisposing and need factors appeared to drive emergency department use.Conclusions. Efforts to reduce emergency department use among the homeless should be targeted toward addressing underlying risk factors among those exhibiting high rates of use.