A 5-year comparison of ED visits by homeless and nonhomeless patients
A 2005 study examined emergency department (ED) utilization by homeless patients in the United States. Within the following 5 years, unemployment increased by 5%. The objective was to analyze changes in ED utilization between 2005 and 2010 by homeless patients and compare with nonhomeless visits. Da...
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Veröffentlicht in: | The American journal of emergency medicine 2016-05, Vol.34 (5), p.805-808 |
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creator | Tadros, Allison Layman, Shelley M. Brewer, Marissa Pantaleone Davis, Stephen M. |
description | A 2005 study examined emergency department (ED) utilization by homeless patients in the United States. Within the following 5 years, unemployment increased by 5%.
The objective was to analyze changes in ED utilization between 2005 and 2010 by homeless patients and compare with nonhomeless visits.
Data from the 2010 National Hospital Ambulatory Medical Care Survey were evaluated.
Approximately 679854 visits were made by homeless patients, the majority of which were made by men (72.3%) and patients between the ages of 45 and 64 (50.5%). Homeless patients were twice as likely to be uninsured. ED visits by homeless patients had increased by 44% during the 5-year period. Arrival to the ED by ambulance increased by 14% between the study years, and homeless patients were less likely to be admitted.
The number of visits by homeless patients in the ED increased proportionally to an overall increase in ED visits between 2005 and 2010. |
doi_str_mv | 10.1016/j.ajem.2016.01.012 |
format | Article |
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The objective was to analyze changes in ED utilization between 2005 and 2010 by homeless patients and compare with nonhomeless visits.
Data from the 2010 National Hospital Ambulatory Medical Care Survey were evaluated.
Approximately 679854 visits were made by homeless patients, the majority of which were made by men (72.3%) and patients between the ages of 45 and 64 (50.5%). Homeless patients were twice as likely to be uninsured. ED visits by homeless patients had increased by 44% during the 5-year period. Arrival to the ED by ambulance increased by 14% between the study years, and homeless patients were less likely to be admitted.
The number of visits by homeless patients in the ED increased proportionally to an overall increase in ED visits between 2005 and 2010.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2016.01.012</identifier><identifier>PMID: 26935222</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age ; Ambulatory care ; Confidence intervals ; Diagnostic tests ; Emergency medical care ; Emergency medical services ; Emergency Service, Hospital - statistics & numerical data ; Emergency Service, Hospital - utilization ; Female ; GDP ; Gross Domestic Product ; Health Care Surveys ; Homeless people ; Homeless Persons - statistics & numerical data ; Homelessness ; Humans ; Indigent care ; Male ; Medically Uninsured - statistics & numerical data ; Middle Aged ; Patients ; Retrospective Studies ; United States</subject><ispartof>The American journal of emergency medicine, 2016-05, Vol.34 (5), p.805-808</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-86bc26e150e4eedd76f7857a6332103b1c3bca0e5039e56956bd6da591ca9e6c3</citedby><cites>FETCH-LOGICAL-c384t-86bc26e150e4eedd76f7857a6332103b1c3bca0e5039e56956bd6da591ca9e6c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1785128668?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986,64374,64376,64378,72230</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26935222$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tadros, Allison</creatorcontrib><creatorcontrib>Layman, Shelley M.</creatorcontrib><creatorcontrib>Brewer, Marissa Pantaleone</creatorcontrib><creatorcontrib>Davis, Stephen M.</creatorcontrib><title>A 5-year comparison of ED visits by homeless and nonhomeless patients</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>A 2005 study examined emergency department (ED) utilization by homeless patients in the United States. Within the following 5 years, unemployment increased by 5%.
The objective was to analyze changes in ED utilization between 2005 and 2010 by homeless patients and compare with nonhomeless visits.
Data from the 2010 National Hospital Ambulatory Medical Care Survey were evaluated.
Approximately 679854 visits were made by homeless patients, the majority of which were made by men (72.3%) and patients between the ages of 45 and 64 (50.5%). Homeless patients were twice as likely to be uninsured. ED visits by homeless patients had increased by 44% during the 5-year period. Arrival to the ED by ambulance increased by 14% between the study years, and homeless patients were less likely to be admitted.
The number of visits by homeless patients in the ED increased proportionally to an overall increase in ED visits between 2005 and 2010.</description><subject>Adult</subject><subject>Age</subject><subject>Ambulatory care</subject><subject>Confidence intervals</subject><subject>Diagnostic tests</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Emergency Service, Hospital - utilization</subject><subject>Female</subject><subject>GDP</subject><subject>Gross Domestic Product</subject><subject>Health Care Surveys</subject><subject>Homeless people</subject><subject>Homeless Persons - statistics & numerical data</subject><subject>Homelessness</subject><subject>Humans</subject><subject>Indigent care</subject><subject>Male</subject><subject>Medically Uninsured - statistics & numerical data</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>United States</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kE1LAzEQhoMotlb_gAcJePGyNZM02V3wIrV-QMGLnkM2O8Us3U1NtoX-e1Nae_AgDMwMPPMyPIRcAxsDA3XfjE2D7ZinecwgFT8hQ5CCZwXkcEqGLBcyU7nMB-QixoYxgImcnJMBV6WQnPMhmT1SmW3RBGp9uzLBRd9Rv6CzJ7px0fWRVlv65VtcYozUdDXtfHfcV6Z32PXxkpwtzDLi1aGPyOfz7GP6ms3fX96mj_PMimLSZ4WqLFcIkuEEsa5ztcgLmRslBAcmKrCisoahZKJEqUqpqlrVRpZgTYnKihG52-eugv9eY-x166LF5dJ06NdRQ15wDkqCSujtH7Tx69Cl73aUBF4oVSSK7ykbfIwBF3oVXGvCVgPTO8m60TvJeidZM0jF09HNIXpdtVgfT36tJuBhD2BysXEYdLTJk8XaBbS9rr37L_8H0UGLpQ</recordid><startdate>201605</startdate><enddate>201605</enddate><creator>Tadros, Allison</creator><creator>Layman, Shelley M.</creator><creator>Brewer, Marissa Pantaleone</creator><creator>Davis, Stephen M.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201605</creationdate><title>A 5-year comparison of ED visits by homeless and nonhomeless patients</title><author>Tadros, Allison ; Layman, Shelley M. ; Brewer, Marissa Pantaleone ; Davis, Stephen M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-86bc26e150e4eedd76f7857a6332103b1c3bca0e5039e56956bd6da591ca9e6c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Age</topic><topic>Ambulatory care</topic><topic>Confidence intervals</topic><topic>Diagnostic tests</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Emergency Service, Hospital - utilization</topic><topic>Female</topic><topic>GDP</topic><topic>Gross Domestic Product</topic><topic>Health Care Surveys</topic><topic>Homeless people</topic><topic>Homeless Persons - statistics & numerical data</topic><topic>Homelessness</topic><topic>Humans</topic><topic>Indigent care</topic><topic>Male</topic><topic>Medically Uninsured - statistics & numerical data</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tadros, Allison</creatorcontrib><creatorcontrib>Layman, Shelley M.</creatorcontrib><creatorcontrib>Brewer, Marissa Pantaleone</creatorcontrib><creatorcontrib>Davis, Stephen M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tadros, Allison</au><au>Layman, Shelley M.</au><au>Brewer, Marissa Pantaleone</au><au>Davis, Stephen M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A 5-year comparison of ED visits by homeless and nonhomeless patients</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2016-05</date><risdate>2016</risdate><volume>34</volume><issue>5</issue><spage>805</spage><epage>808</epage><pages>805-808</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><abstract>A 2005 study examined emergency department (ED) utilization by homeless patients in the United States. Within the following 5 years, unemployment increased by 5%.
The objective was to analyze changes in ED utilization between 2005 and 2010 by homeless patients and compare with nonhomeless visits.
Data from the 2010 National Hospital Ambulatory Medical Care Survey were evaluated.
Approximately 679854 visits were made by homeless patients, the majority of which were made by men (72.3%) and patients between the ages of 45 and 64 (50.5%). Homeless patients were twice as likely to be uninsured. ED visits by homeless patients had increased by 44% during the 5-year period. Arrival to the ED by ambulance increased by 14% between the study years, and homeless patients were less likely to be admitted.
The number of visits by homeless patients in the ED increased proportionally to an overall increase in ED visits between 2005 and 2010.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26935222</pmid><doi>10.1016/j.ajem.2016.01.012</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Age Ambulatory care Confidence intervals Diagnostic tests Emergency medical care Emergency medical services Emergency Service, Hospital - statistics & numerical data Emergency Service, Hospital - utilization Female GDP Gross Domestic Product Health Care Surveys Homeless people Homeless Persons - statistics & numerical data Homelessness Humans Indigent care Male Medically Uninsured - statistics & numerical data Middle Aged Patients Retrospective Studies United States |
title | A 5-year comparison of ED visits by homeless and nonhomeless patients |
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