加利福尼亚州无家可归者中可预防的住院情况：对门诊护理敏感型疾病护理的回顾性分析。
Preventable hospital admissions among the homeless in California: a retrospective analysis of care for ambulatory care sensitive conditions.
作者信息
White Brandi M, Ellis Charles, Simpson Kit N
机构信息
Department of Health Sciences & Research, College of Health Professions, Medical University of South Carolina (MUSC), Charleston, SC, USA.
Department of Communication Sciences and Disorders, College of Allied Health Sciences, East Carolina University, Greenville, NC, USA.
出版信息
BMC Health Serv Res. 2014 Oct 25;14:511. doi: 10.1186/s12913-014-0511-7.
BACKGROUND
Limited research exists that investigates hospital admissions for ambulatory care sensitive conditions (ACSCs) among the homeless, who frequently lack a usual source of care. This study profiled ACSC admissions for homeless patients.
METHODS
Bivariate analyses and logistic regression were completed to investigate ACSC and non-ACSC admissions among homeless patients using the 2010 California State Inpatient Database.
RESULTS
Homeless patients admitted for an ACSC were mostly male, non-Hispanic white, and on average 49.9 years old. In the predictive model, the odds of an ACSC admission among homeless patients increased when they were black, admitted to the emergency department or transferred from another health facility. Having Medicare was associated with a decreased odds of an ACSC admission.
CONCLUSIONS
Specific characteristics are associated with a greater likelihood of an ACSC admission. Research should examine how these characteristics contribute to ACSC hospitalizations and findings should be linked to programs designed to serve as a safety-net for homeless patients to reduce hospitalizations.
背景
针对无家可归者（他们常常缺乏常规医疗服务来源）因非卧床护理敏感疾病（ACSC）而住院的研究有限。本研究描述了无家可归患者因ACSC而住院的情况。
方法
利用2010年加利福尼亚州住院患者数据库，完成双变量分析和逻辑回归，以调查无家可归患者中因ACSC和非ACSC而住院的情况。
结果
因ACSC而住院的无家可归患者大多为男性、非西班牙裔白人，平均年龄49.9岁。在预测模型中，无家可归患者为黑人、因急诊入院或从其他医疗机构转来时，因ACSC而住院的几率增加。拥有医疗保险与因ACSC而住院的几率降低有关。
结论
特定特征与因ACSC而住院的可能性较大有关。研究应探讨这些特征如何导致ACSC住院治疗，研究结果应与旨在为无家可归患者提供安全网以减少住院治疗的项目联系起来。
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