School of Public Health, Division of Environmental and Occupational Health Sciences, University of Illinois at Chicago, Chicago.
National University of Health Sciences, Lombard, IL.
Med Care. 2021 Apr 1;59(Suppl 2):S158-S164. doi: 10.1097/MLR.0000000000001444.
To describe individuals coded as homeless in state-level data comprising of outpatient and inpatient cases over a multi-year period to provide public health surveillance data on the health care utilization and needs of this population.
In this cross-sectional study, outpatient and inpatient visits coded for homelessness were identified from the Illinois Hospital Discharge Database from January 1, 2011 through December 31, 2018. Demographic characteristics, primary diagnosis and comorbid conditions, and hospital course of treatment were described. Predictors of discharge to a health care facility versus routine discharge to home or self-care were evaluated using multivariable logistic regression.
There were 154,173 patient visits predominantly involving males, those aged 25-64 years, and non-Hispanic Whites and African Americans. The majority had comorbidities of depression, psychosis, and/or substance abuse (70.2%) and a routine discharge to home or self-care (81.9%). Discharge to home or self-care relative to another health care institution was associated with having charity coverage and being Black/African American.
Those experiencing homelessness experience a high burden of health concerns. Hospital billing records can be used to prioritize the distribution of limited public health resources for health care programs and interventions among those experiencing homelessness.
描述在多年期间涵盖门诊和住院病例的州级数据中被编码为无家可归者的个体，以提供有关该人群医疗保健利用和需求的公共卫生监测数据。
在这项横断面研究中，从 2011 年 1 月 1 日至 2018 年 12 月 31 日，从伊利诺伊州医院出院数据库中确定了因无家可归而编码的门诊和住院就诊。描述了人口统计学特征、主要诊断和合并症以及住院治疗过程。使用多变量逻辑回归评估了将患者出院至医疗机构与常规出院回家或自我护理的预测因素。
有 154173 次就诊主要涉及男性、25-64 岁人群以及非西班牙裔白人和非裔美国人。大多数人患有抑郁、精神病和/或药物滥用的合并症（70.2%）和常规出院回家或自我护理（81.9%）。与另一家医疗机构相比，出院回家或自我护理与慈善保险和非裔美国人有关。
那些无家可归的人经历着高负担的健康问题。医院计费记录可用于优先分配有限的公共卫生资源，以用于医疗保健计划和干预措施，以满足无家可归者的需求。
