UMMS Affiliation

Department of Quantitative Health Sciences

Date

4-14-2009

Document Type

Article

Medical Subject Headings

Adult; Boston; Community Networks; Female; *Homeless Persons; Humans; Male; Middle Aged; Patient Discharge; Patient Readmission; Program Evaluation; Respite Care; Retrospective Studies; Young Adult

Disciplines

Biostatistics | Epidemiology | Health Services Research

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.

Rights and Permissions

Citation: J Prev Interv Community. 2009;37(2):129-42. Link to article on publisher's site

Related Resources

Link to Article in PubMed