Evidence map›Paper›PMID 24148054›Full record

ArticleAmerican journal of public health2013

Navigating the boundaries of emergency department care: addressing the medical and social needs of patients who are homeless.

Kelly M Doran, Anita A Vashi, Stephanie Platis, Leslie A Curry, Michael Rowe, Maureen Gang, Federico E Vaca

Open access · greenAbstract read
In one paragraph

Article in American journal of public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Patient perspectives of the climate of diversity, equity, and inclusion in the emergency department.Journal of the American College of Emergency Physicians open · 2022
    Article
  6. A Scoping Review of Current Social Emergency Medicine Research.The western journal of emergency medicine · 2021
    Article
  7. Article
  8. "It Wasn't Just One Thing": A Qualitative Study of Newly Homeless Emergency Department Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019
    Article
  9. Article
  10. Prevalence of Homelessness in the Emergency Department Setting.The western journal of emergency medicine · 2017
    Article
  11. Shared Decision Making With Vulnerable Populations in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2016
    Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Kelly M DoranAt the time of the study, Kelly M. Doran and Anita A. Vashi were with the Robert Wood Johnson Foundation Clinical Scholars Program, Yale School of Medicine/US Department of Veterans Affairs, New Haven, CT, and Department of Emergency Medicine, Yale School of Medicine, New Haven. At the time of the study, Stephanie Platis was with the Yale School of Public Health, New Haven. Leslie A. Curry is with the Yale School of Public Health and the Robert Wood Johnson Foundation Clinical Scholars Program, Yale School of Medicine, New Haven. Michael Rowe is with the Department of Psychiatry, Yale School of Medicine, New Haven. Maureen Gang is with the Department of Emergency Medicine, Bellevue Hospital Center/New York University School of Medicine, New York, NY. Federico E. Vaca is with the Department of Emergency Medicine, Yale School of Medicine, New Haven.
Anita A Vashi
Stephanie Platis
Leslie A Curry
Michael Rowe
Maureen Gang
Federico E Vaca
Robert Wood Johnson Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe sought to understand interpersonal and systems-level factors relevant to delivering health care to emergency department (ED) patients who are homeless.

methodsWe conducted semistructured interviews with emergency medicine residents from 2 residency programs, 1 in New York City and 1 in a medium-sized northeastern city, from February to September 2012. A team of researchers reviewed transcripts independently and coded text segments using a grounded theory approach. They reconciled differences in code interpretations and generated themes inductively. Data collection and analysis occurred iteratively, and interviews continued until theoretical saturation was achieved.

resultsFrom 23 interviews, 3 key themes emerged: (1) use of pattern recognition in identifying and treating patients who are homeless, (2) variations from standard ED care for patients who are homeless, and (3) tensions in navigating the boundaries of ED social care.

conclusionsOur study revealed practical and philosophical tensions in providing social care to patients in the ED who are homeless. Screening for homelessness in the ED and admission practices for patients who are homeless are important areas for future research and intervention with implications for health care costs and patient outcomes.

Indexed as

Attitude of Health PersonnelIll-Housed PersonsInternship and ResidencyCommunicationEmergency Service, HospitalFemaleHumansInterviews as TopicMaleMental DisordersNew York CityPatient AcuityPatient AdmissionSocial Work

Identifiers

PMID24148054
PMCPMC3969133
OpenAlexW2155727252

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.