ArticleMedical care2014
VA health service utilization for homeless and low-income Veterans: a spotlight on the VA Supportive Housing (VASH) program in greater Los Angeles.
Article in Medical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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.
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.
Who cites it
36 citing papers in PubMed, 61 citations in OpenAlex.
- The Interactive Care Coordination and Navigation mHealth Intervention for People Experiencing Homelessness: Cost Analysis, Exploratory Financial Cost-Benefit Analysis, and Budget Impact Analysis.JMIR formative research · 2025Trial
- The Long-Term Effects of a Housing First Intervention on Primary Care and Non-Primary Care Physician Visits Among Homeless Adults with Mental Illness: A 7-Year RCT Follow-Up.Journal of primary care & community healthTrial
- Social determinants of health associated with initiation of evidence-based psychotherapy for posttraumatic stress disorder in a national sample of veterans.Journal of behavioral medicine · 2026Article
- Permanent Supportive Housing and Cardiovascular Outcomes Among Veterans Experiencing Homelessness: A Difference-in-Differences Analysis.Journal of general internal medicine · 2026Article
- Traumatic brain injury and VA service use among Native Hawaiian and Pacific Islander Veterans experiencing homelessness.Frontiers in public health · 2025Article
- Suicide risk screening and evaluation among patients accessing VHA services and identified as being newly homeless.Health services research · 2024Article
- Access, Outcomes, and Costs Associated with Surgery for Malignancy Among People Experiencing Homelessness.Annals of surgical oncology · 2024Article
- COVID-19 vaccination uptake and receptivity among veterans enrolled in homelessness-tailored primary health care clinics: provider trust vs. misinformation.BMC primary care · 2024Article
- Neuropsychological functioning, neurobehavioral symptoms, and community reintegration in unstably housed veterans with mental health conditions.The Clinical neuropsychologist · 2023Article
- A Sanctioned Encampment as a Strategy for Increasing Homeless Veterans' Access to Housing and Healthcare During the COVID-19 Pandemic.Journal of general internal medicine · 2023Article
- Comparing Trauma Treatment Outcomes Between Homeless and Housed Veterans in a VA PTSD Clinical Program.Community mental health journal · 2023Article
- Health Service Access Among Homeless Veterans: Health Access Challenges Faced by Homeless African American Veterans.Journal of racial and ethnic health disparities · 2022Review
- Healthcare service utilization for formerly homeless veterans in permanent supportive housing: Do neighborhoods matter?Psychological services · 2022Article
- Crossing the digital divide: a veteran affairs program to distribute video-enabled devices to patients in a supportive housing program.JAMIA open · 2022Article
- Housing outcomes among homeless-experienced veterans engaged in vocational services.The American journal of orthopsychiatry · 2022Article
- Association of Social and Behavioral Risk Factors With Mortality Among US Veterans With COVID-19.JAMA network open · 2021Article
- County-level Predictors of Growth in Community-based Primary Care Use Among Veterans.Medical care · 2021Article
- Quality of Outpatient Depression Treatment in Patients With Comorbid Substance Use Disorder.The American journal of psychiatry · 2021Article
- Differences in Utilization of Medical and Dental Services among Homeless People in South Korea.International journal of environmental research and public health · 2020Article
- Use of General Primary Care, Specialized Primary Care, and Other Veterans Affairs Services Among High-Risk Veterans.JAMA network open · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe US Department of Housing and Urban Development (HUD)-VA Supportive Housing (VASH) program-the VA's Housing First effort-is central to efforts to end Veteran homelessness. Yet, little is known about health care utilization patterns associated with achieving HUD-VASH housing.
objectivesWe compare health service utilization at the VA Greater Los Angeles among: (1) formerly homeless Veterans housed through HUD-VASH (HUD-VASH Veterans); (2) currently homeless Veterans; (3) housed, low-income Veterans not in HUD-VASH; and (4) housed, not low-income Veterans. RESEARCH
designWe performed a secondary database analysis of Veterans (n=62,459) who received VA Greater Los Angeles care between October 1, 2010 and September 30, 2011. We described medical/surgical and mental health utilization [inpatient, outpatient, and emergency department (ED)]. We controlled for demographics, need, and primary care use in regression analyses of utilization data by housing and income status.
resultsHUD-VASH Veterans had more inpatient, outpatient, and ED use than currently homeless Veterans. Adjusting for demographics and need, HUD-VASH Veterans and the low-income housed Veterans had similar likelihoods of medical/surgical inpatient and outpatient utilization, compared with the housed, not low-income group. Adjusting first for demographics and need (model 1), then also for primary care use (model 2), HUD-VASH Veterans had the greatest decrease in incident rates of specialty medical/surgical, mental health, and ED care from models 1 to 2, becoming similar to the currently homeless, compared with the housed, not low-income group.
conclusionsOur findings suggest that currently homeless Veterans underuse health care relative to housed Veterans. HUD-VASH may address this disparity by providing housing and linkages to primary care.
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What OpenQuestion holds
Registered trials
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.