ArticleAmerican journal of public health2018
Trends in Homeless Children and Young Adults Seeking Shelter in a Boston Pediatric Emergency Department Following State Housing Policy Changes, 2011-2016.
Article in American journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Initial characterization of print awareness in unhoused children.Frontiers in psychology · 2023Article
- A Scoping Review of Current Social Emergency Medicine Research.The western journal of emergency medicine · 2021Article
- Comparison of State Hospital Visits With Housing and Urban Development Estimates of Homeless: Illinois, 2011-2018.American journal of public health · 2020Article
- Toward Structural Competency in Emergency Medical Education.AEM education and training · 2020Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe a trend in emergency department (ED) use by homeless children and young adults before and after a state housing policy change in 2012 and to quantify financial and time costs to the health care system.
methodsWe retrospectively reviewed de-identified electronic medical records of homeless children and young adults aged 0 to 21 years seeking shelter at an urban tertiary pediatric ED in Boston, Massachusetts, between September 1, 2011, and August 31, 2016.
resultsWe identified 1078 visits for homelessness by 916 children and young adults. The median number of visits per month increased from 3 before the policy change to 17 after (P < .001). The total hospital charges were $578 351, with a net payment of $214 231, 97% paid by Medicaid. The average length of stay was 8 hours, totaling more than 8500 hours of occupancy.
conclusionsThe number of homeless children and young adults who visited a pediatric ED increased significantly following a housing policy change, leading to substantial resource burdens on the ED and Medicaid. Public Health Implications. Policymakers should consider potential health care costs when designing housing policies and consider investing in housing to prevent unnecessary ED visits.
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