ArticleJournal of general internal medicine2020
Association of Homelessness with Hospital Readmissions-an Analysis of Three Large States.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Predictors and consequences of homelessness in whole-population observational studies that used administrative data: a systematic review.BMC public health · 2023Pooled it
- Housing instability and adverse perinatal outcomes: a systematic review.American journal of obstetrics & gynecology MFM · 2021Pooled it
- Factors Associated With Rising Homelessness Within US States, 2019 to 2024.JAMA network open · 2026Article
- The Homeless Outreach Behavioral Screen (HOBS): A Brief Scale for Identifying Need for Mental Health Evaluation Among Unsheltered Populations.Community mental health journal · 2026Article
- Effect of disability, homelessness, and neighborhood marginalization on risk adjustment for hospital performance measurement.American journal of epidemiology · 2025Article
- Contingency Management for Stimulant Use Disorder and Association With Mortality: A Cohort Study.The American journal of psychiatry · 2025Article
- Implementing a hospital-based case management intervention for people experiencing homelessness: the navigator program.BMC health services research · 2025Article
- Living with chronic structural vulnerability: A biopsychosocial-structural formulation of a patient exhibiting "medical noncompliance" in the setting of historical trauma and social suffering.Journal of substance use and addiction treatment · 2025Article
- Housing Instability and Outcomes Among Patients With Access-Sensitive Surgical Conditions.The Journal of surgical research · 2025Article
- Association of Homelessness and Unstable Housing With Cardiovascular Care Utilization Among Veterans.Circulation. Cardiovascular quality and outcomes · 2024Article
- Hospital Readmissions Among Patients Experiencing Homelessness: An Electronic Health Record Data Study.The Permanente journal · 2024Article
- Differential impact of hospital and community factors on breadth and depth of hospital population health partnerships.Health services research · 2024Article
- The ENACT network is acting on housing instability and the unhoused using the open health natural language processing toolkit.Journal of clinical and translational science · 2024Article
- Assessing the impact of recovery housing on healthcare utilization in Portland, Oregon.Drug and alcohol dependence reports · 2023Article
- Article
- Association of homelessness and psychiatric hospital readmission-a retrospective cohort study 2016-2020.BMC psychiatry · 2023Article
- Evidence of housing instability identified by addresses, clinical notes, and diagnostic codes in a real-world population with substance use disorders.Journal of clinical and translational science · 2023Article
- Navigator programme for hospitalised adults experiencing homelessness: protocol for a pragmatic randomised controlled trial.BMJ open · 2022Article
- Differential associations of homelessness with emergency department visits and hospitalizations by race, ethnicity, and gender.Health services research · 2022Article
- Factors Associated With Hospital Readmission Among Patients Experiencing Homelessness.American journal of preventive medicine · 2022Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundIndividuals experiencing homelessness have higher hospitalization and mortality rates compared with the housed. Whether they also experience higher readmission rates, and if readmissions vary by region or cause of hospitalization is unknown.
objectiveEvaluate the association of homelessness with readmission rates across multiple US states.
designRetrospective analysis of administrative claims PATIENTS: All inpatient hospitalizations in Florida, Massachusetts, and New York from January 2010 to October 2015 MAIN MEASURES: Thirty- and 90-day readmission rates KEY
resultsOut of a total of 23,103,125 index hospitalizations, 515,737 were for patients who were identified as homeless at the time of discharge. After adjusting for cause of index hospitalization, state, demographics, and clinical comorbidities, 30-day and 90-day readmission rates were higher for index hospitalizations in the homeless compared with those in the housed group. The difference in 30-day readmission rates between homeless and housed groups was the largest in Florida (30.4% vs. 19.3%; p < 0.001), followed by Massachusetts (23.5% vs. 15.2%; p < 0.001) and New York (15.7% vs. 13.4%; p < 0.001) (combined 17.3% vs. 14.0%; p < 0.001). Among the most common causes of hospitalization, 30-day readmission rates were 4.1 percentage points higher for the homeless group for mental illness, 4.9 percentage points higher for diseases of the circulatory system, and 2.4 percentage points higher for diseases of the digestive system.
conclusionsAfter adjusting for demographic and clinical characteristics, homelessness is associated with significantly higher 30- and 90-day readmission rates, with a significant variation across the three states. Interventions to reduce the burden of readmissions among individuals experiencing homelessness are urgently needed. Differences across states point to the potential of certain public policies to impact health outcomes for individuals experiencing homelessness.
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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.