When crises converge: Hospital visits before and after shelter use among homeless New Yorkers

Dan Treglia, Eileen L. Johns, Maryanne Schretzman, Jacob Berman, Dennis P. Culhane, David C. Lee, Kelly M. Doran

Research output: Contribution to journalArticle

Abstract

People who are homeless use more hospital-based care than average, yet little is known about how hospital and shelter use are interrelated. We examined the timing of emergency department (ED) visits and hospitalizations relative to entry into and exit from New York City homeless shelters, using an analysis of linked health care and shelter administrative databases. In the year before shelter entry and the year following shelter exit, 39.3 percent and 43.3 percent, respectively, of firsttime adult shelter users had an ED visit or hospitalization. Hospital visits—particularly ED visits—began to increase several months before shelter entry and declined over several months after shelter exit, with spikes in ED visits and hospitalizations in the days immediately before shelter entry and following shelter exit. We recommend cross-system collaborations to better understand and address the co-occurring health and housing needs of vulnerable populations.

Original languageEnglish (US)
Pages (from-to)1458-1467
Number of pages10
JournalHealth Affairs
Volume38
Issue number9
DOIs
StatePublished - Sep 2019

ASJC Scopus subject areas

  • Health Policy

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    Treglia, D., Johns, E. L., Schretzman, M., Berman, J., Culhane, D. P., Lee, D. C., & Doran, K. M. (2019). When crises converge: Hospital visits before and after shelter use among homeless New Yorkers. Health Affairs, 38(9), 1458-1467. https://doi.org/10.1377/hlthaff.2018.05308