Resource-Limited, Collaborative Pilot Intervention for Chronically Homeless, Alcohol-Dependent Frequent Emergency Department Users.

• Autores: Ryan P. McCormack, Lily F. Hoffman, Stephen P. Wall, Lewis R. Goldfrank
• Localización: American journal of public health, ISSN 0090-0036, Vol. 103, Nº. 0, 2013, págs. 221-224
• Idioma: inglés
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• Resumen

  • We introduced case management and homeless outreach to chronically homeless, alcohol-dependent, frequent emergency department (ED) visitors using existing resources. We assessed the difference in differences of ED visits 6 months pre- and postintervention using a prospective, nonequivalent control group trial. Secondary outcomes included changes in hospitalizations and housing. The differences in differences between intervention and prospective patients and retrospective controls were -12.1 (95% CI = -22.1, -2.0) and -12.8 (95% CI = -26.1, 0.6) for ED visits and -8.5 (95% CI = -22.8, 5.8) and -19.0 (95% CI = -34.3, -3.6) for inpatient days, respectively. Eighteen participants accepted shelter; no controls were housed. Through intervention, ED use decreased and housing was achieved. [ABSTRACT FROM AUTHOR]