Jon V. Martell, MD; Rae S. Seitz, BA; Janice K. Harada, BS; Joel Kobayashi, BS; Vern K. Sasaki, MPH; Clifford Wong, BS
▪ Objective: To determine the rate and estimate the cost of hospitalization in a defined urban homeless population.
▪ Design: Retrospective chart review.
▪ Setting: Kalihi-Palama Health Clinic Health Care for the Homeless Project, Hawaii State Hospital, and seven acute care hospitals in Honolulu, Hawaii.
▪ Patients: A total of 1751 homeless clients contacted between 1 December 1988 and 30 November 1990.
▪ Measurements and Main Results: A total of 1751 individuals were studied for an aggregate of 871.3 person-years. Five hundred sixty-four hospitalizations were identified: ninety-two to the state psychiatric hospital and 472 to acute care hospitals. The age- and sex-adjusted hospitalization rate for acute care hospitals was 542/1000 person-years (compared with the state rate of 96/1000 person-years). Homeless persons were admitted to acute care hospitals for 4766 days compared with a predicted 640 days. The age- and sex-adjusted rate of admission to the state psychiatric hospital was 105/1000 person-years (compared with the state rate of 0.8/1000 person-years). Homeless persons were admitted to the state psychiatric hospital for 3837 days compared with a predicted 139 days.
▪ Conclusions: Homeless individuals in this study were hospitalized in acute care and psychiatric hospitals far more frequently than were members of the general population.
Martell JV, Seitz RS, Harada JK, Kobayashi J, Sasaki VK, Wong C. Hospitalization in an Urban Homeless Population: The Honolulu Urban Homeless Project. Ann Intern Med. ;116:299–303. doi: 10.7326/0003-4819-116-4-299
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Published: Ann Intern Med. 1992;116(4):299-303.
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