IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i24p4965-d295126.html
   My bibliography  Save this article

Predictors of Emergency Department Use among Individuals with Current or Previous Experience of Homelessness

Author

Listed:
  • Morgane Gabet

    (Département de Gestion, Évaluation et Politiques de Santé, École de santé publique, Université de Montréal, 7101 av. du Parc, Montréal, QC H3X1X9, Canada
    Research Center, Douglas MH University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada)

  • Guy Grenier

    (Research Center, Douglas MH University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada)

  • Zhirong Cao

    (Research Center, Douglas MH University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada)

  • Marie-Josée Fleury

    (Research Center, Douglas MH University Institute, 6875 LaSalle Blvd, Montreal, QC H4H 1R3, Canada
    Department of Psychiatry, McGill University, 1033, Pine Avenue West, Montreal, QC H3A 1A1, Canada)

Abstract

This study assessed the contributions of predisposing, enabling, and needs factors in predicting emergency department (ED) use among 270 individuals with current or previous experience of homelessness. Participants were recruited from three different types of housing (shelter, temporary housing and permanent housing) in Montreal, Quebec (Canada). They were interviewed at baseline (T0), and again 12 months after recruitment (T1). Longitudinal data analyses were conducted on associations between a set of baseline predictors (T0) with the dependent variable (ED users vs. non-users) from T1. Predictors were identified according to the Gelberg–Andersen Behavioral Model. Findings revealed two needs factors associated with ED use: having a substance use disorder (SUD) and low perceived physical health. Two enabling factors, use of ambulatory specialized services and stigma, were also related to ED use. No predisposing factors were retained in the model, and ED use was not associated with type of housing. Improvements are needed in SUD and physical health management in order to reduce ED use, as well as interventions aimed at stigma prevention for this vulnerable population.

Suggested Citation

  • Morgane Gabet & Guy Grenier & Zhirong Cao & Marie-Josée Fleury, 2019. "Predictors of Emergency Department Use among Individuals with Current or Previous Experience of Homelessness," IJERPH, MDPI, vol. 16(24), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:24:p:4965-:d:295126
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/24/4965/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/24/4965/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Lin, W.-C. & Bharel, M. & Zhang, J. & O'Connell, E. & Clark, R.E., 2015. "Frequent emergency department visits and hospitalizations among homeless people with medicaid: Implications for medicaid expansion," American Journal of Public Health, American Public Health Association, vol. 105, pages 716-722.
    2. Hwang, S.W. & Chambers, C. & Chiu, S. & Katic, M. & Kiss, A. & Redelmeier, D.A. & Levinson, W., 2013. "A comprehensive assessment of health care utilization among homeless adults under a system of universal health insurance," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 294-301.
    3. Bharel, M. & Lin, W.-C. & Zhang, J. & O'Connell, E. & Taube, R. & Clark, R.E., 2013. "Health care utilization patterns of homeless individuals in Boston: Preparing for Medicaid expansion under the Affordable Care Act," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 311-317.
    4. Chambers, C. & Chiu, S. & Katic, M. & Kiss, A. & Redelmeier, D.A. & Levinson, W. & Hwang, S.W., 2013. "High utilizers of emergency health services in a population-based cohort of homeless adults," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 302-310.
    5. Kushel, M.B. & Perry, S. & Bangsberg, D. & Clark, R. & Moss, A.R., 2002. "Emergency department use among the homeless and marginally housed: Results from a community-based study," American Journal of Public Health, American Public Health Association, vol. 92(5), pages 778-784.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chisom N. Iwundu & Pooja Agrawal & Michael S. Businelle & Darla E. Kendzor & Lorraine R. Reitzel, 2020. "Predictors of Overnight and Emergency Treatment among Homeless Adults," IJERPH, MDPI, vol. 17(12), pages 1-9, June.
    2. David A. Sleet & Louis Hugo Francescutti, 2021. "Homelessness and Public Health: A Focus on Strategies and Solutions," IJERPH, MDPI, vol. 18(21), pages 1-6, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Downes, Henry & Phillips, David C. & Sullivan, James X., 2022. "The effect of emergency financial assistance on healthcare use," Journal of Public Economics, Elsevier, vol. 208(C).
    2. Lan-Ping Lin & Li-Yun Wang & Tai-Wen Wang & Yun-Cheng Chen & Jin-Ding Lin, 2021. "Factors Associated with Free Hospital Outpatient Service Use among Middle-Aged and Older Urban Homeless Adults in Taipei," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
    3. Miyawaki, Atsushi & Burke, Laura G. & Khullar, Dhruv & Tsugawa, Yusuke, 2020. "Comparison of 30-day readmission and emergency department revisit rates among homeless patients at teaching versus non-teaching hospitals," Social Science & Medicine, Elsevier, vol. 263(C).
    4. Gesthika Kaltsidis & Guy Grenier & Zhirong Cao & Marie-Josée Fleury, 2020. "Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study," IJERPH, MDPI, vol. 17(17), pages 1-16, August.
    5. Chisom N. Iwundu & Pooja Agrawal & Michael S. Businelle & Darla E. Kendzor & Lorraine R. Reitzel, 2020. "Predictors of Overnight and Emergency Treatment among Homeless Adults," IJERPH, MDPI, vol. 17(12), pages 1-9, June.
    6. Maeva Jego & Julien Abcaya & Diana-Elena Ștefan & Céline Calvet-Montredon & Stéphanie Gentile, 2018. "Improving Health Care Management in Primary Care for Homeless People: A Literature Review," IJERPH, MDPI, vol. 15(2), pages 1-21, February.
    7. Yamamoto, Ayae & Needleman, Jack & Gelberg, Lillian & Kominski, Gerald & Shoptaw, Steven & Tsugawa, Yusuke, 2019. "Association between homelessness and opioid overdose and opioid-related hospital admissions/emergency department visits," Social Science & Medicine, Elsevier, vol. 242(C).
    8. Kaylee Ramage & Meaghan Bell & Lisa Zaretsky & Laura Lee & Katrina Milaney, 2021. "Is the Right to Housing Being Realized in Canada? Learning from the Experiences of Tenants in Affordable Housing Units in a Large Canadian City," Societies, MDPI, vol. 11(2), pages 1-9, June.
    9. Julie Broderick & Sinead Kiernan & Niamh Murphy & Joanne Dowds & Cliona Ní Cheallaigh, 2021. "Feasibility of a Broad Test Battery to Assess Physical Functioning Limitations of People Experiencing Homelessness," IJERPH, MDPI, vol. 18(3), pages 1-11, January.
    10. Lee, Christopher Thomas & Guzman, David & Ponath, Claudia & Tieu, Lina & Riley, Elise & Kushel, Margot, 2016. "Residential patterns in older homeless adults: Results of a cluster analysis," Social Science & Medicine, Elsevier, vol. 153(C), pages 131-140.
    11. Lucía del Río-Casanova & Milagrosa Sánchez-Martín & Ana García-Dantas & Anabel González-Vázquez & Ania Justo, 2021. "Psychological Responses According to Gender during the Early Stage of COVID-19 in Spain," IJERPH, MDPI, vol. 18(7), pages 1-20, April.
    12. Chen Zhang & Kevin Fiscella & Yu Liu, 2022. "Exploring the Role of Provider–Patient Communication in Women’s Sexual Health and Pre-Exposure Prophylaxis Care in the Primary Care Settings in New York State of the United States," IJERPH, MDPI, vol. 19(13), pages 1-15, July.
    13. Sara Nourazari & Kristina Lovato & Suzie S. Weng, 2021. "Making the Case for Proactive Strategies to Alleviate Homelessness: A Systems Approach," IJERPH, MDPI, vol. 18(2), pages 1-12, January.
    14. Anson Wong & Jerry Chen & Renée Dicipulo & Danielle Weiss & David A. Sleet & Louis Hugo Francescutti, 2020. "Combatting Homelessness in Canada: Applying Lessons Learned from Six Tiny Villages to the Edmonton Bridge Healing Program," IJERPH, MDPI, vol. 17(17), pages 1-19, August.
    15. Carmen Martin & Pilar Andrés & Alberto Bullón & José Luis Villegas & Javier Ignacio de la Iglesia-Larrad & Berta Bote & Nieves Prieto & Carlos Roncero, 2021. "COVID pandemic as an opportunity for improving mental health treatments of the homeless people," International Journal of Social Psychiatry, , vol. 67(4), pages 335-343, June.
    16. Moira C. McManus & Robert J. Cramer & Maureen Boshier & Muge Akpinar-Elci & Bonnie Van Lunen, 2018. "Mental Health and Drivers of Need in Emergent and Non-Emergent Emergency Department (ED) Use: Do Living Location and Non-Emergent Care Sources Matter?," IJERPH, MDPI, vol. 15(1), pages 1-15, January.
    17. Tammy Kiser & Linda Hulton, 2018. "Addressing Health Care Needs in the Homeless Population: A New Approach Using Participatory Action Research," SAGE Open, , vol. 8(3), pages 21582440187, July.
    18. Thomas Byrne & Travis Baggett & Thomas Land & Dana Bernson & Maria-Elena Hood & Cheryl Kennedy-Perez & Rodrigo Monterrey & David Smelson & Marc Dones & Monica Bharel, 2020. "A classification model of homelessness using integrated administrative data: Implications for targeting interventions to improve the housing status, health and well-being of a highly vulnerable popula," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-12, August.
    19. Junie Petit & Sandrine Loubiere & Aurlie Tinland & Maria Vargas-Moniz & Freek Spinnewijn & Rachel Manning & Massimo Santinello & Judith Wolf & Anna Bokszczanin & Roberto Bernad & Hakan Kallmen & Jose , 2019. "European public perceptions of homelessness: A knowledge, attitudes and practices survey," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-16, September.
    20. Amanda Stafford & Lisa Wood, 2017. "Tackling Health Disparities for People Who Are Homeless? Start with Social Determinants," IJERPH, MDPI, vol. 14(12), pages 1-12, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:24:p:4965-:d:295126. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.