Background Homelessness is believed to be a cause of health problems and high medical costs, but data supporting this association have been difficult to obtain.
We compared lengths of stay and reasons for hospital admission among homeless and other low-income persons in New York City to estimate the hospitalization costs associated with homelessness.
Methods We obtained hospital-discharge data on 18,864 admissions of homeless adults to New York City's public general hospitals (excluding admissions for childbirth) and 383,986 nonmaternity admissions of other low-income adults to all general hospitals in New York City during 1992 and 1993.
The differences in length of stay were adjusted for diagnosis-related group, principal diagnosis, selected coexisting illnesses, and demographic characteristics.
Results Of the admissions of homeless people, 51.5 percent were for treatment of substance abuse or mental illness, as compared with 22.8 percent for the other low-income patients, and another 19.7 percent of the admissions of homeless people were for trauma, respiratory disorders, skin disorders, and infectious diseases (excluding the acquired immunodeficiency syndrome [AIDS]), many of which are potentially preventable medical conditions.
For the homeless, 80.6 percent of the admissions involved either a principal or a secondary diagnosis of substance abuse or mental illness - roughly twice the rates for the other patients.
The homeless patients stayed 4.
Mots-clés Pascal : Sans domicile fixe, Epidémiologie, Hospitalisation, Analyse coût, Diagnostic, Aspect social, Etiopathogénie, Homme, New York, Etats Unis, Amérique du Nord, Amérique, Zone urbaine, Prévention, Organisation santé, Economie santé
Mots-clés Pascal anglais : Homeless, Epidemiology, Hospitalization, Cost analysis, Diagnosis, Social aspect, Etiopathogenesis, Human, New York, United States, North America, America, Urban area, Prevention, Public health organization, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0295101
Code Inist : 002B30A03B. Création : 27/11/1998.