Emergency care for homeless patients: A French multicenter cohort study

Feral-Pierssens, A.-L.; Aubry, A.; Truchot, J.; Raynal, P.-A.; Boiffier, M.; Hutin, A.; Leleu, A.; Debruyne, G.; Joly, L.-M.; Juvin, P.; Riou, B.; Freund, Y.; Adnet, F.; Mourad, J.; Beaune, S.; Desmettre, T.; Outrey, J.; Pernet, J.; Piquemal, M.; Taze, S.; Schmidt, J.; Wargon, M.; Anne, P.-M.; Charpentier, S.; Barbe, V.; Andrey, A.; Chouhied, T.; Avondo, A.; Favre, M.; Jacob, X.; Tazarourte, K.; Ricard-Hibon, A.; Ogereau, C.; Le Borgne, P.; Proust, A.; Philippon, A.-L.

Emergency care for homeless patients: A French multicenter cohort study

A.-L. Feral-Pierssens, A. Aubry, J. Truchot, P.-A. Raynal, M. Boiffier, A. Hutin, A. Leleu, G. Debruyne, L.-M. Joly, P. Juvin, B. Riou, Y. Freund, F. Adnet, J. Mourad, S. Beaune, T. Desmettre, J. Outrey, J. Pernet, M. Piquemal, S. Taze, J. Schmidt, M. Wargon, P.-M. Anne, S. Charpentier, V. Barbe, A. Andrey, T. Chouhied, A. Avondo, M. Favre, X. Jacob, K. Tazarourte, A. Ricard-Hibon, C. Ogereau, P. Le Borgne, A. Proust and A.-L. Philippon

American Journal of Public Health, 2016, vol. 106, issue 5, 893-898

Abstract: Objectives: To determine whether homeless patients experience suboptimal care in the emergency department (ED) by the provision of fewer health care resources. Methods. We conducted a prospective multicenter cohort study in 30 EDs in France. During 72 hours in March 2015, all homeless patients that visited the participating EDs were included in the study. The primary health care service measure was the order by the physician of a diagnostic investigation or provision of a treatment in the ED. Secondary measures of health care services included ED waiting time, number and type of investigations per patient, treatment in the ED, and discharge disposition. Results. A total of 254 homeless patients and 254 nonhomeless patients were included. After excluding homeless patients that attended the ED for the sole purpose of housing, we analyzed 214 homeless and 214 nonhomeless. We found no significant difference between the 2 groups in terms of health care resource consumption, and for our secondary endpoints. Conclusions. We did not find significant differences in the level of medical care delivered in French EDs to homeless patients compared with matched nonhomeless patients.

Keywords: clinical trial; cohort analysis; controlled clinical trial; controlled study; emergency care; emergency ward; housing; human; major clinical study; multicenter study; physician; primary health care; adult; aged; emergency health service; female; France; health care quality; homelessness; hospital admission; hospital discharge; male; middle aged; prospective study; severity of illness index; standards; statistics and numerical data, Adult; Aged; Emergency Service, Hospital; Female; France; Homeless Persons; Humans; Male; Middle Aged; Patient Discharge; Prospective Studies; Quality Indicators, Health Care; Quality of Health Care; Severity of Illness Index; Waiting Lists (search for similar items in EconPapers)
Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.303038_3

DOI: 10.2105/AJPH.2015.303038

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