Abstract：
OBJECTIVES:This study evaluates the prevalence of Multiple Comorbid Chronic Disease (MCCD) within homeless and non-homeless Veterans and the association between MCCD and inpatient medical care. METHODS:All individuals seen in the VA North Texas Health Care System between October 1, 2009 and September 30, 2010 (n = 102,034) were evaluated. Homelessness during the year and the number of common chronic diseases were evaluated for an association with likelihood of medical and psychiatric hospitalizations, bed days of care, inpatient substance treatment, rehabilitation admissions, and emergency department visits. RESULTS:Homeless Veterans had higher all-cause mortality rates and rates of use of almost all resources after controlling for chronic disease burden using the Charlson Comorbidity Index, psychiatric illnesses, substance use disorders, and demographic variables. CONCLUSIONS:Homelessness Veterans are vulnerable to a high use of resources and mortality, independent of medical and psychiatric conditions. This finding should focus additional attention on reducing homelessness.
journal_name
Public Healthjournal_title
Public healthauthors
LePage JP,Bradshaw LD,Cipher DJ,Crawford AM,Hoosyhar Ddoi
10.1016/j.puhe.2014.07.004subject
Has Abstractpub_date
2014-11-01 00:00:00pages
985-92issue
11eissn
0033-3506issn
1476-5616pii
S0033-3506(14)00185-1journal_volume
128pub_type
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