Abstract:
OBJECTIVES:We examined changes in service use in a Housing First (HF) pilot program for adults who were homeless with medical illnesses and high prior acute-care use relative to a similar comparison group. METHODS:We used a 1-year pre-post comparison group design. The 29 participants and 31 comparison group members were adults who were homeless with inpatient claims of at least $10 000 or at least 60 sobering "sleep off" center contacts in the prior year. RESULTS:Participants showed a significantly greater reduction in emergency department and sobering center use relative to the comparison group. At a trend level, participants had greater reductions in hospital admissions and jail bookings. Reductions in estimated costs for participants and comparison group members were $62 504 and $25 925 per person per year-a difference of $36 579, far outweighing program costs of $18 600 per person per year. CONCLUSIONS:HF participants showed striking reductions in acute-care use relative to the comparison group, demonstrating that HF can be a successful model for people with complex medical conditions and high prior acute-care use. Despite notable methodological limitations, these findings could be used to inform a larger multisite study that would establish greater generalizability.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Srebnik D,Connor T,Sylla Ldoi
10.2105/AJPH.2012.300867subject
Has Abstractpub_date
2013-02-01 00:00:00pages
316-21issue
2eissn
0090-0036issn
1541-0048journal_volume
103pub_type
杂志文章abstract::The United Nations Convention on the Rights of Persons with Disabilities (CRPD) has foregrounded disability as a human rights and equity issue, elevating it to a priority global research area. Academics from Western universities are likely to play an increasing role in disability health research in developing countrie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302006
更新日期:2014-11-01 00:00:00
abstract::A nine-year representative, longitudinal study of 1,598 urban elderly shows that two to eight times as many impaired or disabled are cared for in the community as in institutions. Younger age, male gender, better income, and living with others, especially children, favor continuing care in the home. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.9.1207
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abstract::In an effort to keep abreast of the changing needs of a more affluent society and to ensure better value for money, the British are reforming their National Health Service. They are promoting competition and entrepreneurship, and directing funding to follow a patient rather than flowing directly to institutions. Briti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.12.1566
更新日期:1991-12-01 00:00:00
abstract::The scientific literature from January 1970 to June 1979 was reviewed for articles reporting outcomes from out-of-hospital cardiac arrest treated by paramedic programs. Only articles appearing in refereed professional journals and reporting 25 or more attempted resuscitations were included. A total of 21 articles from...
journal_title:American journal of public health
pub_type: 杂志文章,评审
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更新日期:1980-03-01 00:00:00
abstract::The average number of visits to a physician made by a sample of 351 residents of homes insulated with urea formaldehyde foam insulation in Montreal in the one year period before exposure was 5.25, and in the year following 5.62, an increase of 7 per cent (odds ratio 1.07, 95% CI = 1.00, 1.15). The increase in visits i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.11.1489
更新日期:1988-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2014.302498
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:To examine the role of Department of Defense policies in identifying theater-sustained traumatic brain injuries (TBIs). METHODS:We conducted a retrospective study of 48 172 US military service members who sustained their first lifetime TBIs between 2001 and 2016 while deployed to Afghanistan or Iraq. We use...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304347
更新日期:2018-05-01 00:00:00
abstract::Several Latin American countries are implementing a suite of so-called "postneoliberal" social and political economic policies to counter neoliberal models that emerged in the 1980s. This article considers the influence of postneoliberalism on public health discourses, policies, institutions, and practices in Bolivia,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303470
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:In Oregon, adult foster care (AFC) homes, which are private residences where a live-in manager cares for one to five disabled residents, have been covered by Medicaid since 1981 and seem to offer a mainstream alternative to nursing homes. They house almost 6000 older people, two thirds of which pay privately...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.9.1113
更新日期:1991-09-01 00:00:00
abstract:OBJECTIVES:This study determined factors associated with drug resistance among 3496 patients with tuberculosis who resided in Texas counties along the Mexican border. METHODS:Univariate and logistic regression analyses were performed to identify risk factors associated with drug resistance. RESULTS:Among patients wit...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.2.271
更新日期:2000-02-01 00:00:00
abstract::Blood pressure levels were investigated in a population of diabetic persons who were diagnosed at 30 years of age or older and who received their primary medical care in an 11-county area in Southern Wisconsin. Prevalence of hypertension in these 5,104 persons was compared with prevalence figures from the Health and N...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.4.336
更新日期:1984-04-01 00:00:00
abstract:OBJECTIVE:We examined the prevalence of intimate partner violence (IPV) among recent (0-9 years) and nonrecent (>/= 10 years) immigrant women in Canada to determine whether differences in IPV were associated with length of stay in Canada. METHODS:We analyzed data from the 1999 General Social Survey, a national cross-s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.046409
更新日期:2006-04-01 00:00:00
abstract::We examined the roles of Doctors of Podiatric Medicine (DPMs) and orthopedic surgeons in the provision of foot surgery by analyzing the 1982 computerized claims of over 1.1 million federal employees, retirees, and family members. We found that DPMs provided over 60 per cent of all elective insured foot surgery. Withou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.8.987
更新日期:1987-08-01 00:00:00
abstract:OBJECTIVES:To support efforts to improve urban population health, we created a City Health Dashboard with area-specific data on health status, determinants of health, and equity at city and subcity (census tract) levels. METHODS:We developed a Web-based resource that includes 37 metrics across 5 domains: social and ec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304903
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVES:We assessed state and local public health workforce characteristics by occupational category from 2010 to 2013. We also examined health department characteristics to determine whether workforce size and composition varied across these domains. METHODS:We analyzed Association of State and Territorial Health ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302353
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:We sought to test the efficacy of an intervention that was designed to promote social inclusion and commitment to education, in reducing among students health risk behaviors and improving emotional well-being. METHODS:The design was a cluster-randomized trial in 25 secondary schools in Victoria, Australia. ...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2004.047399
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Studies have indicated that cigarette smokers have more occupational accidents and injuries and use more sick time and health benefits than nonsmokers, thereby producing sizeable costs for employers. However, they usually have not controlled for other possible sources of these costs. We analyzed occupational...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.29
更新日期:1992-01-01 00:00:00
abstract::This paper compares cases of paralytic poliomyelitis reported to the systems operated by the National Vaccine Injury Compensation Program and the Centers for Disease Control and Prevention (CDC) for reporting of adverse events associated with vaccination. Of the 118 cases of vaccine-associated paralytic poliomyelitis ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.5.734
更新日期:1996-05-01 00:00:00
abstract:OBJECTIVES:We explored the relationship between social isolation and mortality in a nationally representative US sample and compared the predictive power of social isolation with that of traditional clinical risk factors. METHODS:We used data on 16,849 adults from the Third National Health and Nutrition Examination Su...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301261
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVES:We sought to establish the prevalence of physical activity among smokers, whether or not physically active smokers were more likely to attempt cessation, and who these physically active smokers were. METHODS:We used logistic regression to contrast physically active and inactive smokers in a secondary data a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.120469
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVES:We examined associations between immigration and acculturation attributes and oral disease among immigrants. METHODS:We conducted a large cross-sectional study of 1318 immigrants in New York City. We performed comprehensive interviews and oral examinations of the participants and used linear regression mode...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.149799
更新日期:2009-10-01 00:00:00
abstract::On June 20, 1997 a group of attorneys and health advocates proposed a "global settlement" of all public and private litigation against the tobacco industry. This agreement was controversial, and the subsequent implementing legislation was defeated. We sought to determine whether the global settlement represented a "mi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.2.218
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVES:Overall and cause-specific mortality among persons with diabetes in North Dakota was estimated and compared with estimates from previous population-based studies. METHODS:Data were derived from North Dakota death certificate data, which included unique information on decedents' diabetes status and Behaviora...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.1.84
更新日期:2001-01-01 00:00:00
abstract::We addressed the positive and negative factors that influence the health and wellness of urban Aboriginal youths in Canada and ways of restoring, promoting, and maintaining the health and wellness of this population. Fifty-three in-service professionals, care providers, and stakeholders participated in this study in w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302481
更新日期:2015-05-01 00:00:00
abstract::Objectives. To quantify the number of people in the US who delay medical care annually because of lack of available transportation and to examine the differential prevalence of this barrier for adults across sociodemographic characteristics and patient populations.Methods. We used data from the National Health Intervi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305579
更新日期:2020-06-01 00:00:00
abstract::A program was designed and evaluated to determine the feasibility of implementing an incentive campaign to promote safety restraint use, primarily among children up to age 13. During a five-month period, community residents were eligible to win monthly prizes and a grand prize by buckling up all automobile occupants w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.3.304
更新日期:1989-03-01 00:00:00
abstract:OBJECTIVES:We sought to measure the difference in employment rates between HIV-seropositive and HIV-seronegative persons and to establish whether this difference varied according to the HIV-infected persons' socioeconomic position as defined by education level. METHODS:We used data from the VESPA (VIH: Enquête Sur les...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.081083
更新日期:2007-03-01 00:00:00
abstract::We present results from life history interviews with 60 young adults from southern Uganda. Using a novel qualitative case-control design, we compared newly HIV-positive cases with HIV-negative controls matched on age, gender, marital status, and place of residence. Relationship context was the most salient theme diffe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301670
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVES:We evaluated risk for hepatitis C virus (HCV) infection in women residing in low-income neighborhoods of northern California. METHODS:A population-based sample of 1707 women, aged 18 to 29, were surveyed and screened for sexually transmitted infections and HCV. RESULTS:Women infected with HCV (2.5%) were m...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.4.670
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVES:This study examined the correlates of clinical gallbladder disease among US adults and whether serum ascorbic acid levels are associated with a decreased prevalence of gallbladder disease. METHODS:Cross-sectional analyses of data from the Second National Health and Nutrition Examination Survey were conducte...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.8.1208
更新日期:1998-08-01 00:00:00