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Title Comparison of Housed and Homeless Patients with an Orthopedic Diagnosis
Publication Date
University/Publisher University of Western Ontario
Abstract Studies on homelessness have shown that people who are homeless are admitted to hospital more frequently, for longer periods of time, and at a younger age than people who are housed. Once admitted to hospital, discharge planning is difficult and resource intensive, often leading to discharge back to the streets or a shelter. This puts this population at risk for complications and readmission. Although people who are homeless are prone to orthopedic injuries, there is no research on the outcomes of patients who are homeless with orthopedic injuries. This retrospective, case control study, based on the social determinants of health, looks at the effect of housing status on the length of stay, and, the outcomes of infection and attendance at follow up in the orthopedic population of a mid-sized academic tertiary care hospital in Southwestern Ontario. The records of thirty-three matched pairs of housed and homeless orthopedic patients were examined. Findings showed that homeless patients have longer lengths of stay, are less likely to attend clinic follow up appointments, are more likely to return to the emergency department, and have higher rates of readmission for infections. The results of this study show that interventions are needed to improve the health outcomes of people who are homeless and reduce the associated costs to the health care system.
Subjects/Keywords Homelessness; orthopedic outcomes; length of stay; follow up; social determinants of health; infection; Community Health; Community Health and Preventive Medicine; Diseases; Economic Policy; Family Practice Nursing; Health Policy; Mental and Social Health; Nursing; Nursing Administration; Other Nursing; Other Public Health; Other Social and Behavioral Sciences; Perioperative, Operating Room and Surgical Nursing; Psychiatric and Mental Health Nursing; Public Health and Community Nursing; Social and Behavioral Sciences; Social Work; Substance Abuse and Addiction; Urban Studies and Planning
Language en
Country of Publication ca
Format application/pdf
Record ID oai:ir.lib.uwo.ca:etd-3945
Repository uwo
Date Retrieved
Date Indexed 2020-06-19

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