Key result
Among homeless Medicaid members, 27% of hospitalizations resulted in a 30-day readmission, with primary care engagement and medical respite care associated with reduced readmission.
Why the study?
Few studies have used administrative data to provide a global view of readmission among people experiencing homelessness, who often utilize multiple hospital systems.
Population
458 unique homeless Medicaid members (1269 hospitalizations) attributed to Boston Health Care for the Homeless Program
Comparison
Factors associated vs not associated with readmission following discharge
Design
Retrospective analysis of medical record and Medicaid administrative data
Follow-up
30 days
Authors
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High readmission rates in homeless Medicaid patients warrant targeted discharge planning; leaves open whether respite care or housing interventions reduce risk.
Observational (n=458)
Homeless Medicaid patients have a high 30-day readmission rate (27%), which may be mitigated by primary care engagement and medical respite care.
Racine et al. (2019) conducted an observational in Homelessness (n=458). Discharge factors (leaving against medical advice, primary care engagement, medical respite care) was evaluated on 30-day hospital readmission. Among homeless Medicaid members, 27% of hospitalizations resulted in a 30-day readmission, with primary care engagement and medical respite care associated with reduced readmission.
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