Hospitalization and Housing: A Qualitative Study Exploring the Perspectives of Hospitalized Patients Experiencing Housing Insecurity.

Autor:	Bredenberg EL; Hospital Medicine, University of Colorado School of Medicine, Aurora, USA., Knoeckel J; Hospital Medicine, Denver Health and Hospitals, Denver, USA.; Hospital Medicine, University of Colorado School of Medicine, Aurora, USA., Havranek K; Internal Medicine, New York University (NYU) Langone Health, New York, USA., McBeth L; Hospital Medicine, University of Colorado School of Medicine, Aurora, USA., Stella S; Hospital Medicine, Denver Health and Hospitals, Denver, USA.; Hospital Medicine, University of Colorado School of Medicine, Aurora, USA., Garcia M; Internal Medicine, Emory University School of Medicine, Atlanta, USA., Sarcone E; Hospital Medicine, Denver Health and Hospitals, Denver, USA.; Hospital Medicine, University of Colorado School of Medicine, Aurora, USA., Misky G; Hospital Medicine, University of Colorado School of Medicine, Denver, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Oct 02; Vol. 15 (10), pp. e46367. Date of Electronic Publication: 2023 Oct 02 (Print Publication: 2023).
DOI:	10.7759/cureus.46367
Abstrakt:	Although housing insecurity has clear negative impacts on health, little is known about how it impacts patients' experience of hospitalization. In this qualitative study, we interviewed 22 hospitalized patients experiencing housing insecurity. The following three major themes emerged: 1) adverse social and environmental factors directly contribute to hospitalization, 2) lack of tailored care during hospitalization leaves patients unprepared for discharge, and 3) patients have difficulty recuperating after a hospital stay, leading to the risk of rehospitalization. Within these themes, participants described the roles of extreme physical and psychological hardship, chaotic interpersonal relationships, substance use, and stigma affecting participants' experiences before, during, and following hospitalization. Our results, based directly on the patient experience, suggest a need for hospital systems to invest in universal in-hospital screening for housing insecurity, incorporation of trauma-informed care, and robust partnerships with community organizations. Future research should explore the feasibility and impact of these interventions. Competing Interests: The authors have declared financial relationships, which are detailed in the next section. (Copyright © 2023, Bredenberg et al.)
Databáze:	MEDLINE
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