A modeling study exploring the impact of homelessness on rostered primary care utilization in Calgary, Canada
| Autor: | C. Rice, Aliya Jamal, Matthew T. Henschke, Sandy J. Bae, Stanley Ing, Edwin Khoo, Laura Rivera, Michael H. Forseth |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Canada medicine.medical_specialty Context (language use) Primary care Rate ratio 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine Social determinants of health Health policy Retrospective Studies Primary Health Care business.industry 030503 health policy & services Public health Public Health Environmental and Occupational Health General Medicine Middle Aged Models Theoretical Patient Acceptance of Health Care Confidence interval Health equity Family medicine Ill-Housed Persons Female 0305 other medical science business Special Section on Epidemiology and Biostatistics: Quantitative Research |
| Zdroj: | Canadian Journal of Public Health. 109:451-458 |
| ISSN: | 1920-7476 0008-4263 |
| Popis: | OBJECTIVE: For patients who belonged to physician rosters at a family medicine practice in the core of Calgary, Canada, we compared primary care utilization for those who were stably housed and those experiencing homelessness. METHODS: This retrospective chart review accessed electronic medical record data for rostered patients who visited their family physician between July 1, 2015 and August 31, 2016. We assessed the association between homelessness status (defined as having been sheltered in overnight shelters and/or emergency/provisional housing during the study period) and the rate of visits to primary care (defined as the count of visits associated with a patient accounting for the length of the patient’s relationship with their family physician) using multivariate negative binomial regression. RESULTS: We analyzed 1013 patients belonging to three family physician rosters, of whom 112 experienced homelessness during the study period (11.1%). The mean number of visits for patients who experienced homelessness was 9.6 (SD 10.5), compared to 4.2 (SD 3.6) visits for stably housed patients (p |
| Databáze: | OpenAIRE |
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