Medical respite programs for homeless patients: A systematic review

Kelly Doran, Kyle T. Ragins, Cary P. Gross, Suzanne Zerger

Research output: Contribution to journalReview article

Abstract

Medical respite programs provide care to homeless patients who are too sick to be on the streets or in a traditional shelter, but not sick enough to warrant inpatient hospitalization. They are designed to improve the health of homeless patients while also decreasing costly hospital use. Although there is increasing interest in implementing respite programs, there has been no prior systematic review of their effectiveness. We conducted a comprehensive search for studies of medical respite program outcomes in multiple biomedical and sociological databases, and the grey literature. Thirteen articles met inclusion criteria. The articles were heterogeneous in methods, study quality, inclusion of a comparison group, and outcomes examined. Available evidence showed that medical respite programs reduced future hospital admissions, inpatient days, and hospital readmissions. They also resulted in improved housing outcomes. Results for emergency department use and costs were mixed but promising. Future research utilizing adequate comparison groups is needed.

Original languageEnglish (US)
Pages (from-to)499-524
Number of pages26
JournalJournal of Health Care for the Poor and Underserved
Volume24
Issue number2
DOIs
StatePublished - May 2013

Fingerprint

Inpatients
Literature
Patient Readmission
Hospital Emergency Service
Hospitalization
Databases
Costs and Cost Analysis
Health

Keywords

  • Aftercare
  • Homeless people
  • Hospitalization
  • Patient discharge
  • Respite care
  • Subacute care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Medical respite programs for homeless patients : A systematic review. / Doran, Kelly; Ragins, Kyle T.; Gross, Cary P.; Zerger, Suzanne.

In: Journal of Health Care for the Poor and Underserved, Vol. 24, No. 2, 05.2013, p. 499-524.

Research output: Contribution to journalReview article

Doran, Kelly ; Ragins, Kyle T. ; Gross, Cary P. ; Zerger, Suzanne. / Medical respite programs for homeless patients : A systematic review. In: Journal of Health Care for the Poor and Underserved. 2013 ; Vol. 24, No. 2. pp. 499-524.
@article{8d376c366c2e41c38e6042358bc1551d,
title = "Medical respite programs for homeless patients: A systematic review",
abstract = "Medical respite programs provide care to homeless patients who are too sick to be on the streets or in a traditional shelter, but not sick enough to warrant inpatient hospitalization. They are designed to improve the health of homeless patients while also decreasing costly hospital use. Although there is increasing interest in implementing respite programs, there has been no prior systematic review of their effectiveness. We conducted a comprehensive search for studies of medical respite program outcomes in multiple biomedical and sociological databases, and the grey literature. Thirteen articles met inclusion criteria. The articles were heterogeneous in methods, study quality, inclusion of a comparison group, and outcomes examined. Available evidence showed that medical respite programs reduced future hospital admissions, inpatient days, and hospital readmissions. They also resulted in improved housing outcomes. Results for emergency department use and costs were mixed but promising. Future research utilizing adequate comparison groups is needed.",
keywords = "Aftercare, Homeless people, Hospitalization, Patient discharge, Respite care, Subacute care",
author = "Kelly Doran and Ragins, {Kyle T.} and Gross, {Cary P.} and Suzanne Zerger",
year = "2013",
month = "5",
doi = "10.1353/hpu.2013.0053",
language = "English (US)",
volume = "24",
pages = "499--524",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "2",

}

TY - JOUR

T1 - Medical respite programs for homeless patients

T2 - A systematic review

AU - Doran, Kelly

AU - Ragins, Kyle T.

AU - Gross, Cary P.

AU - Zerger, Suzanne

PY - 2013/5

Y1 - 2013/5

N2 - Medical respite programs provide care to homeless patients who are too sick to be on the streets or in a traditional shelter, but not sick enough to warrant inpatient hospitalization. They are designed to improve the health of homeless patients while also decreasing costly hospital use. Although there is increasing interest in implementing respite programs, there has been no prior systematic review of their effectiveness. We conducted a comprehensive search for studies of medical respite program outcomes in multiple biomedical and sociological databases, and the grey literature. Thirteen articles met inclusion criteria. The articles were heterogeneous in methods, study quality, inclusion of a comparison group, and outcomes examined. Available evidence showed that medical respite programs reduced future hospital admissions, inpatient days, and hospital readmissions. They also resulted in improved housing outcomes. Results for emergency department use and costs were mixed but promising. Future research utilizing adequate comparison groups is needed.

AB - Medical respite programs provide care to homeless patients who are too sick to be on the streets or in a traditional shelter, but not sick enough to warrant inpatient hospitalization. They are designed to improve the health of homeless patients while also decreasing costly hospital use. Although there is increasing interest in implementing respite programs, there has been no prior systematic review of their effectiveness. We conducted a comprehensive search for studies of medical respite program outcomes in multiple biomedical and sociological databases, and the grey literature. Thirteen articles met inclusion criteria. The articles were heterogeneous in methods, study quality, inclusion of a comparison group, and outcomes examined. Available evidence showed that medical respite programs reduced future hospital admissions, inpatient days, and hospital readmissions. They also resulted in improved housing outcomes. Results for emergency department use and costs were mixed but promising. Future research utilizing adequate comparison groups is needed.

KW - Aftercare

KW - Homeless people

KW - Hospitalization

KW - Patient discharge

KW - Respite care

KW - Subacute care

UR - http://www.scopus.com/inward/record.url?scp=84878457569&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84878457569&partnerID=8YFLogxK

U2 - 10.1353/hpu.2013.0053

DO - 10.1353/hpu.2013.0053

M3 - Review article

C2 - 23728025

AN - SCOPUS:84878457569

VL - 24

SP - 499

EP - 524

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 2

ER -