Use of acute care services among older homeless adults
Open accessAbstract
There were several limitations of the present study. First, the study cohort was highly educated, numerate, and well insured, with a higher than average income level, thus differing from a population-based cohort of patients with DCIS. Second, we administered hypothetical scenarios to individuals personally not diagnosed as having DCIS. While it is possible that patients with DCIS may react differently to the survey, the use of hypothetical scenarios allowed us to explore women’s preferences toward systemic therapy and active surveillance, unbiased by previous knowledge regarding DCIS and standard modes of treatment options. Finally, the projected outcomes in the scenarios were generalized and static, whereas true outcomes vary depending on patient age, tumor grade, and other case-specific factors. We conclude that the terminology used to describe DCIS has a significant and important impact on patients’ perceptions of treatment alternatives. Health care providers who use “cancer” to describe DCIS must be particularly assiduous in ensuring that patients understand the important distinctions between DCIS and invasive cancer.
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Small studies show that homeless people are open to both behavioural and pharmaceutical help with quitting smoking.
“Findings from small studies111,114,115 of smoking cessation in homeless populations have shown that homeless individuals are receptive to both behavioural and pharmaceutical assistance with smoking cessation.”
From The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations (2014) · cites this paper as [114]
The Methods and Results describe emergency-department visits and hospitalizations among older homeless adults, not smoking-cessation studies. Searches for smoking cessation, tobacco, nicotine, and quitting found no passage in our copy addressing receptiveness to behavioural or pharmaceutical assistance. (LLM, conf=0.76)
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Geriatric syndromes in older homeless adults
Brown, R. T., Kiely, D. K., Bharel, M., & Mitchell, S. L. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-011-1848-9 · Cited by 256 · see citing works
Self-citationThe Age Structure of Contemporary Homelessness: Evidence and Implications For Public Policy
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The Homelessness Crisis and Burn Injuries: A Cohort Study
Vrouwe, S. Q., Johnson, M. B., Pham, C. H., Lane, C. J., Garner, W. L., Gillenwater, T. J., & Yenikomshian, H. A. (2020) · Journal of Burn Care & Research · doi:10.1093/jbcr/iraa023 · Cited by 31 · see citing works
- Authors
- Brown, R. T., Kiely, D. K., Bharel, M., Grande, L. J., & Mitchell, S. L.
- Affiliations
- University of California, San Francisco (US)
- Hebrew SeniorLife (US)
- Boston Health Care for the Homeless Program (US)
- VA Boston Healthcare System (US)
- Corresponding author
- Brown, Rebecca T.
- ORCID
- Brown, Rebecca T.
- Venue
- JAMA Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2013-10-28
- Volume
- 173
- Issue
- 19
- Pages
- 1831
- ISSN
- 2168-6106 (ISSN-L)
- PMC
- PMC3975053
- OpenAlex
- W1980700646
- Cited by
- 22
- References
- 10
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 2
- FWCI
- 4.20
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- JAMA Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (K24AG033640, T32AG000212, P30AG044281)
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- acute care services, health care utilization, homelessness
- MeSH terms
- Aged, Emergency Service, Hospital, Female, Ill-Housed Persons, Humans, Male, Middle Aged, Neuropsychological Tests
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