The DOI matches its Crossref record, with a small difference in title or year; 16 of the 16 references it cites were found in a registry or an index.
Diagnoses Treated in Ambulatory Care Among Homeless-Experienced Veterans: Does Supported Housing Matter?
Open accessAbstract
Purpose: Little is known about how permanent supported housing influences ambulatory care received by homeless persons. To fill this gap, we compared diagnoses treated in VA Greater Los Angeles (VAGLA) ambulatory care between Veterans who are formerly homeless—now housed/case managed through VA Supported Housing (“VASH Veterans”)—and currently homeless. Methods: We performed secondary database analyses of homeless-experienced Veterans (n = 3631) with VAGLA ambulatory care use from October 1, 2010 to September 30, 2011. We compared diagnoses treated—adjusting for demographics and need characteristics in regression analyses—between VASH Veterans (n = 1904) and currently homeless Veterans (n = 1727). Results: On average, considering 26 studied diagnoses, VASH (vs currently homeless) Veterans received care for more ( P < .05) diagnoses (mean = 2.9/1.7). Adjusting for demographics and need characteristics, VASH Veterans were more likely ( P < .05) than currently homeless Veterans to receive treatment for diagnoses across categories: chronic physical illness, acute physical illness, mental illness, and substance use disorders. Specifically, VASH Veterans had 2.5, 1.7, 2.1, and 1.8 times greater odds of receiving treatment for at least 2 condition in these categories, respectively. Among participants treated for chronic illnesses, adjusting for predisposing and need characteristics, VASH (vs currently homeless) Veterans were 9%, 8%, and 11% more likely to have 2 or more visits for chronic physical illnesses, mental illnesses, and substance use disorder, respectively. Conclusion: Among homeless-experienced Veterans, permanent supported housing may reduce disparities in the treatment of diagnoses commonly seen in ambulatory care.
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During the first year of the HUD-VASH program, veterans had higher rates of medical visits than veterans who were still homeless.
“During the first year of the HUD-VASH program, veterans had higher rates of emergency department, mental health, and medical visits as well as hospitalizations than veterans who were still homeless.18,28”
From Permanent Supportive Housing with Housing First to Reduce Homelessness and Promote Health among Homeless Populations with Disability: A Community Guide Systematic Review (2020) · cites this paper as [18]
The Results (page not available in our copy) report that VASH veterans were more likely than currently homeless veterans to have at least two visits for treated chronic physical illnesses. The Introduction and Methods identify the study period as October 2010 through September 2011, not veterans’ first year in HUD-VASH; the results also do not establish a higher rate of medical visits overall. (LLM, conf=0.86)
Experimental — accuracy not yet measuredDuring the first year of the HUD-VASH program, veterans had higher rates of mental health visits than veterans who were still homeless.
“During the first year of the HUD-VASH program, veterans had higher rates of emergency department, mental health, and medical visits as well as hospitalizations than veterans who were still homeless.18,28”
From Permanent Supportive Housing with Housing First to Reduce Homelessness and Promote Health among Homeless Populations with Disability: A Community Guide Systematic Review (2020) · cites this paper as [18]
The Results report that, among veterans treated for mental illness, a higher proportion of VASH veterans than currently homeless veterans had at least two visits (73.7% versus 66.5%). The Introduction and Methods describe a one-year observation period, October 2010 to September 2011, but do not establish that it was the veterans’ first year in HUD-VASH. (LLM, conf=0.88)
Experimental — accuracy not yet measuredCompared with TAU, participants of Housing First programs had less hospitalization.
“Participants of Housing First programs had less emergency department use18,20,31 and hospitalization18,31 when compared with TAU”
From Permanent Supportive Housing with Housing First to Reduce Homelessness and Promote Health among Homeless Populations with Disability: A Community Guide Systematic Review (2020) · cites this paper as [18]
The Introduction (page unavailable) says permanent supported housing programs lessen hospitalizations. It does not specify Housing First programs or a treatment-as-usual comparator. The Methods (page unavailable) compare VASH veterans with currently homeless veterans for diagnoses treated in ambulatory care, not hospitalization. (LLM, conf=0.84)
Experimental — accuracy not yet measuredDuring the first year of the HUD-VASH program, veterans had higher rates of hospitalizations than veterans who were still homeless.
“During the first year of the HUD-VASH program, veterans had higher rates of emergency department, mental health, and medical visits as well as hospitalizations than veterans who were still homeless.18,28”
From Permanent Supportive Housing with Housing First to Reduce Homelessness and Promote Health among Homeless Populations with Disability: A Community Guide Systematic Review (2020) · cites this paper as [18]
The Methods and Results compare outpatient diagnoses and follow-up visits among VASH and currently homeless Veterans, not hospitalization rates during the first year of VASH. The Introduction says supported housing programs generally lessen hospitalizations, but gives no hospitalization comparison for these groups. Searched for hospitalization, inpatient care, and first-year rates in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measuredDuring the first year of the HUD-VASH program, veterans had higher rates of emergency department visits than veterans who were still homeless.
“During the first year of the HUD-VASH program, veterans had higher rates of emergency department, mental health, and medical visits as well as hospitalizations than veterans who were still homeless.18,28”
From Permanent Supportive Housing with Housing First to Reduce Homelessness and Promote Health among Homeless Populations with Disability: A Community Guide Systematic Review (2020) · cites this paper as [18]
The Results report more ambulatory diagnoses treated and more follow-up visits among VASH veterans than currently homeless veterans, but do not report emergency department visit rates. A search of our copy for emergency department visits and first-year VASH use found no passage addressing that specific comparison. (LLM, conf=0.76)
Experimental — accuracy not yet measured
Compared with TAU, participants of Housing First programs had less emergency department use.
“Participants of Housing First programs had less emergency department use18,20,31 and hospitalization18,31 when compared with TAU”
From Permanent Supportive Housing with Housing First to Reduce Homelessness and Promote Health among Homeless Populations with Disability: A Community Guide Systematic Review (2020) · cites this paper as [18]
The Methods and Abstract Results compare diagnoses treated in ambulatory care among VASH and currently homeless Veterans, not emergency department use against treatment as usual. Searches for emergency department and emergency room use found no passage reporting the claimed comparison. (LLM, conf=0.74)
Experimental — accuracy not yet measured
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Citations
Cites
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VA Health Service Utilization for Homeless and Low-income Veterans
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Flagged first, then by citations
Research works printed but not linked: 4
- Gelberg L, 2000, Health Serv Res, 34, 1273
- Ash AS, 2000, Health Care Financ Rev, 21, 7
- Hsiao C-J, 2010, Natl Health Stat Report, 1
- Gabrielian S, 2014, Fed Practitioner, 31, 10
Cited by
Sorted by citations
Peng, Y., Hahn, R. A., Finnie, R. K. C., Cobb, J., Williams, S. P., Fielding, J. E., Johnson, R. L., Montgomery, A. E., Schwartz, A. F., Muntaner, C., et al. (2020) · Journal of Public Health Management and Practice · doi:10.1097/phh.0000000000001219 · Cited by 96
“During the first year of the HUDVASH program, veterans had higher rates of emergency department, mental health, and medical visits as well as hospitalizations than veterans who were still homeless.(18,28)”
Background
Metadata
- Authors
- Gabrielian, S., Yuan, A. H., Andersen, R. M., & Gelberg, L.
- Affiliations
- University of California, Los Angeles (US)
- VA Greater Los Angeles Healthcare System (US)
- Corresponding author
- Gabrielian, Sonya
- Venue
- Journal of Primary Care & Community Health
- Publisher
- SAGE Publications
- Published
- 2016-07-07
- Volume
- 7
- Issue
- 4
- Pages
- 281-287
- ISSN
- 2150-1319 (ISSN-L)
- 2150-1327
- PMC
- PMC5016249
- OpenAlex
- W2466037534
- Cited by
- 17
- References
- 16
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 1 · 2017: 2
- FWCI
- 4.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Primary Care & Community Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- U.S. Department of Veterans Affairs
- Health Services Research and Development
- National Institutes of Health (VA999999)
- Office of Patient Care Services, Department of Veterans Affairs
- Topics
- Social Sciences › Sociology and Political Science › Homelessness and Social Issues
- Social Sciences › Urban Studies › Urban and Rural Development Challenges
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
- Keywords
- homeless veterans, ambulatory care utilization, chronic physical illness, mental illness, substance use disorders, health disparities, case management
- MeSH terms
- Adult, Ambulatory Care, Delivery of Health Care, Female, Health Services Accessibility, Ill-Housed Persons, Housing, Humans, Male, Middle Aged, Regression Analysis, United States, Veterans, Healthcare Disparities
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