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Care and Complexity in Emergency Housing: an Examination of the COVID-19 Shelter-in-Place (SIP) Hotel Program to House People Experiencing Homelessness in San Francisco.
- Source :
- Journal of Urban Health; Apr2023, Vol. 100 Issue 2, p303-313, 11p, 2 Diagrams, 2 Charts, 1 Graph
- Publication Year :
- 2023
-
Abstract
- In this study, we consider the patient, provider, and public health repercussions of San Francisco's (SF) COVID-related response to homelessness using tourist hotels to house people experiencing homelessness (PEH). We describe the demographics, medical comorbidities, and healthcare utilization patterns of a subset of PEH who accessed the shelter-in-place (SIP) hotel sites during the 2020–2021 pandemic. We focus on how SIP hotels impacted connection to outpatient care and higher-cost emergency utilization. Our mixed methods study integrates qualitative and quantitative data to consider the impact of this temporary housing initiative among a medically complex cohort in a time of increased morbidity and mortality related to substance use. We found that temporary SIP housing increased outpatient care and reduced higher-cost hospital utilization. Our results can inform the future design and implementation of integrated supportive housing models to reduce mortality and promote wellness for PEH. [ABSTRACT FROM AUTHOR]
- Subjects :
- EMERGENCY housing
HOMELESS persons
TEMPORARY housing
HOSPITAL utilization
COVID-19
Subjects
Details
- Language :
- English
- ISSN :
- 10993460
- Volume :
- 100
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Urban Health
- Publication Type :
- Academic Journal
- Accession number :
- 163521085
- Full Text :
- https://doi.org/10.1007/s11524-022-00705-8