{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:40:15Z","timestamp":1787964015757,"version":"build-2784847793"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T00:00:00Z","timestamp":1673222400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Applied Research Collaboration Greater Manchester","award":["NIHR200174"],"award-info":[{"award-number":["NIHR200174"]}]},{"name":"NIHR Senior Investigator"},{"DOI":"10.13039\/501100000276","name":"Department of Health and Social Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000276","id-type":"DOI","asserted-by":"publisher"}]},{"name":"UKRI-MRC","award":["MR\/S022554\/1"],"award-info":[{"award-number":["MR\/S022554\/1"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Emergency departments (EDs) are an important point of access to health care for people experiencing homelessness. Evidence suggests that ED attendances by homeless people are more likely to result in leaving the ED without treatment, or dying in the ED. We investigate which diagnoses and patterns of health care use are associated with these (and other) discharge destinations and re-attendance within 7 days among homeless patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used national hospital data to analyze attendances of all 109\u00a0254 people experiencing homelessness who presented at any Type 1 ED in England over 2013\u201318. We used logistic regression to estimate the association of each outcome with primary diagnosis and patterns of healthcare use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with patients with no past ED use, patients with a high frequency of past ED use were more likely to leave without treatment and re-attend within 7 days. Patients not registered at a general practice were likelier to leave without treatment or die in the ED and had lower odds of unplanned re-attendance. A primary diagnosis of \u2018social problems\u2019 was associated with being discharged without follow-up. Patients with a psychiatric primary diagnosis were disproportionately likely to be referred to another health care professional\/provider or an outpatient clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Further research is needed to understand why some homeless patients leave the ED without treatment and whether their healthcare needs are being met. Some patients may be attending the ED frequently due to poor access to other services, such as primary care and social welfare.<\/jats:p><\/jats:sec>","DOI":"10.1093\/eurpub\/ckac191","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T13:59:30Z","timestamp":1673272770000},"page":"161-168","source":"Crossref","is-referenced-by-count":8,"title":["Emergency department outcomes for patients experiencing homelessness in England: retrospective cross-sectional study"],"prefix":"10.1093","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4694-378X","authenticated-orcid":false,"given":"Charlie","family":"Moss","sequence":"first","affiliation":[{"name":"Health Organisation, Policy and Economics (HOPE), Centre for Primary Care and Health Services Research, The University of Manchester , Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Anselmi","sequence":"additional","affiliation":[{"name":"Health Organisation, Policy and Economics (HOPE), Centre for Primary Care and Health Services Research, The University of Manchester , Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matt","family":"Sutton","sequence":"additional","affiliation":[{"name":"Health Organisation, Policy and Economics (HOPE), Centre for Primary Care and Health Services Research, The University of Manchester , Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,1,9]]},"reference":[{"key":"2023040108291219000_"},{"key":"2023040108291219000_","doi-asserted-by":"crossref","first-page":"e033237","DOI":"10.1136\/bmjopen-2019-033237","article-title":"Lifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nations","volume":"9","author":"Taylor","year":"2019","journal-title":"BMJ Open"},{"key":"2023040108291219000_","author":"Public Health 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