{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T04:00:39Z","timestamp":1784347239378,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T00:00:00Z","timestamp":1549843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The purpose of this study was to evaluate a homeless medical respite pilot program to determine if program participants had health care utilization pattern changes and improved connection to income, housing, and health care resources post program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This is a quantitative descriptive pre\u2010\/post\u2010program evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>A total of 29 patients experiencing homelessness and discharged from an acute care hospital in the southeastern United States were provided with housing and nursing case management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>Demographics including age, sex, race, and ethnicity were collected. Connection to primary care, mental health, substance abuse services, income, insurance, and housing were assessed at program entry and completion. Health care utilization and charge and payment data were collected 1\u00a0year prior and 1\u00a0year post\u2010respite stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants demonstrated reduced hospital admissions (\u221236.7%) and when admitted, fewer inpatient days (\u221270.2%) and increased outpatient provider visits (+192.6%). Health care charges for the cohort decreased by 48.6% from the year prior to the program. Housing and income improved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The medical respite pilot program was successful in guiding patients to community resources for more appropriate health care at a demonstrated cost savings. Participants also derived benefits in the form of improved housing and income.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.12589","type":"journal-article","created":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T07:27:53Z","timestamp":1549956473000},"page":"296-302","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Health care utilization following a homeless medical respite pilot program"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8957-1296","authenticated-orcid":false,"given":"Donna J.","family":"Biederman","sequence":"first","affiliation":[{"name":"School of Nursing Duke University Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Gamble","sequence":"additional","affiliation":[{"name":"Duke Outpatient Clinic Duke University Health System Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Wilson","sequence":"additional","affiliation":[{"name":"Project Access of Durham County Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Douglas","sequence":"additional","affiliation":[{"name":"School of Nursing Duke University Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Feigal","sequence":"additional","affiliation":[{"name":"Departments of Psychiatry and Internal Medicine Duke University Medical School  Durham North Carolina"},{"name":"Healthcare for the Homeless Clinic Lincoln Community Health Center  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,11]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Aurand A. Emmanuel D. Yentel D. Errico E. Gaby\u2010Biegel J. &Kerr E.(2018).Out of reach: The high cost of housing. 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(2018).Health and homelessness. Retrieved fromhttps:\/\/endhomelessness.org\/homelessness-in-america\/what-causes-homelessness\/health\/"},{"key":"e_1_2_7_20_1","volume-title":"Medical respite care: Reducing costs and improving care","author":"National Health Care for the Homeless Council","year":"2011"},{"key":"e_1_2_7_21_1","volume-title":"Ask & code: Documenting homelessness throughout the health care system","author":"National Health Care for the Homeless Council","year":"2016"},{"key":"e_1_2_7_22_1","unstructured":"National Health Care for the Homeless Council. (2018).What is the relationship between health housing and homelessness?. 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