{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T23:55:35Z","timestamp":1770335735196,"version":"3.49.0"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nHomelessness is a growing concern in the US, with 3.5 million people experiencing it annually and 600,000 on any given night. Homeless individuals face increased vulnerability to 30-day hospital readmissions and higher mortality rates, straining the healthcare system and exacerbating existing disparities. This study aims to inform neurosurgeons on evidence-based strategies to reduce readmission and mortality rates among homeless patients by reviewing the literature on the impact of medical respite on 30-day readmission rates. The study aims to gauge the efficacy of medical respite in reducing hospital readmissions and improving health outcomes for homeless individuals.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nA comprehensive literature search was conducted across PubMed, Embase\/Medline, and Cochrane databases, as well as consulting the National Institute for Medical Respite Care and the Department of Health Care Access and Information. Ten articles were chosen from an initial 296 to investigate the impact of respite programs on readmission rates among homeless patients.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nHomeless patients experience high readmission rates due to various factors. Interventions such as respite programs and a comprehensive approach to healthcare can lower these rates. Collaboration between hospitals and medical respites has proven particularly effective.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nInadequate healthcare for homeless individuals leads to increased readmissions, longer hospital stays, and higher costs. Medical respites are a viable solution, but limited resources hamper their effectiveness. Therefore, it is crucial to facilitate cooperation between hospitals, respites, and other entities. Future research should focus on disparity in neurosurgical procedures and explore alternative services. An interdisciplinary approach is key to addressing healthcare inequalities.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_549_2023","type":"journal-article","created":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T19:15:31Z","timestamp":1708110931000},"page":"49","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Addressing healthcare disparities in homeless neurosurgical patients: A comprehensive literature review on strategies for equitable care and improved outcomes"],"prefix":"10.25259","volume":"15","author":[{"given":"Albert","family":"Alan","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Mayo Clinic, Rochester, Minnesota, United States"},{"name":"Global Neurosurgical Alliance, Rochester, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Ennabe","sequence":"additional","affiliation":[{"name":"Global Neurosurgical Alliance, Rochester, Minnesota, United States"},{"name":"Department of Neurology, Mayo Clinic, Rochester, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Withers","sequence":"additional","affiliation":[{"name":"Pittsburgh Mercy Health System, Operation Safety Net, Pittsburgh, Pennsylvania, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Tucson, Arizona, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Weinand","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Arizona, Tucson, Arizona, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,2,16]]},"reference":[{"key":"10.25259\/SNI_549_2023\/ref-1","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1016\/j.mayocp.2020.01.013","article-title":"Cardiovascular Outcomes and rehospitalization rates in homeless patients admitted with acute myocardial infarction","volume":"95","author":"Balla","year":"2020","journal-title":"Mayo Clin Proc"},{"key":"10.25259\/SNI_549_2023\/ref-2","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1227\/neu.0000000000002408","article-title":"Understanding the unique challenges faced by homeless patients with acute traumatic neurosurgical injuries","volume":"93","author":"Cole","year":"2023","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_549_2023\/ref-3","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.hjdsi.2015.07.006","article-title":"Improving post-hospital care for people who are homeless: Community-based participatory research to community-based action","volume":"3","author":"Doran","year":"2015","journal-title":"Healthc (Amst)"},{"key":"10.25259\/SNI_549_2023\/ref-5","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1016\/j.jamcollsurg.2012.05.024","article-title":"Risk factors for 30-day hospital readmission among general surgery patients","volume":"215","author":"Kassin","year":"2012","journal-title":"J Am Coll Surg"},{"key":"10.25259\/SNI_549_2023\/ref-6","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1080\/10852350902735734","article-title":"Post-hospital medical respite care and hospital readmission of homeless persons","volume":"37","author":"Kertesz","year":"2009","journal-title":"J Prev Interv Community"},{"key":"10.25259\/SNI_549_2023\/ref-8","doi-asserted-by":"crossref","first-page":"113283","DOI":"10.1016\/j.socscimed.2020.113283","article-title":"Comparison of 30-day readmission and emergency department revisit rates among homeless patients at teaching versus non-teaching hospitals","volume":"263","author":"Miyawaki","year":"2020","journal-title":"Soc Sci Med"},{"key":"10.25259\/SNI_549_2023\/ref-9","doi-asserted-by":"crossref","first-page":"2560","DOI":"10.1007\/s11606-020-06029-0","article-title":"Hospital readmission and emergency department revisits of homeless patients treated at homeless-serving hospitals in the USA: Observational study","volume":"35","author":"Miyawaki","year":"2020","journal-title":"J Gen Intern Med"},{"key":"10.25259\/SNI_549_2023\/ref-10","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1007\/s11606-016-3680-8","article-title":"Hospital readmissions in a community-based sample of homeless adults: A matched-cohort study","volume":"31","author":"Saab","year":"2016","journal-title":"J Gen Intern Med"}],"container-title":["Surgical Neurology 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