{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:28:46Z","timestamp":1777415326981,"version":"3.51.4"},"reference-count":23,"publisher":"Royal College of General Practitioners","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJGP Open"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>People experiencing homelessness are known to have complex health needs and to be high users of hospital accident and emergency (A&amp;E) departments. It is unclear whether access to a day-time specialist homeless medical practice, as opposed to routine general practice, influences A&amp;E attendance rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study investigated whether registration with a specialist homeless service would alter A&amp;E attendance rates in a single geographical region in Scotland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design &amp; setting<\/jats:title><jats:p>A health board area with a specialist service for people experiencing homelessness was selected. Data were obtained from the hospital records of 4408 A&amp;E attendances by people experiencing homelessness at NHS Lothian (based on a broad definition of homelessness and including those in temporary accommodation) between January 2015 and July 2017.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The attendances were compared between people registered with a specialist service and those registered with a mainstream GP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The reasons for attendance and urgency of attendance were broadly similar between the two groups. Repeat attendance was similarly high in both groups. Almost 70% in both groups attended with problems deemed urgent, very urgent, or requiring immediate resuscitation. The patients registered with the specialist homeless service were more likely to be older and male; however, this did not affect the frequency of attendance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>People experiencing homelessness attending A&amp;E mainly do so for urgent or very urgent problems. This was not related to the type of day-time primary care service they had access to. Strategies to reduce attendances, such as out-of-hours mobile medical units, should be explored.<\/jats:p><\/jats:sec>","DOI":"10.3399\/bjgpopen20x101089","type":"journal-article","created":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T05:50:15Z","timestamp":1604469015000},"page":"bjgpopen20X101089","source":"Crossref","is-referenced-by-count":9,"title":["Accident and emergency department attendance rates of people experiencing homelessness by GP registration: a retrospective analysis"],"prefix":"10.3399","volume":"4","author":[{"given":"Johanna","family":"Reilly","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalil","family":"Hassanally","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Budd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stewart","family":"Mercer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1987","published-online":{"date-parts":[[2020,11,3]]},"reference":[{"key":"2021042307051177000_4.5.bjgpopen20X101089.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61132-6"},{"key":"2021042307051177000_4.5.bjgpopen20X101089.2","unstructured":"Fitzpatrick S Pawson H Bramley G et al (2018) The homeless monitor: England 2018. https:\/\/www.crisis.org.uk\/media\/238700\/homelessness_monitor_england_2018.pdf. 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