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B. Glaser (1965)
The Constant Comparative Method of Qualitative AnalysisSocial Problems, 12
(2014)
Medical respite care
L. Wood, Shannen Vallesi, K. Martin, L. Lester, Kaylene Zaretzky, Paul Flatau, Angela Gazey (2017)
St Vincent’s Hospital Melbourne homelessness programs evaluation report- An evaluation of ALERT, CHOPS, The Cottage and Prague House.
Donna Biederman, Julia Gamble, M. Manson, D. Taylor (2014)
Assessing the Need for a Medical Respite: Perceptions of Service Providers and Homeless PersonsJournal of Community Health Nursing, 31
S. Fazel, J. Geddes, M. Kushel (2014)
The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendationsThe Lancet, 384
T. Weiland, Gaye Moore (2009)
Health services for the homeless: A need for flexible, person-centred and multidisciplinary services that focus on engagement, 31
Suzanne Zerger, B. Doblin, Lisa Thompson (2009)
Medical Respite Care for Homeless People: A Growing National PhenomenonJournal of Health Care for the Poor and Underserved, 20
David Buchanan, B. Doblin, Theophilus Sai, P. Garcia (2006)
The effects of respite care for homeless patients: a cohort study.American journal of public health, 96 7
(2018)
National hospital cost data collection cost report: round 20 financial year 2015-16 – February 2018
N. Hewett, Alex Bax, A. Halligan (2013)
Integrated care for homeless people in hospital: an acid test for the NHS?British journal of hospital medicine, 74 9
G. Jelinek, M. Jiwa, Nicholas Gibson, A. Lynch (2008)
Frequent attenders at emergency departments: a linked‐data population study of adult patientsMedical Journal of Australia, 189
K. Doran, K. Ragins, Andrea Iacomacci, A. Cunningham, K. Jubanyik, Grace Jenq (2013)
The Revolving Hospital Door: Hospital Readmissions Among Patients Who Are HomelessMedical Care, 51
S. Greysen, Rebecca Allen, M. Rosenthal, Georgina Lucas, E. Wang (2013)
Improving the Quality of Discharge Care for the Homeless: A Patient-centered ApproachJournal of Health Care for the Poor and Underserved, 24
Kelly Doran, K. Ragins, C. Gross, Suzanne Zerger (2013)
Medical Respite Programs for Homeless Patients: A Systematic ReviewJournal of Health Care for the Poor and Underserved, 24
Gaye Moore, M. Gerdtz, Graham Hepworth, Elizabeth Manias (2010)
Homelessness: patterns of emergency department use and risk factors for re-presentationEmergency Medicine Journal, 28
(2011)
NVivo qualitative data analysis software
J. Billeter (2012)
Improving hospital admission and discharge for people who are homeless
S. Fazel, V. Khosla, H. Doll, J. Geddes (2008)
The Prevalence of Mental Disorders among the Homeless in Western Countries: Systematic Review and Meta-Regression AnalysisPLoS Medicine, 5
S. Kertesz, Michael Posner, J. O’Connell, S. Swain, A. Mullins, M. Shwartz, A. Ash (2009)
Post-Hospital Medical Respite Care and Hospital Readmission of Homeless PersonsJournal of Prevention & Intervention in the Community, 37
A. Stafford, L. Wood (2017)
Tackling Health Disparities for People Who Are Homeless? Start with Social DeterminantsInternational Journal of Environmental Research and Public Health, 14
Brian Park, E. Beckman, Catherine Glatz, Andrew Pisansky, John Song (2017)
A place to heal: a qualitative focus group study of respite care preferences among individuals experiencing homelessness*Journal of Social Distress and the Homeless, 26
Julia Zur, Sabriya Linton, H. Mead (2016)
Medical Respite and Linkages to Outpatient Health Care Providers among Individuals Experiencing HomelessnessJournal of Community Health Nursing, 33
Co-existing health conditions and frequent hospital usage are pervasive in homeless populations. Without a home to be discharged to, appropriate discharge care and treatment compliance are difficult. The Medical Respite Centre (MRC) model has gained traction in the USA, but other international examples are scant. The purpose of this paper is to address this void, presenting findings from an evaluation of The Cottage, a small short-stay respite facility for people experiencing homelessness attached to an inner-city hospital in Melbourne, Australia.Design/methodology/approachThis mixed methods study uses case studies, qualitative interview data and hospital administrative data for clients admitted to The Cottage in 2015. Hospital inpatient admissions and emergency department presentations were compared for the 12-month period pre- and post-The Cottage.FindingsClients had multiple health conditions, often compounded by social isolation and homelessness or precarious housing. Qualitative data and case studies illustrate how The Cottage couples medical care and support in a home-like environment. The average stay was 8.8 days. There was a 7 per cent reduction in the number of unplanned inpatient days in the 12-months post support.Research limitations/implicationsThe paper has some limitations including small sample size, data from one hospital only and lack of information on other services accessed by clients (e.g. housing support) limit attribution of causality.Social implicationsMRCs provide a safe environment for individuals to recuperate at a much lower cost than inpatient admissions.Originality/valueThere is limited evidence on the MRC model of care outside of the USA, and the findings demonstrate the benefits of even shorter-term respite post-discharge for people who are homeless.
Housing Care and Support – Emerald Publishing
Published: Mar 8, 2019
Keywords: Australia; Homelessness; Emergency department; Hospital use; Medical respite care; Medical respite centre
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