Providing health care services to the formerly homeless: A quasi-experimental evaluation

Andrea L. Ciaranello, Fred Molitor, Martin H Leamon, Christina Kuenneth, Daniel J Tancredi, Allison L. Diamant, Richard L Kravitz

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

We performed a quasi-experiment to assess the effects of a focused health care intervention delivered in transitional housing facilities in Sacramento, California. Four transitional housing facilities (THFs) receiving the intervention were compared with 2 THFs that did not receive it. A multidisciplinary team provided a diverse package of services to residents at the intervention sites. Residents at comparison sites received usual care. Survey and physical examination data were collected in repeated cross-sectional surveys at baseline (pre-intervention) and after 6 and 18 months of follow-up (post-intervention). Using analysis of covariance techniques, our statistical models showed improved odds of receiving recommended gynecologic preventive care and decreased odds of frequent Emergency Department use at 18 months among residents at the intervention sites. At 6 months, residents at the intervention sites also experienced improved blood pressure control. There was no intervention effect on residents' access to specialists or on physical functioning, mental health, or dental health.

Original languageEnglish (US)
Pages (from-to)441-461
Number of pages21
JournalJournal of Health Care for the Poor and Underserved
Volume17
Issue number2
DOIs
StatePublished - May 2006

Keywords

  • Delivery of health care
  • Health services
  • Homeless persons
  • Transitional housing

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy
  • Social Sciences (miscellaneous)

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