OBJECTIVE: To analyze patient perspectives on the role of housing in their potentially preventable hospitalization. METHODS: Individuals admitted with cardiovascular-or diabetes-related diagnoses (n = 90) in a major medical center in Hawai'i completed an in-person interview eliciting patient perspectives on key factors leading to hospitalization. Using the framework approach, two independent coders identified themes. This study focused on housing-related findings. RESULTS: Overall, 23% of participants reported housing as a precipitating factor to their hospitalization, including 12 with no regular place to stay. Four housing-related themes emerged: challenges meeting basic needs, complex chronic care management difficulties, stigma and relationship with provider, and stress and other mental health issues. DISCUSSION: Almost 25% of patients identified housing as a key factor to their hospital stay. Patient-reported themes highlight specific mechanisms by which housing challenges may lead to hospitalization. Addressing housing issues could help reduce the number and associated cost burden of preventable hospitalizations.
OBJECTIVE: To analyze patient perspectives on the role of housing in their potentially preventable hospitalization. METHODS: Individuals admitted with cardiovascular-or diabetes-related diagnoses (n = 90) in a major medical center in Hawai'i completed an in-person interview eliciting patient perspectives on key factors leading to hospitalization. Using the framework approach, two independent coders identified themes. This study focused on housing-related findings. RESULTS: Overall, 23% of participants reported housing as a precipitating factor to their hospitalization, including 12 with no regular place to stay. Four housing-related themes emerged: challenges meeting basic needs, complex chronic care management difficulties, stigma and relationship with provider, and stress and other mental health issues. DISCUSSION: Almost 25% of patients identified housing as a key factor to their hospital stay. Patient-reported themes highlight specific mechanisms by which housing challenges may lead to hospitalization. Addressing housing issues could help reduce the number and associated cost burden of preventable hospitalizations.
Authors: Sharon Ann Hunt; William T Abraham; Marshall H Chin; Arthur M Feldman; Gary S Francis; Theodore G Ganiats; Mariell Jessup; Marvin A Konstam; Donna M Mancini; Keith Michl; John A Oates; Peter S Rahko; Marc A Silver; Lynne Warner Stevenson; Clyde W Yancy Journal: J Am Coll Cardiol Date: 2009-04-14 Impact factor: 24.094
Authors: Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde Journal: J Biomed Inform Date: 2008-09-30 Impact factor: 6.317
Authors: Bill J Wright; Keri B Vartanian; Hsin-Fang Li; Natalie Royal; Jennifer K Matson Journal: Health Aff (Millwood) Date: 2016-01 Impact factor: 6.301
Authors: Darrell J Gaskin; Roland J Thorpe; Emma E McGinty; Kelly Bower; Charles Rohde; J Hunter Young; Thomas A LaVeist; Lisa Dubay Journal: Am J Public Health Date: 2013-11-14 Impact factor: 9.308
Authors: Seth A Berkowitz; Sara Kalkhoran; Samuel T Edwards; Utibe R Essien; Travis P Baggett Journal: Diabetes Care Date: 2018-01-04 Impact factor: 19.112
Authors: Jaclyn Kanilehua Kim; Lisa Garrett; Renee Latimer; Laura Kau'ionalani Nishizaki; Jo Ann Kimura; Deborah Taira; Tetine Sentell Journal: Hawaii J Med Public Health Date: 2019-06
Authors: Laura Kau'ionlani Nishizaki; Anthony Hereari'i Negrillo; Jonna Minky Ho'opai; Robert Naniole; Damien Hanake'awe; Kehau Pu'ou Journal: Hawaii J Med Public Health Date: 2019-06
Authors: Connie M Trinacty; Emiline LaWall; Melinda Ashton; Deborah Taira; Todd B Seto; Tetine Sentell Journal: Hawaii J Med Public Health Date: 2019-06
Authors: Tetine L Sentell; Todd B Seto; Michelle L Quensell; Jhon Michael Malabed; Mary Guo; May D Vawer; Kathryn L Braun; Deborah A Taira Journal: Hawaii J Health Soc Welf Date: 2020-03-01
Authors: Felicia Hill-Briggs; Nancy E Adler; Seth A Berkowitz; Marshall H Chin; Tiffany L Gary-Webb; Ana Navas-Acien; Pamela L Thornton; Debra Haire-Joshu Journal: Diabetes Care Date: 2020-11-02 Impact factor: 19.112