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Association of Shelter-in-Place Hotels With Health Services Use Among People Experiencing Homelessness During the COVID-19 Pandemic

Published Web Location

https://jamanetwork.com/journals/jamanetworkopen/article-abstract/2794705
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Abstract

Key Points

Question: Was placement in a shelterin-place (SIP) hotel during the COVID-19 pandemic associated with health system utilization among people experiencing homelessness with a history of high use of acute health services?

Findings: In this cohort study of 686 high users of acute county services experiencing homelessness, those who received a SIP hotel placement had significantly fewer emergency department visits, hospital admissions, inpatient days, and psychiatric emergency department visits compared with matched controls without a placement.

Meaning: These findings suggest that provision of noncongregate shelter with supportive services in SIP hotels during the COVID-19 pandemic was associated with reduced use of acute health services among people with prior high use.

This work has been supported, in part, by the University of California Multicampus Research Programs and Initiatives grants MRP-19-600774 and M21PR3278

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