Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017;28(2):784-797.
doi: 10.1353/hpu.2017.0074.

"I Need my Own Place to get Better": Patient Perspectives on the Role of Housing in Potentially Preventable Hospitalizations

Michelle L Quensell, Deborah A Taira, Todd B Seto, Kathryn L Braun, Tetine L Sentell

"I Need my Own Place to get Better": Patient Perspectives on the Role of Housing in Potentially Preventable Hospitalizations

Michelle L Quensell et al. J Health Care Poor Underserved. 2017.

Abstract

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.

PubMed Disclaimer

References

    1. Stranges E, Stocks C. Potentially preventable hospitalizations for acute and chronic conditions, 2008: Statistical Brief #99. Rockville, MD: Agency for Health Care Policy and Research; 2010. - PubMed
    1. Billings J, Anderson GM, Newman LS. Recent findings on preventable hospitalizations. Health Aff (Millwood) 1996 Aug;15(3):239–49. https://doi.org/10.1377/hlthaff.15.3.239. - DOI - PubMed
    1. Moy E, Chang E, Barrett M. Potentially preventable hospitalizations—United States, 2001–2009. MMWR Surveill Summ. 2013 Nov 22;62(Suppl 3):139–43. - PubMed
    1. Chokshi DA, Chang JE. Preventing early readmissions. JAMA. 2014 Oct 1;312(13):1344–5. https://doi.org/10.1001/jama.2014.9473. - DOI - PubMed
    1. Agency for Health care Research and Quality. AHRQ quality indicators-guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions, revision 3. Rockville, MD: Agency for Health care Research and Quality; 2004. Available at: http://www.ahrq.gov/downloads/pub/ahrqqi/pqiguide.pdf.

Publication types

MeSH terms