Hospice Care, Mortality and Other End of Life Issues

Shelter-based Palliative Care for the Homeless Terminally Ill.

This article discusses the ways in which people who are homeless have high rates of mortality, but live in environments not conducive to terminal care. Traditional palliative care hospitals may be reluctant to accept such patients, due to behavior or lifestyle concerns. The Ottawa Inner City Health Project (OICHP) is a pilot study to improve health MORE →

An Evaluation of a Medical Outreach Program Targeting Unstably Housed HIV-Infected Individuals.

This study’s objective was to evaluate a medical outreach program that targets unstably housed individuals infected with human immunodeficiency virus (HIV). One hundred sixty-one cross-sectional interviews were conducted prior to and after establishing a medical outreach program in single room occupancy hotels. Participants’ mean age was 42 years; 58% were men, 95% minority, and 59% active MORE →

Adherence to Hepatitis B Virus Vaccination at Syringe Exchange Sites.

This article looks at injection drug users (IDUs), who are at high risk for hepatitis B virus (HBV), yet often do not receive preventive vaccinations. IDUs who use mobile health care services linked to a syringe exchange program in New Haven were routinely screened for HBV, hepatitis C virus, and syphilis. Individuals without prior exposure to MORE →

Taking It to the Streets: Recording Medical Outreach Data on Personal Digital Assistants.

This article talks about how carrying hundreds of patient files in a suitcase makes medical street outreach to the homeless clumsy and difficult. Healthcare for the Homeless- Houston (HHH) began a case study under the assumption that tracking patient information with a personal digital assistant (PDA) would greatly simplify the process. Equipping clinicians with custom-designed software MORE →

Health Services Utilization Between Older and Younger Homeless Adults.

The purpose of this study was to examine the relationship between health services utilization delivered by means of the Homeless Outreach Medical Services (HOMES) program and health services utilization delivered by means of the Parkland emergency room and inpatient units among a sample of older and younger homeless adults being served by the Parkland Health and MORE →