The musculoskeletal injury patterns in homeless patients: poor compliance with outpatient follow-up

A scoping review of surgical care for people experiencing homelessness: prevalence, access, and disparities

“…Reports regarding outpatient follow-up included 7 primary studies, 35 , 41 , 50 , 59 , 73 , 75 , 76 a thesis, 71 a systematic review, 74 and an abstract. 77 PEH were found to have fewer surgical visits and were less likely to be referred to outpatient care.…”

“…Many studies discussed barriers or challenges PEH face when it comes to surgical care, including 48 primary studies, 19 , 31 , 34 – 36 , 39 – 41 , 43 – 45 , 47 – 50 , 54 , 55 , 57 – 64 , 66 , 69 , 72 , 73 , 75 , 79 – 81 , 86 , 91 , 96 , 98 , 100 , 102 – 105 , 107 – 109 , 111 , 112 , 114 , 116 9 abstracts, 37 , 38 , 42 , 52 , 77 , 84 , 101 , 106 , 118 5 literature reviews, 22 , 74 , 95 , 99 , 110 1 invited article, 51 1 magazine article, 70 1 thought piece, 92 1 ethical essay, 115 1 thesis, 71 and 1 historical analysis. 117 The majority of comments presented concerns regarding living conditions.…”

“… 22 , 43 , 49 , 51 , 59 , 73 , 74 , 84 , 100 , 108 – 110 Specifically, 11 studies commented on challenges for PEH accessing specialty care. 36 , 41 , 43 , 60 , 75 , 92 , 99 , 100 , 103 , 111 , 112 Four studies mentioned their overreliance on visits to the emergency department. 41 , 75 , 95 , 103 Two studies commented on how a hospital’s limited funding, resources, space, and personnel can prevent PEH from receiving the care they need while admitted, 30 , 47 and 1 study commented on how PEH can experience more discharge concerns.…”

“… 36 , 41 , 43 , 60 , 75 , 92 , 99 , 100 , 103 , 111 , 112 Four studies mentioned their overreliance on visits to the emergency department. 41 , 75 , 95 , 103 Two studies commented on how a hospital’s limited funding, resources, space, and personnel can prevent PEH from receiving the care they need while admitted, 30 , 47 and 1 study commented on how PEH can experience more discharge concerns. 113 Lack of insurance was noted frequently, even in countries with public coverage but missed certain services.…”

“…73,74,59 They were also reported to be less likely to attend followup, with as many as 45%-55% missing their appoint ments. 35,41,59,71,[74][75][76][77] Zuccaro and colleagues 35 reported that just under half of referred patients attended at least 1 outpatient appointment and only onethird completed followup. 35 Sur prisingly, Concannon and colleagues 50 found that PEH were not significantly more likely to miss appointments, but lost contact with the medical team twice as often as patients with housing owing to a combination of missed appointments, relocation, and admission to hospice.…”