Health & Healthcare: All Related Resources
Our Research
Understanding the 100 Highest Users of Health and Social Services in San Francisco
Academic Emergency Medicine
September 1, 2021
Our Research
Understanding the 100 Highest Users of Health and Social Services in San Francisco
Academic Emergency Medicine
September 1, 2021
The San Francisco Department of Public Health implemented the Coordinated Care Management System (CCMS) in 2007. The CCMS is used to develop High Users of Multiple Systems (HUMS) tp identify individuals with the highest use of emergency medical services. Researchers described the HUMS scoring system and the characteristics and service use of the highest scoring 100 individuals. Researchers found that nearly all of the individuals had a history of homelessness in SF, and over half were unsheltered at their last point of contact.
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Our Research
Health Care for People Experiencing Homelessness—What Outcomes Matter?
JAMA Network Open
March 25, 2021
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Our Research
A Randomized Trial of Permanent Supportive Housing for Chronically Homeless Persons with High Use of Publicly Funded Services
Health Services Research
October 1, 2020
Our Research
A Randomized Trial of Permanent Supportive Housing for Chronically Homeless Persons with High Use of Publicly Funded Services
Health Services Research
October 1, 2020
This UCSF study examined whether permanent supportive housing reduces the use of acute health care and other services among people experiencing chronic homelessness. The Permanent Supportive Housing program intervention was able to house 86% of chronically homeless adults randomized to the treatment group based on their high use of multiple systems. Even the most frequent clients of medical, psychiatric, and emergency services were housed successfully, as demonstrated in this study of Project Welcome Home in Santa Clara County.
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Our Research
Barriers and Solutions To Advance Care Planning Among Homeless-Experienced Older Adults
Journal of Palliative Medicine
September 22, 2020
Our Research
Barriers and Solutions To Advance Care Planning Among Homeless-Experienced Older Adults
Journal of Palliative Medicine
September 22, 2020
Older homeless-experienced adults have low rates of advance care planning (ACP) engagement. In this cross-sectional qualitative study, researchers examined potential barriers and solutions to ACP engagement. Researchers found that participants believed that ACP is important, but acknowledge the multiple barriers to engagement. Potential solutions include capitalizing on opportunities outside health care setting and focusing on the period after housing and tailoring content.
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