The provision of supportive
housing is often recognized as important public policy, but it also plays a
role in health care reform. Health care costs for the homeless reflect
both their medical complexity and psychosocial risk factors. Supportive housing
attempts to moderate both by providing stable places to live along with on-site
integrated health services. In this pilot study we used a mixture of survey and
administrative claims data to evaluate outcomes for formerly homeless people
who were living in a supportive housing facility in Oregon between 2010 and
2014.
Results from the claims analysis showed significantly lower overall health care expenditures for the people after they moved into supportive housing. Expenditure changes were driven primarily by reductions in emergency and inpatient care. Survey data suggest that the savings were not at the expense of quality: Respondents reported improved access to care, stronger primary care connections, and better subjective health outcomes.
Together, these results indicate a potential association between supportive housing and reduced health care costs that warrants deeper consideration as part of ongoing health care reforms.
Results from the claims analysis showed significantly lower overall health care expenditures for the people after they moved into supportive housing. Expenditure changes were driven primarily by reductions in emergency and inpatient care. Survey data suggest that the savings were not at the expense of quality: Respondents reported improved access to care, stronger primary care connections, and better subjective health outcomes.
Together, these results indicate a potential association between supportive housing and reduced health care costs that warrants deeper consideration as part of ongoing health care reforms.
Purchase full article at: http://goo.gl/VxfAyD
By: Wright BJ1, Vartanian KB2, Li HF3, Royal N4, Matson JK5.
- 1Bill J. Wright (bill.wright@providence.org) is regional director of the Center for Outcomes Research and Education at Providence Health and Services (CORE), in Portland, Oregon.
- 2Keri B. Vartanian is an associate research scientist at CORE.
- 3Hsin-Fang Li is a research analyst at CORE.
- 4Natalie Royal is a research associate at CORE.
- 5Jennifer K. Matson is a project manager at CORE.
- Health Aff (Millwood). 2016 Jan 1;35(1):20-7. doi: 10.1377/hlthaff.2015.0393.
More at: https://twitter.com/hiv
insight
No comments:
Post a Comment