Title of Presentation

Medical respite programs are an important solution to alleviate the environmental factors attributed to poor outcomes in orthopaedic trauma patients experiencing homelessness

Institution

OHSU

Program/Major

Epidemiology

Degree

MPH

Presentation Type

Poster

Start Date

8-4-2021 10:38 AM

End Date

8-4-2021 10:43 AM

Persistent Identifier

https://archives.pdx.edu/ds/psu/35576

Keywords

Orthopaedics, trauma, homelessness, medical respite

Abstract

Persons experiencing homelessness are exposed to a unique set of environmental factors that may disproportionately expose them to traumatic injuries. This population is particularly vulnerable to orthopaedic trauma based on the neighborhoods in which they reside, barriers to receiving healthcare, and social determinants of health. Further, when orthopaedic trauma occurs in persons experiencing homelessness, there is a complex array of postoperative considerations to ensure successful recovery. The purpose of this review is to discuss the environmental factors that may be attributable to orthopaedic trauma and describe how medical respite programs can alleviate these factors to improve the postoperative care of this population. In the absence of targeted policy that eliminates upstream factors that may cause a person to experience homelessness, medical respite programs provide acute and post-acute care for the orthopaedic trauma population experiencing homelessness. Medical respite programs may improve postoperative outcomes for orthopaedic trauma patients experiencing homelessness, which could result in reduced healthcare utilization and costs while improving population health. Thus, additional funding should be a priority to expand access to medical respite care for orthopaedic trauma patients experiencing homelessness.

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Apr 8th, 10:38 AM Apr 8th, 10:43 AM

Medical respite programs are an important solution to alleviate the environmental factors attributed to poor outcomes in orthopaedic trauma patients experiencing homelessness

Persons experiencing homelessness are exposed to a unique set of environmental factors that may disproportionately expose them to traumatic injuries. This population is particularly vulnerable to orthopaedic trauma based on the neighborhoods in which they reside, barriers to receiving healthcare, and social determinants of health. Further, when orthopaedic trauma occurs in persons experiencing homelessness, there is a complex array of postoperative considerations to ensure successful recovery. The purpose of this review is to discuss the environmental factors that may be attributable to orthopaedic trauma and describe how medical respite programs can alleviate these factors to improve the postoperative care of this population. In the absence of targeted policy that eliminates upstream factors that may cause a person to experience homelessness, medical respite programs provide acute and post-acute care for the orthopaedic trauma population experiencing homelessness. Medical respite programs may improve postoperative outcomes for orthopaedic trauma patients experiencing homelessness, which could result in reduced healthcare utilization and costs while improving population health. Thus, additional funding should be a priority to expand access to medical respite care for orthopaedic trauma patients experiencing homelessness.