Improving health status of homeless patients at a nurse-managed clinic in the Midwest USA

Christine L. Savage, Christopher J. Lindsell, Gordon L. Gillespie, Roberta J. Lee, Adele Corbin

Research output: Contribution to journalArticlepeer-review

Abstract

Homeless adults have a higher rate of morbidity and mortality than their housed counterparts. Improving the health of homeless adults is a complex problem because of the overlay of individual risk factors, social issues and lack of economic resources. Due to the increased morbidity and mortality rate in homeless adults, it is imperative to develop interventions with demonstrated efficacy that result in improved health outcomes. The purpose of this pre-post pilot study was to compare pre- and post-test scores on specific health outcomes in a group of homeless adults receiving a nurse intervention when utilising a nurse-managed clinic located in the urban core of a Midwestern city in the USA. Between September of 2004 and January 2006, 43 homeless adults completed a health survey at baseline and 2 months later that included measures of health-related quality of life (HRQOL), substance use and health resource use. There was a significant improvement on the post-test scores including substance use, perceived quality and availability of health care, and on two domains of HRQOL: mental health and vitality. This study provides evidence that a nursing intervention can result in improved health outcomes for adult homeless persons.

Original languageEnglish (US)
Pages (from-to)469-475
Number of pages7
JournalHealth and Social Care in the Community
Volume16
Issue number5
DOIs
StatePublished - Sep 2008
Externally publishedYes

Keywords

  • Access to health care
  • Alcohol abuse
  • Drug abuse
  • Homelessness
  • Quality of life

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Sociology and Political Science
  • Health Policy
  • Public Health, Environmental and Occupational Health

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