التفاصيل البيبلوغرافية
| العنوان: |
Assessment of a Hotel-Based COVID-19 Isolation and Quarantine Strategy for Persons Experiencing Homelessness |
| المؤلفون: |
Fuchs, Jonathan D, Carter, Henry C, Evans, Jennifer, Graham-Squire, Dave, Imbert, Elizabeth, Bloome, Jessica, Fann, Charles, Skotnes, Tobi, Sears, Jonathan, Pfeifer-Rosenblum, Rebecca, Moughamian, Alice, Eveland, Joanna, Reed, Amber, Borne, Deborah, Lee, Michele, Rosenthal, Molly, Jain, Vivek, Bobba, Naveen, Kushel, Margot, Kanzaria, Hemal K |
| بيانات النشر: |
eScholarship, University of California |
| سنة النشر: |
2021 |
| مصطلحات موضوعية: |
demo, socio |
| الوصف: |
ImportanceSeveral jurisdictions in the United States have secured hotels to temporarily house people experiencing homelessness who require isolation or quarantine for confirmed or suspected coronavirus disease 2019 (COVID-19). To our knowledge, little is known about how these programs serve this vulnerable population outside the hospital setting.ObjectiveTo assess the safety of a hotel-based isolation and quarantine (I/Q) care system and its association with inpatient hospital capacity.Design, Setting, and ParticipantsThis retrospective cohort study of a hotel-based I/Q care system for homeless and unstably housed individuals in San Francisco, California, was conducted from March 19 to May 31, 2020. Individuals unable to safely isolate or quarantine at home with mild to moderate COVID-19, persons under investigation, or close contacts were referred from hospitals, outpatient settings, and public health surveillance to 5 I/Q hotels. Of 1009 I/Q hotel guests, 346 were transferred from a large county public hospital serving patients experiencing homelessness.ExposureA physician-supervised team of nurses and health workers provided around-the-clock support, including symptom monitoring, wellness checks, meals, harm-reduction services, and medications for opioid use disorder.Main Outcomes and MeasuresCharacteristics of I/Q hotel guests, program retention, county hospital readmissions, and mean length of stay.ResultsOverall, the 1009 I/Q hotel guests had a median age of 44 years (interquartile range, 33-55 years), 756 (75%) were men, 454 (45%) were Latinx, and 501 (50%) were persons experiencing sheltered (n = 295) or unsheltered (n = 206) homelessness. Overall, 463 (46%) received a diagnosis of COVID-19; 303 of 907 (33%) had comorbid medical disorders, 225 of 907 (25%) had comorbid mental health disorders, and 236 of 907 (26%) had comorbid substance use disorders. A total of 776 of 955 guests (81%) completed their I/Q hotel stay; factors most strongly associated with premature discontinuation were unsheltered ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
unknown |
| العلاقة: |
https://escholarship.org/uc/item/2jf988r5Test |
| الإتاحة: |
https://escholarship.org/uc/item/2jf988r5Test |
| حقوق: |
undefined |
| رقم الانضمام: |
edsbas.6B7791F1 |
| قاعدة البيانات: |
BASE |
