J. Med. Internet Res. - New media use by patients who are homeless: the potential of mHealth to build connectivity.

Tópicos

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Resumo

CKGROUND: Patients experiencing homelessness represent a disproportionate share of emergency department (ED) visits due to poor access to primary care and high levels of unmet health care needs. This is in part due to the difficulty of communicating and following up with patients who are experiencing homelessness.OBJECTIVE: To determine the prevalence and types of "new media" use among ED patients who experience homelessness.METHODS: This was a cross-sectional observational study with sequential enrolling of patients from three emergency departments 24/7 for 6 weeks. In total, 5788 ED patients were enrolled, of whom 249 experienced homelessness. Analyses included descriptive statistics, and unadjusted and adjusted odds ratios.RESULTS: 70.7% (176/249) of patients experiencing homelessness own cell phones compared to 85.90% (4758/5539) of patients in stable housing (P=.001) with the former more likely to own Androids, 70% (53/76) versus 43.89% (1064/2424), and the latter more likely to have iPhones, 44.55% (1080/2424) versus 17% (13/76) (P=.001). There is no significant difference in new media use, modality, or frequency for both groups; however, there is a difference in contract plan with 50.02% (2380/4758) of stably housed patients having unlimited minutes versus 37.5% (66/176) of homeless patients. 19.78% (941/4758) of patients in stable housing have pay-as-you-go plans versus 33.0% (58/176) of homeless patients (P=.001). Patients experiencing homelessness are more likely to want health information on alcohol/substance abuse, mental health, domestic violence, pregnancy and smoking cessation.CONCLUSIONS: This study is unique in its characterization of new media ownership and use among ED patients experiencing homelessness. New media is a powerful tool to connect patients experiencing homelessness to health care.

Resumo Limpo

ckground patient experienc homeless repres disproportion share emerg depart ed visit due poor access primari care high level unmet health care need part due difficulti communic follow patient experienc homelessnessobject determin preval type new media use among ed patient experi homelessnessmethod crosssect observ studi sequenti enrol patient three emerg depart week total ed patient enrol experienc homeless analys includ descript statist unadjust adjust odd ratiosresult patient experienc homeless cell phone compar patient stabl hous p former like android versus latter like iphon versus p signific differ new media use modal frequenc group howev differ contract plan stabli hous patient unlimit minut versus homeless patient patient stabl hous payasyougo plan versus homeless patient p patient experienc homeless like want health inform alcoholsubst abus mental health domest violenc pregnanc smoke cessationconclus studi uniqu character new media ownership use among ed patient experienc homeless new media power tool connect patient experienc homeless health care

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