People in shelter-in-place hotels reduced their use of acute health services during first year of pandemic ucsf jamanetworkopen
After constructing the matched control group, we applied a parametric model to measure the impact of placement in a SIP hotel. This match-then-model approach aims to make parametric models produce more accurate and less model-dependent causal inferences.During the early months of the pandemic, there was lower use of EDs overall. To model these ED visits, we used a negative binomial regression model.
The majority of the total SIP guests with a minimum of 90-day stays had no acute service use during the eligibility period. ED visits decreased in the intervention group from a mean of 1.84 visits before the SIP intervention to 0.82 visits in the 90 days after the intervention, a 55.4% decrease, compared with a 24.8% reduction in the control group from 1.33 to 1.00 . The number of hospitalizations decreased from a mean of 0.41 to 0.14 for the intervention group and from 0.27 to 0.
For study participants who did not receive a SIP hotel placement, ED visits decreased by 24.8% during the pandemic. This was similar to the 23% decrease in ED use seen in the general population,but much smaller than the 55.4% reduction seen in the group who received a SIP placement.
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