Determinants of healthcare use by homeless people with schizophrenia or bipolar disorder: results from the French Housing First Study

摘要: Abstract Objectives There is limited evidence available on the health-seeking behaviours of individuals in relation to determinants healthcare use. This study aimed analyse use (including both hospital and outpatient services) among homeless people with severe mental health illnesses. Study design The used data from a multicentre, randomised, controlled trial conducted four large French cities (the Housing First Study). Methods Data were drawn 671 enrolled between August 2011 April 2014. Mobile outreach teams recruited illnesses who living street or emergency shelters, hospitals prisons. collection was performed during face-to-face interviews. Healthcare service included hospitalisations, regular department (ED) visits facilities physicians’ offices over 6-month follow-up period. analysed zero-inflated (ZI) two-part models. Results In total, 61.1% participants had at least one hospitalisation stay previous 6 months, mean 25 (+/− 39.2) days, majority (51%) visited ED (either for issues) same time results confirmed role financial barriers (resources insurance) seeking care (P  Conclusion important because comprehensive understanding enables systems adapt develop. efficiency medicosocial interventions targeting population must also be assessed. Clinical number NCT01570712.