Titre :
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Hospitalization of homeless persons with tuberculosis in the United States. (2000)
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Auteurs :
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S.M. MARKS ;
N.R. BURROWS ;
B. MILLER ;
M.G. QAYAD ;
Z. TAYLOR ;
Division of Tuberculosis Elimination. National Center for Hiv Std Tb Prevention. Centers for Disease Control and Prevention. Atlanta. GA. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 90, n° 3, 2000)
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Pagination :
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435-438
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Langues:
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Anglais
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Mots-clés :
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Tuberculose
;
Bactériose
;
Infection
;
Sans domicile fixe
;
Hospitalisation
;
Epidémiologie
;
Prévalence
;
Facteur risque
;
Homme
;
Etats Unis
;
Amérique
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST UaZlR0x7. Diffusion soumise à autorisation]. Objective. This study assessed whether homeless patients are hospitallized for tuberculosis (TB) more frequently and longer than other patients and possible reasons for this. Methods. We prospectively studicd hospilatizations of a cohort of TB patients. Results. HIV-infected homeless patients were hospitalized more frequently than other patients, while homeless patients who had no insurance or whose insurance status was unknown were hospitalized longer. Hospitalization cost $2000 more per homeless patient than for other patients. The public sector paid nearly all costs. Conclusions. Homeless people may be hospitalized less if given access to medical care that provides early detection and treatment of TB infection and disease and HIV infection. Providing housing and social services may also reduce hospital utilization and increase therapy completion rates.
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