Estimating the scale of hospital admissions for people experiencing homelessness in England: a population-based multiple systems estimation study using national Hospital Episode Statistics.

ABSTRACT:

Background

People experiencing homelessness have substantial health needs and poor access to primary healthcare, resulting in high rates of hospital care. Housing status is not routinely recorded in English electronic health records, undermining service planning. We developed methods to estimate the scale of hospital admissions for people experiencing homelessness in England.

Methods

We analysed admissions for people experiencing homelessness using Hospital Episode Statistics for 2013/2014, 2015/2016 and 2017/2018. We applied multiple systems estimation Poisson regression methods to estimate total admissions and an inflation factor to correct for under-reporting. We calculated unadjusted admission rates per 1000 population per year and admission rate ratios compared with the

SUBMITTER: Luchenski SA 

PROVIDER: S-EPMC12574433 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature