About this trial
In an effort to improve access to primary care at time of discharge, patients who are homeless will be given either enhanced follow up through a street medicine team or routine follow up in clinic.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
adult (≥18 years of age) DHMC ED patient,
currently unsheltered, defined as living on the streets, in a vehicle, or in another place not fit for human habitation,
anticipating ED discharge, with
COPD or asthma exacerbation
Disqualifiers
have altered mentation (e.g., intoxication, or secondary to medical, psychiatric, or behavioral conditions) that are unable to communicate their location, contact information, or agree to follow up.
are prisoners,
previously enrolled.
Trial design
Parallel
Treatments tested in this trial
Street medicine follow up
BehavioralThis intervention will use electronic health record builds to automatically send a referral to a street medicine clinic, who will attempt to contact the patient within 2 weeks.
Treatment groups
Trial outcomes
Primary outcomes
ED visits
Repeat visits to the ED
Secondary outcomes
Inpatient hospitalizations
Inpatient hospitalizations at this same hospital
Mortality
Death
Sponsors and contacts
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