Development of Housing Programs to Aid in the Treatment of Tuberculosis in Homeless Individuals: A Pilot Study

Bue, Philip A. Lo; Cass, Robert; Lobo, Diana; Moser, Kathleen; Catanzaro, Antonino

doi:10.1378/chest.115.1.218

Cited by 35 publications

(35 citation statements)

References 5 publications

(10 reference statements)

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“…8 Greater emphasis is needed on practical measures to identify early patients at risk of poor adherence to treatment and to provide additional support including DOT from the start of treatment, access to appropriate accommodation, and use of incentives. [28][29][30] DOT is unlikely to lead to improved treatment outcomes unless initiated in conjunction with a package of supportive care tailored to patients' needs. 8 31 32 Most patients with TB pose a minimal transmission risk as they are smear negative on diagnosis, demonstrate good adherence to treatment and have high rates of treatment completion.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis in London: the importance of homelessness, problem drug use and prison

Story¹,

Murad

Roberts³

et al. 2007

Thorax

185

159

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Section: Discussionmentioning

confidence: 99%

Tuberculosis in London: the importance of homelessness, problem drug use and prison

Story¹,

Murad

Roberts³

et al. 2007

Thorax

185

159

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“…However, provision of housing along with access to care may offer similar benefits at lower cost. 18,19 In 1992, the CDC recommended the establishment of special treatment-housing centers to provide continuous shelter, food, and treatment for homeless TB patients for the duration of their therapy. 20 However, Brudney cautions about the need to provide directly observed therapy in such locations and to monitor housing quality; crowded shelters are especially inappropriate for homeless AIDS patients.…”

Section: Discussionmentioning

confidence: 99%

Hospitalization of homeless persons with tuberculosis in the United States

2000

Am J Public Health

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OBJECTIVES: This study assessed whether homeless patients are hospitalized for tuberculosis (TB) more frequently and longer than other patients and possible reasons for this. METHODS: We prospectively studied hospitalizations 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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“…Supervised housing appears effective in increasing treatment compliance resulting in substantial cost savings. 4…”

Section: Homeless Peoplementioning

confidence: 99%

Tuberculosis control in vulnerable groups

Figueroa-Munoz

Ramón-Pardo

2008

Bull World Health Organ

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Development of Housing Programs to Aid in the Treatment of Tuberculosis in Homeless Individuals: A Pilot Study

Cited by 35 publications

References 5 publications

Tuberculosis in London: the importance of homelessness, problem drug use and prison

Tuberculosis in London: the importance of homelessness, problem drug use and prison

Hospitalization of homeless persons with tuberculosis in the United States

Tuberculosis control in vulnerable groups

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