Lian Leng Low|Win Wah|Matthew Joo Ming Ng|Shaohua Tan|Nan Liu|Kheng Hock Lee
Housing as a Social Determinant of Health in Singapore and Its Association with Readmission Risk and Increased Utilization of Hospital Services
Singapore General Hospital|Duke-NUS Medical School|National University Health System|National University of Singapore|Singapore General Hospital|Duke-NUS Medical School|Singapore General Hospital|Duke-NUS Medical School|Singapore General Hospital|Duke-NUS Medical School|Singapore General Hospital|Duke-NUS Medical School
residence public rental housing arealevel measure socioeconomic status impact social determinant health singapore studied therefore aimed examine association public rental housing readmission risk increased utilization hospital services singaporewe conducted retrospective cohort study using retrospective 2014 data singapore general hospitals electronic health records variables known affect readmission risk healthcare utilization identified priori include patient demographics comorbidities healthcare utilization preceding 1 year clinical variables index admission 2014 multivariate logistic regression used evaluate public rental housing independent risk factor admission risk emergency department ed specialist outpatient clinic attendancesa total 14457 unique patients analyzed 2163 patients 150 rental housing residents rental housing patients significantly likely male required financial assistance chronic obstructive pulmonary disease usage antidepressant antipsychotic medications longer length hospital stay index admission higher charlson comorbidity index scores adjusting demographics clinical variables staying public rental housing remained independent risk factor readmission within 15 30 days frequent hospital admissions ed attendances singaporeour study showed association public rental housing readmission risk increased utilization hospital services singapore deeper understanding residents social circumstances health seeking behavior would insightful