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Comment & Response
April 2020

Database Inaccuracies and Disparities in Care Among Homeless Adults Hospitalized for Cardiovascular Conditions

Author Affiliations
  • 1Center for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, Connecticut
  • 2Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut
  • 3Department of Health Policy and Management, Yale School of Public Health, New Haven, Connecticut
JAMA Intern Med. 2020;180(4):612-613. doi:10.1001/jamainternmed.2020.0024

To the Editor The recently published Original Investigation by Wadhera and colleagues1 uses a flag for homelessness in State Inpatient Databases of New York, Florida, and Massachusetts from 2010 through 2015 to study quality of care and outcomes of homeless adults with acute cardiovascular conditions. Cardiovascular conditions among homeless persons is a topic deserving of national focus. However, based on our prior work, we abandoned a similar project because the Healthcare Cost and Utilization Project–State Inpatient Databases seemed inaccurate for this purpose.

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