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Comment & Response
April 2020

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

Author Affiliations
  • 1Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
  • 2Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania
  • 3University of California, San Francisco School of Medicine, San Francisco
  • 4University of California, San Francisco Center for Vulnerable Populations, San Francisco
JAMA Intern Med. 2020;180(4):613-614. doi:10.1001/jamainternmed.2020.0027

To the Editor In a recent issue of JAMA Internal Medicine, Wadhera and colleagues1 reported that hospitalized adults experiencing homelessness are less likely than those who were not homeless to undergo indicated cardiovascular interventions, including coronary angiography, percutaneous coronary intervention, and coronary artery bypass graft. Those who were homeless experienced higher mortality rates. Their study adds to the literature on poor health outcomes in homeless populations2 by demonstrating that disparities may, in part, be because of disparities in care provided to hospitalized patients.

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