[Skip to Navigation]
Views 170
Citations 0
Comment & Response
April 2020

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

Author Affiliations
  • 1Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Division of Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
  • 2Cardiovascular Division, Department of Medicine, Washington University School of Medicine in St Louis, St Louis, Missouri
JAMA Intern Med. 2020;180(4):614-615. doi:10.1001/jamainternmed.2020.0021

In Reply We appreciate Essien and colleagues’ thoughtful commentary on race, housing status, and health outcomes. In our analysis1 of 3 states (Massachusetts, New York, and Florida) from 2010 to 2015, homeless persons hospitalized for cardiovascular conditions were less likely to receive indicated cardiovascular procedures, and had higher mortality rates, than those who were not homeless. Strikingly, 38.6% of these homeless individuals were black. We agree with Essien and colleagues that it is imperative that hospitals provide equitable care regardless of individuals’ housing status or racial identity. More broadly, we believe that policy efforts are urgently needed to tackle the underlying structural determinants of homelessness that disproportionately affect black Americans.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words