• J Accid Emerg Med · Sep 1996

    Trends in the use of accident and emergency services by the homeless on the Wirral.

    • S M Earnshaw, R C Barnes, and R Brown.
    • Alder Hey Children's Hospital, Liverpool, UK.
    • J Accid Emerg Med. 1996 Sep 1; 13 (5): 334-6.

    ObjectiveTo examine the use of accident and emergency (A&E) services by the homeless, with particular reference to the use of psychiatric services generated by this attendance.MethodsA retrospective study of attendance registers at a large A&E department over an eight year period, during which there were 566 separate attendances by homeless patients out of a total of 421 237 adult attendances (1.3 per 1000).ResultsThere was no significant change in rates of attendances over the eight year period (P = 0.41), in the broad demographic details of the groups, or in the use of psychiatric services.ConclusionsThere has been no significant increase in the use of A&E services by homeless people in the population studied over the eight year period. Several possible explanations for this are given.

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