“Outreach to homeless needed to cut ER costs”

The casualty count in Hawaii’s homelessness crisis continues to climb, and so do the costs.

Health care costs are among the biggest strains, the fraying social safety net is unable to withstand.

In Large part, the brunt is being borne by the private hospitals, but those costs are passed through to everyone in the form of higher bills and taxpayer assistance periodically sought to cover unreimbursed expenses.

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  • “Cost of homeless care increases”

    Alexander Akuna was living on Nanakuli beach in 2009 when his heart and kidneys began to fail.

    The 57-year-old was in and out of the Queen’s Medical Center over the
    next year for multiple chronic diseases brought on by drug use, poor
    nutrition and living in harsh conditions.

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    2016 Publications

    Health Disparities in Native Hawaiians and Other Pacific Islanders Following Hysterectomy for Endometrial Cancer.Terada K, Carney M, Kim R, Ahn HF, Miyamura J., Hawaii J Med Public Health. 2016 May; 75(5):137-9.

    Comparison of Primary Cesarean Delivery Rates Among Low-Risk Women in Urban and Rural Hospitals in Hawaii. Chang AL, Pacheco M, Yoshino K, Miyamura J, Maddock J., Matern Child Health J. 2016 May 4. [Epub ahead of print]

    Differences in severity at admission for heart failure between rural and urban patients: the value of adding laboratory results to administrative data. Smith MW, Owens PL, Andrews RM, Steiner CA, Coffey RM, Skinner HG, Miyamura J, Popescu I., BMC Health Serv Res. 2016 Apr 18;16(1):133.

    Maternal language and adverse birth outcomes in a statewide analysis.Sentell T PhD, Chang A Md, Ahn HJ PhD, Miyamura J PhD., Women Health. 2016 Apr;56(3):257-280. Epub 2015 Sep 11.

    Racial/Ethnic Disparities in the Association Between Preeclampsia Risk Factors and Preeclampsia Among Women Residing in Hawaii. Nakagawa K, Lim E, Harvey S, Miyamura J, Juarez DT., Matern Child Health J.2016 Mar 21. [Epub ahead of print]

    Using International Classification of Diseases Codes to Track Medication-Related Hospitalizations of Older Adults. Pellegrin KL, Miyamura J, Taniguchi R, Ciarleglio AE, Barbato A, Scott Holuby R., J Am Geriatr Soc. 2016 Mar;64(3):651-3. doi: 10.1111/jgs.14007. No abstract available.

    Inpatient Hospitalization Costs: A Comparative Study of Micronesians, Native Hawaiians, Japanese, and Whites in Hawai’i. Hagiwara M, Juarez DT, Yamada S, Miyamura J, Sentell T., Int J Environ ResPublic Health. 2015 Dec 22;13(1):ijerph13010029. doi: 10.3390/ijerph13010029.

    Younger and Sicker: Comparing Micronesians to Other Ethnicities in Hawaii. Hagiwara MK, Miyamura J, Yamada S, Sentell T., Am J Public Health. 2016Mar;106(3):485-91.