Project Grant R01NR022053

The National Institute of Nursing Research awarded Drexel University $789,428 on September 1, 2026, under the Nursing Research program (CFDA 93.361) to conduct a large-scale administrative linkage study examining eviction's impact on preventive and primary care utilization.

The project merges 14 years of eviction records from New York City with Medicaid claims data to quantify how evictions affect preventive care uptake, primary care continuity for chronic disease management, Medicaid coverage retention, ambulatory care access, prescription fill rates, and avoidable acute care utilization. The study addresses a significant evidence gap: emerging research shows evictions increase mortality risk by 40 percent, yet healthcare systems lack actionable data on eviction-driven disruptions to preventive services and chronic disease care. Preliminary findings suggest evictions impair tenants' ability to maintain Medicaid coverage, access outpatient care, and fill medications—barriers that compound the documented inadequacy in preventive service delivery (currently 8 percent of adults receive all recommended high-priority preventive services). The research informs both housing and healthcare program design.

Work is performed in Pennsylvania with a period of performance from September 1, 2026, through June 30, 2031. The award is a project grant, the standard assistance type for investigator-initiated nursing research supported through peer review by the National Institute of Nursing Research.