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为无家可归的人提供卫生干预措施
1Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, ON, Canada; Division of General Internal Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Lancet (London, England)
|November 13, 2014
概括
量身定制的健康计划和支持性住房显著改善无家可归者的健康状况. 解决社会政策对于解决无家可归问题的长期解决方案至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 无家可归对个人和人口健康构成重大风险.
- 对于无家可归的人群来说,标准的初级保健可能比量身定制的干预措施更不有效.
- 有效的心理健康和物质滥用干预措施对这个人口群体至关重要.
研究的目的:
- 审查无家可归者有效的卫生干预措施.
- 确定心理健康护理,物质滥用减少和医院出院的成功模式.
- 强调需要解决导致无家可归的结构性因素.
主要方法:
- 关于无家可归人口健康干预的科学文献的综述.
- 分析各种模型,包括案例管理,坚定的社区待遇和住房优先.
- 对密集服务用户的医疗缓解计划和有针对性的干预措施的评估.
主要成果:
- 量身定制的初级医疗保健计划比标准医疗更有前途.
- 住房第一模式改善了那些患有严重精神疾病的人的结果.
- 案例管理和支持性住房是有效的,特别是对于高需要的个人.
- 医疗缓解计划有利于无家可归患者从医院过渡.
结论:
- 对于无家可归的人来说,具体的干预措施,如住房优先和医疗缓解是有效的.
- 结合住房,病例管理和支持服务的综合方法产生了最好的结果.
- 医疗保健提供者必须倡导政策变化,以解决无家可归的根本原因.
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