在残疾成年人中获得永久支持性住房和使用医疗保健
Lexie R Grove1, Seth A Berkowitz2, Gary Cuddeback3
1The University of Texas at Austin, USA.
Medical care research and review : MCRR
|June 27, 2023
概括
永久性支持性住房 (PSH) 增加了住院和急诊,但减少了从机构环境过渡的个人进行初级保健访问. 对于来自社区环境的人来说,PSH没有显示出健康服务使用的显著变化.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
- 公共卫生政策 公共卫生政策
背景情况:
- 对于残疾人来说,了解永久支持性住房 (PSH) 对医疗服务利用的影响至关重要.
- 以前的研究还没有完全阐明PSH基于过渡前生活环境 (机构与社区) 的差异性影响.
研究的目的:
- 评估永久支持性住房 (PSH) 参与与残疾成年人医疗服务使用之间的关联.
- 为了比较从机构与社区环境过渡到PSH的个体的医疗服务利用模式.
主要方法:
- 利用与医疗补助申请相关的北卡罗来纳州PSH计划 (2014-2018) 的二次数据.
- 员工倾向得分权重,以估计PSH参与的受治疗者的平均治疗效果.
- 基于PSH前设置 (机构或社区) 的分层分析.
主要成果:
- 在PSH之前入院的个人中,PSH参与与住院和急诊室 (ED) 访问的增加以及初级保健访问的减少有关.
- 从社区环境过渡到PSH的个人在12个月内与类似的非PSH个人相比,没有显示出明显不同的卫生服务使用情况.
- 这些发现强调了PSH和医疗保健利用之间的复杂关系,根据先前的生活状况而有所不同.
结论:
- 永久支持性住房 (PSH) 可能会导致以前住院的残疾人急性护理利用率增加 (住院治疗,急救访问).
- 对于从社区环境过渡的个人来说,PSH似乎没有显著改变卫生服务使用模式.
- 需要进行进一步的研究,以了解推动这些利用变化的机制,并为不同人群优化PSH模型.
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