桥梁到老年人:一项旨在改善无家可归的老年妇女结果的计划
Kimberlee Flike1, Roseanna H Means2,3,4, Jiyin Chou5
1VA Bedford Healthcare System, Bedford, MA, USA.
Health promotion practice
|August 17, 2023
概括
"桥梁到老年人"计划显著改善了无家可归的老年妇女的稳定住房,初级保健准入和慢性疾病管理. 这种执业护士和社区卫生工作者模式对弱势群体有很大的希望.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
背景情况:
- 老年人,特别是女性无家可归率的上升与健康状况的恶化有关.
- 经历无家可归的老年女性在获得医疗保健和稳定的住房方面面临重大挑战.
- 现有的干预措施往往缺乏针对这一群体的有针对性的支持.
研究的目的:
- 评估桥梁到老年人 (BTE) 计划在改善无家可归或无家可归风险的老年妇女的健康和社会结果方面的有效性.
- 评估使用执业护士 (NP) 和社区卫生工作者 (CHW) 的密集病例管理模型的影响.
主要方法:
- 采用前测试/后测试设计来评估住房状况的变化,初级保健提供者 (PCP) 招生和不受控制的慢性疾病.
- 该研究包括96名55岁及以上的参与者,他们在2017年1月至2018年12月期间参加了BTE计划.
- 收集了参与者的人口统计数据,入学时间和关键健康和住房指标.
主要成果:
- 观察到稳定的住房在统计学上显著增加了17% (p < .009).
- 与初级保健提供者 (PCP) 的入学率显著增加35% (p < .001).
- 在诊断无法控制的慢性疾病方面实现了显著的47%的下降 (p < .001).
结论:
- 在BTE计划中的NP/CHW二模型有效地改善了经历或面临无家可归的老年妇女的住房稳定性,初级保健准入和健康结果.
- 这种密集的案例管理方法证明了成功的策略来解决这个弱势群体的复杂需求.
- 建议进行进一步的研究,以探索NP/CHW二极管对更广泛的健康社会决定因素的影响.
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