加利福尼亚州参议院法案1152关于无家可归者出院协议的实施和影响
Haruna Aridomi1, Yuri Cartier2, Breena Taira3
1University of California San Francisco, School of Medicine, San Francisco, California.
The western journal of emergency medicine
|January 2, 2024
概括
加利福尼亚州加利福尼亚州加利福尼亚州.
科学领域:
- 医疗保健政策 医疗保健政策
- 健康的社会决定因素
- 患者出院规划 患者出院规划
背景情况:
- 越来越关注解决医疗保健中的社会需求.
- 加利福尼亚州投资照顾有复杂需求的患者,包括那些经历无家可归 (PEH) 的人.
- 参议院第1152号法案 (SB 1152) 通过,将PEH的医院出院标准化.
研究的目的:
- 评估SB 1152对医院出院流程的感知影响.
- 确定SB 1152实施的关键障碍和促进者.
- 为 PEH 护理的未来立法投资提供信息.
主要方法:
- 32个半结构面试与关键信息人员在汉博尔特和洛杉矶县的16家医院.
- 根据"实施研究综合框架"进行的主题分析.
- 专注于卫生系统利益相关者的观点.
主要成果:
- 感知到的积极影响:简化服务,提高问责制,提高员工对无家可归问题的认识.
- 确定的挑战:范围有限,问责不清楚,实施支持稀缺,社区资源缺口.
- 利益相关者注意到PEH的释放流程有所改善.
结论:
- SB 1152是PEH安全排放的重要一步.
- 建议包括为社会护理工作人员提供有针对性的资金和改善培训.
- 解决社区资源缺口对于PEH的长期健康结果至关重要.
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