基于初级保健的住房计划减少了门诊; 患者报告精神和身体健康益处
MaryCatherine Arbour1, Placidina Fico2, Sidney Atwood3
1MaryCatherine Arbour (marbour@bwh.harvard.edu), Brigham and Women's Hospital, Boston, Massachusetts.
Health affairs (Project Hope)
|February 5, 2024
概括
基于初级保健的住房计划可以减少患者的医疗保健访问. 参与的患者报告说,他们的精神和身体健康有所改善,强调了解决无家可归之外的住房不稳定的好处.
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:
- 医疗保健系统越来越多地选住房不稳定.
- 关于住房干预的现有证据主要集中在无家可归问题上.
- 需要了解住房计划对具有更广泛住房需求的患者的影响.
研究的目的:
- 评估一项以初级保健为基础的住房计划,用于超越无家可归者的住房相关需求的患者.
- 检查项目参与与医疗保健利用之间的关联.
- 探索患者报告的结果和经验.
主要方法:
- 在马萨诸塞州波士顿对1139名患者的混合方法评估.
- 对注册和非注册患者的医疗保健访问 (初级保健,门诊,社会工作,行为健康,精神病学,紧急护理) 的分析.
- 对患者体验和感知到的好处进行定性探索.
主要成果:
- 计划参与者对初级保健访问的次数减少 (2.5次/年) 和门诊访问的次数减少 (3.6次/年).
- 获得新住房的患者报告说,他们的精神和身体健康有所改善.
- 患者注意到与医疗保健提供者的联系更加强大,并将心理健康的改善归因于住房倡导者的支持.
结论:
- 基于初级保健的住房干预措施可以有效地减少医疗保健利用率.
- 这些计划在解决健康不平等问题和改善边缘化人口的患者尊严方面表现有前途.
- 干预措施应针对面临迫在眉的住房危机的患者,而不仅仅是那些经历无家可归的人.
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