无家可归和健康:因素,证据,有效的创新和政策建议
Cheyenne Garcia1, Kelly Doran2, Margot Kushel3
1Cheyenne Garcia, University of California San Francisco, San Francisco, California.
Health affairs (Project Hope)
|February 5, 2024
概括
美国的无家可归影响了超过653,000人,与健康问题有关,需要改变政策. 基于证据的解决方案,如住房优先和负担得起的住房计划,对于减少无家可归和改善健康结果至关重要.
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
- 社会政策 社会政策 社会政策
背景情况:
- 超过653,000个人在2023年在美国经历了无家可归在一个晚上.
- 无家可归与许多不良健康结果有关.
- 了解风险因素和有效干预措施至关重要.
研究的目的:
- 审查无家可归的结构性和个人风险因素.
- 检查无家可归与健康之间的联系.
- 讨论解决无家可归问题的创新计划和政策建议.
主要方法:
- 关于无家可归和健康的现有文献和证据的概述.
- 对程序性干预的分析,包括查和医疗休息.
- 评估政策创新,如住房优先和医疗补助豁免.
主要成果:
- 卫生系统的干预措施,如社会需求查和医疗缓解,显示出有希望的结果.
- 住房优先计划在提供永久支持性住房方面表现出很高的成功率.
- 医疗补助计划第1115条豁免为健康和住房提供了创新的融资.
结论:
- 为了减少无家可归,必须大幅增加负担得起的住房供应.
- 医疗保健提供者应该倡导基于证据的政策,包括增加住房券和负担得起的住房投资.
- 需要持久,可扩展的解决方案来打击无家可归及其健康后果.
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