在急诊室无家可归的患者的出院过程:一个专题定性研究
Elle R Marcus1, Jossie A Carreras Tartak2, Helena Halasz3
1Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, United States of America.
PloS one
|June 7, 2024
概括
紧急服务部门面临着将无家可归患者安置在庇护所的挑战. 这项研究绘制了流程,并确定了改善无家可归者出院计划和出院后支持的关键因素.
科学领域:
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
- 医疗保健管理的管理
背景情况:
- 经历无家可归的人经常使用急诊室 (ED).
- 无家可归患者的出院计划存在重大复杂性.
- 对于弱势群体来说,安全有效的庇护所安置至关重要.
研究的目的:
- 了解在为无家可归患者制定安全出院计划时面临的挑战.
- 为无家可归者提供庇护所所涉及的过程绘制地图.
- 确定改善ED到庇护所过渡的瓶和机会.
主要方法:
- 采访了波士顿的ED社会工作者和无家可归者庇护所案件经理.
- 绘制出排放和安置在避难所的过程中的各个阶段.
- 开发了影响庇护所安置决策的因素的数据词典.
主要成果:
- 确定了当前出院和安置庇护所过程中的不同阶段和挑战.
- 突出了社会工作者和病例经理在患者评估中考虑的关键因素.
- 发现了阻碍成功及及时安置庇护所的瓶.
结论:
- 了解无家可归患者的ED出院过程至关重要.
- 改善ED和无家可归者庇护所之间的协调可以提高患者的治疗结果.
- 这项研究为开发有针对性的干预措施以支持无家可归者提供了基础.
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