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对无家可归者进行同行和非专业卫生工作:一个范围审查
Jessica Mangan1, Pablo Del Cid Nunez2, Sara Daou3
1School of Public Health and Social Policy, University of Victoria, Victoria, British Columbia, Canada.
PLOS global public health
|June 24, 2024
概括
同行和普通卫生工作者计划改善无家可归者 (PEH) 获得医疗保健的机会. 关键的推动因素包括共享经验和信任,而障碍因素包括缺乏支持和高周转率.
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:
- 无家可归带来了重大的健康挑战.
- 同行和非专业卫生工作者计划旨在改善无家可归者 (PEH) 获得医疗保健的机会和结果.
- 在PEH中缺乏这些计划的范围和有效性的综合.
研究的目的:
- 对PEH的同行和非专业卫生工作者计划进行范围审查.
- 了解这些程序的背景 (设置,社区,条件).
- 确定促进或阻碍计划有效性的因素.
主要方法:
- 在多个数据库中进行了搜索 (CINHAL,Cochrane,科学网,PsycINFO,谷歌学者,MEDLINE).
- 进行标题和摘要的独立和重复选.
- 提取了关于研究特征,干预措施,人员,结果和启用/抑制剂的数据.
主要成果:
- 项目在各种环境中实施:物质使用,慢性疾病,减少伤害和心理健康.
- 四个促进主题:共享经验,信任/报告,知识库,角色灵活性.
- 五个障碍主题:缺乏支持/角色明确性,出席率低,工作不稳定/营业额低,安全,边界问题.
结论:
- 同行和非专业卫生工作者计划显示出改善PEH健康的前景.
- 组织必须为成功实施计划确定支持者和障碍.
- 需要对实施,机制和最佳实践进行进一步的研究.
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