超越和砂:街头医学的兴起
Aditya Narayan1, Nirav Shah2, Michael Hochman3
1Stanford University School of Medicine, Palo Alto, CA, USA.
Journal of general internal medicine
|June 27, 2024
概括
无家可归人数创下历史新高,但街头医疗服务现在被医疗保险所覆盖. 该政策旨在改善无家可归者 (PEH) 特别是老年人获得医疗保健的机会.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 社会医学 社会医学
背景情况:
- 美国无家可归人数创纪录 (2023年每晚65万无家可归人) 构成了严重的公共卫生挑战.
- 无家可归是2024年大选的一个重要问题,白宫的目标是到2025年将其减少25%.
- 尽管进行了投资,但在为无家可归者 (PEH) 提供足够的护理方面,仍然存在持续的挑战.
研究的目的:
- 探索街头医疗服务的历史和实际指导.
- 分析新的CMS计费代码对PEH获得医疗保健的潜在影响.
- 检查医疗保健和住房服务的整合,以改善健康结果.
主要方法:
- 对医疗保险和医疗补助服务中心 (CMS) 关于街头医学的政策变化的分析.
- 审查旨在改善无家可归人口获得医疗保健的州级倡议.
- 探索街头医学的历史背景和实际实施.
主要成果:
- 街头医疗服务,定义为不永久地点的无家可归个人的医疗保健,现在有资格获得医疗保险补偿.
- 这一政策变化意味着无家可归者,特别是老年人获得医疗保健的重大进步.
- 在建立适当的费用表和有效的护理管理集成方面仍然存在挑战.
结论:
- 医疗保健和住房服务的整合对于有效解决无家可归问题至关重要.
- 通过街头医学改善医疗保健的准入,可以促进稳定性,并提高PEH的健康结果.
- 政策变化和综合服务对于解决无家可归的复杂问题及其对公共卫生的影响至关重要.
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