交通作为健康的决定因素:评估退伍军人事务的无家可归患者共享乘车计划
Jack Tsai1, Dorota Szymkowiak2, Hind Beydoun3
1Jack Tsai (Jack.Tsai2@va.gov), Department of Veterans Affairs, Washington, D.C.
Health affairs (Project Hope)
|August 5, 2024
概括
退伍军人事务部 退伍军人事务部
科学领域:
- 医疗保健服务研究 医疗服务研究
- 交通 干预 交通干预
- 退伍军人健康的医疗服务
背景情况:
- 无家可归的退伍军人在获得医疗保健和基本资源方面面临重大障碍.
- 交通是弱势群体获得医疗保健的关键决定因素.
- 退伍军人事务部 (VA) 启动了一项全国共享乘车试点计划,以应对这些挑战.
研究的目的:
- 评估使用VA共享乘车计划的退伍军人的特点.
- 检查骑乘共享计划对无家可归退伍军人医疗保健服务利用的影响.
- 评估任命遵守和整体服务参与的变化.
主要方法:
- 链接Lyft共享乘车数据 (2022) 与VA行政数据.
- 分析了乘车共享用户与非用户的人口统计和临床特征.
- 医疗保健利用模式的比较 (门诊,住院,急诊) 和没有预约的比率.
主要成果:
- VA乘坐共享服务的用户更有可能接受精神病诊断和紧急护理访问.
- 乘坐共享计划的使用与门诊和住院服务利用率的增加有关.
- 在6个月的时间里,VA乘坐共享的用户表现出更少的医疗预约不出现和更多的计划访问.
结论:
- 通过乘坐共享计划的交通援助可以显著改善无家可归退伍军人的医疗保健和参与.
- 弗吉尼亚州乘坐共享计划对服务利用率和约会遵守率产生了积极影响.
- 研究结果支持大型医疗保健系统中运输支持服务的可扩展性.
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