支持性住房对个人体验家庭无家可归的医院利用的初步影响
Redonda G Miller1, Rhonda Smith Wright, C Ross Hatton
1Baltimore, Maryland.
概括
提供永久性住房和支持性服务显著减少了无家可归风险的个人去医院的次数. 这种干预表明了稳定的住房和综合护理的健康益处.
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
- 卫生经济学 卫生经济学
背景情况:
- 住房不稳定与不良的身体和心理健康结果有关,增加了医疗保健利用率.
- 马里兰医疗补助1115健康选择豁免为巴尔的摩的无家可归者提供了一个解决方案.
- 医院,城市和一个非营利组织合作提供住房和服务.
研究的目的:
- 描述住房和包围服务计划的启动和扩展.
- 评估该计划对参与者医疗保健利用的影响.
主要方法:
- 项目启动涉及10个巴尔的摩城市医院,城市和无家可归者医疗保健.
- 医院投资推动的扩张.
- 分析医院和急诊室的访问减少在入学前和后.
主要成果:
- 参与者在整体医院访问中减少了48%.
- 在住房后的12个月里,急诊室的访问量下降了51%.
- 这些结果在有无家可归风险的人群中观察到.
结论:
- 与支持性服务相结合的永久住房可以显著降低医疗保健利用率.
- 这种干预模式显示出改善健康结果和降低医疗保健成本的前景.
- 投资住房作为医疗保健干预措施是一个可行的策略.
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