现场初级保健以解决永久支持性住房租户的医疗需求:一个可行性演示项目
Brian Redline1, John Nusser2, Janae Brill2
1Oregon Health & Science University School of Medicine and Oregon Health & Science University-Portland State University School of Public Health, Portland, OR, USA. redline@ohsu.edu.
项目HOPE是一项现场初级保健计划,改善了永久支持性住房 (PSH) 中弱势群体获得医疗保健的机会. 这种干预显著增加了PSH租户的初级保健参与和访问.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级保健干预措施 初级保健干预措施
- 易受伤害的人群 易受伤害的人群
背景情况:
- 关于永久支持性住房 (PSH) 中弱势个体的健康干预措施的证据有限.
- 解决PSH租户复杂的健康需求对于改善结果至关重要.
研究的目的:
- 评估"希望项目"的可行性,这是一个每周在现场进行一次初级保健试点干预.
- 评估HOPE项目的对单站点PSH计划中租户的初级保健参与的影响.
主要方法:
- 一个多学科团队 (医生,护士,药房) 提供了常规和急性现场护理.
- 整合了与现有病例经理和外展服务的护理协调.
- 电子健康记录的图表审查评估初级保健参与干预前后.
主要成果:
- 干预后观察到,任何初级保健参与的租户增加了50%.
- 84.6%的租户使用了Project HOPE,平均有2.65次更多的初级保健访问.
- 住房工作人员报告说,在护理连续性,慢性疾病管理和接入方面有所改善.
结论:
- 在现场提供初级保健的模式是可行的和有效的高急性PSH租户.
- 项目HOPE显示,初级保健参与和利用率显著增加.
- 这种模式显示出改善在永久支持性住房环境中获得医疗保健的前景.
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