为苏格兰无家可归者提供二级护理:一项回顾性队列研究
Anna Ct Gordon1, Haris Haseeb2,3, Sarah Johnsen4
1Clinical Infection Research Group, NHS Lothian, Edinburgh, UK.
无家可归者 (PEH) 面临着重大的健康挑战,并被排除在护理之外. 我们的研究显示,在获得二级护理的PEH中,多重发病率和死亡率很高,支持不足,后续跟踪不良.
科学领域:
- 医疗保健的获取和质量
- 公共卫生和流行病学.
- 健康的社会决定因素
背景情况:
- 无家可归者 (PEH) 的多病率很高,在获得医疗保健方面面临重大障碍.
- 现有的研究还没有探索苏格兰中等护理机构中PEH的经验.
- 需要根据新的国家指南了解PEH的二级护理质量.
研究的目的:
- 描述PEH中出现二级护理的发病率和死亡率.
- 探索二级护理中PEH的护理质量指标,包括多学科团队参与,再接收,后续出席和出院目的地.
- 将PEH的结果与匹配的非无家可归人群进行比较.
主要方法:
- 对230个非预定次要护理介绍的回顾性研究 (2021年7月至12月).
- 115名PEH患者与115名年龄和性别匹配的患者进行比较.
- 分析发病率,死亡率,多学科团队 (MDT) 的参与,再接收率,随访出席率和出院安排.
主要成果:
- 患有PEH的人比较年轻 (平均年龄为43.9岁),多发病率高 (79%),一年死亡率为13% (平均死亡年龄为47.3岁).
- 有很大比例的PEH经历了物质使用问题 (86.09%).
- PEH的MDT参与率较低,门诊随访提供/出席率较低,以及更高的1个月再入院率;14%的患者在没有永久住宿的情况下出院.
结论:
- 在二级护理中,PEH经历了严重的健康劣势和死亡率.
- 对PEH的二级护理的特点是缺乏足够的支持,跟进不良,以及不适当的出院计划.
- 在二级护理入院期间和之后,对PEH进行综合,专业的支持至关重要.
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