评估COVID-19隔离和恢复站点:系统创新的经验教训
Michelle Firestone1, Kimia Khoee1, Gillian Kolla1,2
1MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
概括
来自多伦多的经验教训
科学领域:
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多伦多市于2020年建立了COVID-19隔离和恢复站点 (CIRS),为无家可归的人提供支持的隔离.
- 本研究探讨了从CIRS中学到的教训,以告知未来对无家可归人口的政策.
研究的目的:
- 确定创新的护理模式和系统,以支持无家可归者.
- 探索改变护理的机会,使护理更加公正和富有同情心.
- 评估CIRS模型中现有服务的整合.
主要方法:
- 进行了43次与不同利益相关者,包括临床医生,同行工作者和组织领导人进行的关键信息采访.
- 员工使用演性内容分析来编码和分析面试数据.
主要成果:
- CIRS采用了以社区为导向的模式,减少医疗化,增强无家可归人口的服务整合.
- 关键的成功因素包括临床病例管理,减少伤害,同行支持和一致的资金.
- 未来的模型需要解决权力动态,培养协作文化.
结论:
- COVID-19隔离和恢复站点为重新思考基于庇护所的服务提供了一个范例.
- 无家可归者服务的系统级转型需要强有力的愿景,资金,政治意愿和利益相关者的问责制.
- 疫情为长期政策中成功实施危机应对要素提供了关键机会.
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