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为无家可归者实施基于医院的病例管理干预:导航员计划
Jesse I R Jenkinson1, Dinesh Moro2, Oluwagbenga Dada2,3
1MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada. jesse.jenkinson@unityhealth.to.
BMC health services research
|August 1, 2025
概括
导航者计划通过在住院期间和之后解决健康和社会需求,成功支持无家可归者 (PEH). 成功的关键因素包括利益相关者的支持和灵活的,基于医院的方法.
科学领域:
- 医疗保健管理的管理
- 公共卫生干预措施 公共卫生干预措施
- 健康的社会决定因素
背景情况:
- 无家可归者 (PEH) 面临着严重的健康差异和住院挑战.
- 住院治疗提供了一个解决社会需求和改善PEH护理过渡的关键机会.
- 导航者计划是医院的临界时间干预,旨在在住院期间和之后支持PEH.
研究的目的:
- 探索实施"导航员计划"的支持和挑战.
- 确定针对PEH的医院干预措施的有效策略.
- 了解程序实施的促进者和障碍.
主要方法:
- 定性研究涉及35次采访项目工作人员,医疗保健专业人员和社区提供者.
- 130小时的非参与者观察.
- 使用框架方法和实施研究综合框架进行分析.
主要成果:
- 计划的成功与被认可的干预需求和灵活的实施方法有关.
- 通过正式和非正式的方法确保利益相关者的买入至关重要.
- 一个基于医院的模型促进了医疗保健和社会服务提供者之间的合作,加强了护理协调.
结论:
- 解决复杂的健康和社会问题的方案的有效实施对于成功至关重要.
- 导航者计划提供了实用策略,用于在医院实施类似的干预措施.
- 学习的经验可以为加拿大和全球类似结构的医疗保健系统提供信息.
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