可用供应和服务的分类与开放菜单对利用街道医学计划资源的影响 - - 一项前后研究
Allison Dumitriu Carcoana1, Doniya Milani1, Emily Heideman1
1University of South Florida Health Morsani College of Medicine, Tampa, FL, USA.
Community health equity research & policy
|August 12, 2025
概括
街头医疗计划通过实施详细的菜单来改善患者的护理. 这一战略提高了供应和服务的分发,大大增加了在街道运行期间满足患者需求的数量.
科学领域:
- 公共卫生 公共卫生
- 医疗保健提供 医疗保健提供
- 社会医学 社会医学
背景情况:
- 街头医疗计划在"街头跑步"期间为无家可归的人提供医疗保健.
- 关于加强街道医疗服务的策略的数据有限.
- 在美国,有超过50个由医学学生经营的街头医学项目在美国运作.
研究的目的:
- 评估分类菜单对街头医学资源分配的影响.
- 为了确定一个菜单是否能更好地满足患者的需求.
主要方法:
- 在城市街道医疗计划中进行了一项前后评估研究.
- 在八条街道上跟踪了资源利用情况 (四条菜单前,四条菜单后).
- 志愿者协助患者浏览详细列出的菜单.
主要成果:
- 在实施后,患者接触量略有下降,从98个减少到81个.
- 观察到舒适品的摄入 (p < .001),临床需求的满足 (p < .001) 和整体需求的满足 (p < .001) 显著增加.
- 17个以前未分配的资源被使用了71次后菜单实施.
结论:
- 实施分类菜单显著提高了街头医学计划的有效性.
- 菜单驱动的方法改善了资源分配和满足患者需求.
- 这一战略提供了一个可扩展的解决方案,以改善无家可归人口的护理.
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