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为无家可归的退伍军人实施移动医疗单位:混合方法研究
Jean Yoon1,2,3, Emily P Wong1, Jillian J Weber4
1Health Economics Resource Center, VA Palo Alto Health Care System, Menlo Park, CA, USA.
移动医疗单位通过提供查和药物改善了无家可归退伍军人的医疗服务. 使用MMU的退伍军人有更多的医疗问题和更高的医疗保健使用率,这表明需要对其影响进行进一步研究.
科学领域:
- 医疗服务研究
- 公共卫生
- 退伍军人事务 医疗
背景情况:
- 移动医疗单位对于克服医疗服务障碍至关重要.
- 退伍军人事务部 (VA) 的无家可归患者护理团队 (HPACT) 计划启动了MMU服务无家可归的退伍军人.
- 早期实施数据对于了解货币市场统一的有效性和运营挑战至关重要.
研究的目的:
- 评估VA HPACT计划中的MMU的初始实施情况.
- 确定与MMU使用相关的操作问题,提供的服务和患者特征.
- 将使用MMU的退伍军人与没有使用MMU的退伍军人进行比较.
主要方法:
- 一种结合在线调查和医疗管理数据的混合方法.
- 数据收集包括货币市场统一的实施时间表,人员,提供的服务,成本和退伍军人人口统计.
- 统计分析以比较MMU使用者与非使用者的特征和医疗保健使用情况.
主要成果:
- 在17个响应站点中,在5个月内平均实施了147个小时.
- 服务包括健康检查,教育和住房和庇护所的药物管理.
- 使用MMU的人患病并发症和物质使用障碍的比率更高,急诊室的访问量也增加.
结论:
- 在接触弱势老兵群体方面,
- 需要进一步的研究来确定MMU对初级保健,心理健康和急性护理的影响.
- 需要基于证据的见解来指导未来的MMU计划开发和资源分配.
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