应对无家可归:医院和医疗保健系统采取行动的框架
Joy C Liu1, Catherine J Ryan2, Jeff Olivet2
1Alameda Health System, Oakland, CA, United States.
Frontiers in public health
|November 26, 2025
概括
医疗保健系统需要系统战略来应对无家可归的危机. 一个新的框架将10项干预措施分类为机构,社区和政策层面,以改善患者健康结果.
科学领域:
- 公共卫生 公共卫生
- 卫生系统管理管理卫生系统管理
- 健康的社会决定因素
背景情况:
- 无家可归的危机是复杂而严重的,需要系统性的医疗保健方法.
- 联邦政策正在将无家可归的预防和应对转移到州和地方一级.
- 现有的医疗保健系统参与无家可归的框架是有限的.
研究的目的:
- 确定和分类医疗保健系统参与解决无家可归问题的最佳实践.
- 制定一个指导统一医疗保健系统应对无家可归问题的框架.
- 探索医疗保健系统如何改善患者的健康,而不仅仅是个人护理.
主要方法:
- 进行了关于医疗保健系统参与无家可归问题的文献搜索.
- 与来自医疗保健和无家可归组织的专家进行了关键告密者采访.
- 将卫生系统的反应分成十个干预类别.
主要成果:
- 确定了十种类型的卫生系统响应:查,无家可归者医疗保健计划,医疗缓解,包裹服务,医疗法律伙伴关系,负担得起的住房投资,医疗保健和住房伙伴关系,数据共享,机构和联邦计划实施.
- 根据社会生态模型开发了一种干预类型.
- 在三个相互关联的层面上组织干预:基于机构的实践,社区伙伴关系和公共政策.
结论:
- 拟议的框架为医疗保健系统提供了一种结构化的方法来解决无家可归问题.
- 这种类型学可以指导进一步的研究,财务影响分析和计划评估.
- 系统性的,多层次的干预对于改善无家可归人口的健康结果至关重要.
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