没有固定地址,仍然需要:协调无家可归者住院康复:一系列案例
Jean-Luc Banks1, Julia Lam2, Maria Twitchell1
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
American journal of physical medicine & rehabilitation
|January 14, 2026
概括
无家可归者 (PEH) 难以获得住院康复 (IPR). 协调护理模式和优先考虑住房的政策变化对于改善PEH的康复机会和结果至关重要.
科学领域:
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 无家可归是获得基本住院康复服务的重要障碍.
- 经历无家可归 (PEH) 的个人有复杂的医疗和功能需求,面临着复杂的挑战.
- 现有的医疗保健和社会服务系统往往是分散的,限制了PEH的护理连续性.
研究的目的:
- 展示一系列案例,说明无家可归者 (PEH) 的康复需求.
- 突出PEH在获得协调康复护理时遇到的障碍.
- 强调跨学科合作和政策改革对于公平的知识产权获取的重要性.
主要方法:
- 案例系列方法详细介绍了三个人经历无家可归的残疾需要知识产权.
- 专注于涉及物理治疗师,职业治疗师和社会工作者的跨学科合作.
- 分析与住房,后续护理和系统碎片化相关的障碍.
主要成果:
- 这三名患者都通过协调,跨学科的努力成功获得了住院康复 (IPR).
- 患者在出院后继续接受康复治疗,尽管与无家可归相关的持续挑战.
- 这些案例表明,通过量身定制的支持,克服进入障碍的可行性.
结论:
- 低障碍,基于社区的护理模式和整合住房的政策变化对于PEH至关重要.
- 建议包括扩大住房优先 (+),加强医疗缓解,并整合社会服务.
- 需要进行系统性改革,以确保公平获得康复服务,并改善PEH的健康结果.
相关概念视频
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Methods of Documentation VI: Case Management Model
860
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
860
Acute Kidney Injury V: Interprofessional Care
297
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
297
Chronic Kidney Disease III: Interprofessional Care
344
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
344


