Spanowicz M J, Millsap G, McNamee M J, Bartek J K
College of Nursing, University of Nebraska Medical Center, Omaha 68198-5330, USA.
Clin Excell Nurse Pract. 1998 Sep;2(5):279-85.
The number of homeless persons in the United States is increasing on an annual basis, with men accounting for the greatest number. Accessing health care for this group is difficult for many reasons, particularly those related to finances, transportation, lack of insurance, and transiency of lifestyle. Consequently, data regarding homeless men's health problems/concerns are difficult to obtain, and often the information reported is only for acute care services provided by emergency rooms and clinics. The purpose of this study was to determine the demographic characteristics and health problems/concerns of sheltered homeless men using the services of a mobile van for health care over a 4-year period. A total of 2,086 records, representing 1,171 men aged 19 and over, were retrospectively reviewed to determine demographic and health characteristics (age, sex, self-reported medical and addiction histories, and self-reported medication use). Data on presenting concerns, diagnoses, visit patterns, treatments, medications and teaching provided were also collected and analyzed. Recommendations to improve the quality, continuity, and follow-up of care for homeless men are included.
美国无家可归者的数量正逐年增加，其中男性占比最大。由于诸多原因，该群体获得医疗保健存在困难，特别是与经济状况、交通、缺乏保险以及生活方式的不稳定性相关的因素。因此，有关无家可归男性健康问题/担忧的数据难以获取，而且所报告的信息通常仅涉及急诊室和诊所提供的急性护理服务。本研究的目的是确定在四年期间使用流动医疗车服务的有住所的无家可归男性的人口统计学特征以及健康问题/担忧。回顾性审查了总共2086份记录，代表了1171名19岁及以上的男性，以确定人口统计学和健康特征（年龄、性别、自我报告的医疗和成瘾史以及自我报告的用药情况）。还收集并分析了有关当前担忧、诊断、就诊模式、治疗、用药和所提供指导的资料。文中还包括了改善对无家可归男性护理质量、连续性和后续跟进的建议。
