Harborview Medical Center, Seattle, Washington 98104, USA.
J Hosp Med. 2009 Jul;4(6):375-81. doi: 10.1002/jhm.568.
Homeless patients suffer disproportionately from medical disease and from barriers to healthcare, affecting their likelihood of presentation, severity of disease, long-term outcomes, and mortality. In the hospital, homeless patients are frequently cared for by hospitalists. Homeless patients' unstable social situation may challenge usual systems of inpatient care and discharge. To provide more effective care for this group, it is important to recognize the demographics of the hospitalized homeless patient. We suggest a structured approach to the inpatient care of the unstably housed patient, represented by a simple mnemonic checklist "A SAFE DC," describing evidence-based adaptations of care, where available, and discussing systems-based approaches to discharge.
无家可归者在患医学疾病和面临医疗保健障碍方面的比例过高，这影响了他们的就诊可能性、疾病严重程度、长期预后和死亡率。在医院中，无家可归者通常由医院医生照顾。无家可归者不稳定的社会状况可能会对常规住院和出院护理系统构成挑战。为了为这一群体提供更有效的护理，重要的是要认识到住院无家可归患者的人口统计学特征。我们建议采用一种结构化的方法来管理不稳定住房患者的住院护理，通过一个简单的助记符检查表“ASAFEDC”来表示，该检查表描述了可用的基于证据的护理适应性，并讨论了出院的基于系统的方法。
