波士顿无家可归者医疗保健计划：公共卫生框架。
The Boston Health Care for the Homeless Program: a public health framework.
机构信息
Boston Health Care for the Homeless Program, MA 02118, USA.
出版信息
Am J Public Health. 2010 Aug;100(8):1400-8. doi: 10.2105/AJPH.2009.173609. Epub 2010 Jun 17.
Abstract
During the past 25 years, the Boston Health Care for the Homeless Program has evolved into a service model embodying the core functions and essential services of public health. Each year the program provides integrated medical, behavioral, and oral health care, as well as preventive services, to more than 11 000 homeless people. Services are delivered in clinics located in 2 teaching hospitals, 80 shelters and soup kitchens, and an innovative 104-bed medical respite unit. We explain the program's principles of care, describe the public health framework that undergirds the program, and offer lessons for the elimination of health disparities suffered by this vulnerable population.
摘要
在过去的 25 年中，波士顿无家可归者医疗保健计划已经发展成为一种服务模式，体现了公共卫生的核心功能和基本服务。该计划每年为 11000 多名无家可归者提供综合医疗、行为和口腔保健服务以及预防服务。服务在 2 所教学医院、80 个避难所以及施粥所和一个创新的 104 张床位的医疗暂息单位的诊所中提供。我们解释了该计划的护理原则，描述了支撑该计划的公共卫生框架，并提供了消除这一弱势群体所遭受的健康差距的经验教训。
相似文献
1
The Boston Health Care for the Homeless Program: a public health framework.波士顿无家可归者医疗保健计划：公共卫生框架。
Am J Public Health. 2010 Aug;100(8):1400-8. doi: 10.2105/AJPH.2009.173609. Epub 2010 Jun 17.
2
Promoting oral health among the inner city homeless: a community-academic partnership.促进市中心无家可归者的口腔健康：社区与学术机构的合作关系。
Nurs Clin North Am. 2008 Sep;43(3):367-79, viii. doi: 10.1016/j.cnur.2008.04.011.
3
A public health approach to reducing morbidity and mortality among homeless people in Boston.一种降低波士顿无家可归者发病率和死亡率的公共卫生方法。
J Public Health Manag Pract. 2005 Jul-Aug;11(4):311-6. doi: 10.1097/00124784-200507000-00009.
4
Nutrition for homeless populations: shelters and soup kitchens as opportunities for intervention.无家可归者的营养：收容所和施粥处作为干预的契机。
Public Health Nutr. 2016 May;19(7):1312-4. doi: 10.1017/S1368980015002682. Epub 2015 Oct 5.
5
Development of an inner urban homeless mental health service.城市中心无家可归者心理健康服务的发展。
Australas Psychiatry. 2005 Mar;13(1):64-7. doi: 10.1080/j.1440-1665.2004.02152.x.
6
Health and service utilization patterns among homeless men in transition: exploring the need for on-site, shelter-based nursing care.处于过渡阶段的无家可归男性的健康与服务利用模式：探索对基于庇护所的现场护理的需求。
Sch Inq Nurs Pract. 2001 Summer;15(2):143-54; discussion 155-9.
7
8
Homeless veterans regain independence through network of clinical and social services.无家可归的退伍军人通过临床和社会服务网络重获独立。
Disch Plann Update. 1993 Sep-Oct;13(5):9-12.
9
10
Youth perceptions of comprehensive adolescent health services through the Boston HAPPENS program.青少年通过波士顿HAPPENS项目对青少年综合健康服务的认知。
J Pediatr Health Care. 2000 Mar-Apr;14(2):60-7.
引用本文的文献
1
Social determinants of oral health in migrants at the Spanish border.西班牙边境移民口腔健康的社会决定因素。
Front Public Health. 2025 Aug 1;13:1641311. doi: 10.3389/fpubh.2025.1641311. eCollection 2025.
2
Homelessness, Patient Navigation, and Lung Cancer Screening in a Health Center Setting: A Subgroup Analysis of a Randomized Clinical Trial.健康中心环境下的无家可归、患者导航与肺癌筛查：一项随机临床试验的亚组分析
JAMA Netw Open. 2025 Jul 1;8(7):e2519780. doi: 10.1001/jamanetworkopen.2025.19780.
3
Creating a Community-Based Medical Clinic Dedicated to Patients Experiencing Homelessness in New York City (NYC): The Weill Cornell Street Medicine Clinic.在纽约市创建一家服务于无家可归患者的社区医疗诊所：威尔康奈尔街头诊所。
Cureus. 2025 Apr 6;17(4):e81797. doi: 10.7759/cureus.81797. eCollection 2025 Apr.
4
Liver-related mortality in homeless-experienced adults over a 16-year period.16年间有过无家可归经历的成年人的肝脏相关死亡率。
Res Sq. 2024 Nov 27:rs.3.rs-5417681. doi: 10.21203/rs.3.rs-5417681/v1.
5
Haven for Hope: A Transformational Campus Model to Address Homelessness.希望港湾：一种解决无家可归问题的变革性校园模式。
Community Ment Health J. 2025 Jul;61(5):827-833. doi: 10.1007/s10597-024-01419-8. Epub 2024 Dec 6.
6
Oral Health Epidemiological Investigation in an Urban Homeless Population.城市无家可归人群的口腔健康流行病学调查
Dent J (Basel). 2024 Oct 8;12(10):324. doi: 10.3390/dj12100324.
7
Outpatient-Based Opioid Treatment Engagement and Attendance: A Prospective Cohort Study of Homeless-Experienced Adults.基于门诊的阿片类药物治疗参与和出勤率：一项针对有 homeless 经历的成年人的前瞻性队列研究。
J Gen Intern Med. 2024 Nov;39(15):2927-2934. doi: 10.1007/s11606-024-08916-2. Epub 2024 Jul 10.
8
Sheltered from the heat? How tents and shade covers may unintentionally increase air temperature exposures to unsheltered communities.躲避炎热？帐篷和遮阳罩可能如何无意中增加未受遮蔽社区的气温暴露风险。
Public Health Pract (Oxf). 2023 Nov 13;6:100450. doi: 10.1016/j.puhip.2023.100450. eCollection 2023 Dec.
9
Mortality by Age, Gender, and Race and Ethnicity in People Experiencing Homelessness in Boston, Massachusetts.马萨诸塞州波士顿无家可归人群的年龄、性别、种族和族裔死亡率。
JAMA Netw Open. 2023 Aug 1;6(8):e2331004. doi: 10.1001/jamanetworkopen.2023.31004.
10
Text messaging to increase patient engagement in a large health care for the homeless clinic: Results of a randomized pilot study.通过短信提高大型无家可归者医疗诊所患者的参与度：一项随机试点研究的结果
Digit Health. 2022 Oct 9;8:20552076221129729. doi: 10.1177/20552076221129729. eCollection 2022 Jan-Dec.
本文引用的文献
1
Post-hospital medical respite care and hospital readmission of homeless persons.出院后医疗暂托护理与无家可归者的医院再入院情况。
J Prev Interv Community. 2009;37(2):129-42. doi: 10.1080/10852350902735734.
2
Homelessness as an independent risk factor for mortality: results from a retrospective cohort study.无家可归作为死亡率的独立风险因素：一项回顾性队列研究的结果
Int J Epidemiol. 2009 Jun;38(3):877-83. doi: 10.1093/ije/dyp160. Epub 2009 Mar 21.
3
The effect of traumatic brain injury on the health of homeless people.创伤性脑损伤对无家可归者健康的影响。
CMAJ. 2008 Oct 7;179(8):779-84. doi: 10.1503/cmaj.080341.
4
Survey findings on characteristics and health status of clients treated by the federally funded (US) Health Care for the Homeless Programs.关于由联邦政府资助（美国）的无家可归者医疗保健项目所治疗客户的特征和健康状况的调查结果。
Health Soc Care Community. 2009 Feb;17(1):18-26. doi: 10.1111/j.1365-2524.2008.00793.x. Epub 2008 Jun 17.
5
The need for homelessness prevention: a doctor's view of life and death on the streets.预防无家可归的必要性：一位医生对街头生死的看法。
J Prim Prev. 2007 Jul;28(3-4):199-203. doi: 10.1007/s10935-007-0089-5. Epub 2007 Jun 23.
6
The effects of respite care for homeless patients: a cohort study.为无家可归患者提供临时护理的效果：一项队列研究。
Am J Public Health. 2006 Jul;96(7):1278-81. doi: 10.2105/AJPH.2005.067850. Epub 2006 May 30.
7
8
Interventions to improve the health of the homeless: a systematic review.改善无家可归者健康状况的干预措施：一项系统综述。
Am J Prev Med. 2005 Nov;29(4):311-9. doi: 10.1016/j.amepre.2005.06.017.
9
A public health approach to reducing morbidity and mortality among homeless people in Boston.一种降低波士顿无家可归者发病率和死亡率的公共卫生方法。
J Public Health Manag Pract. 2005 Jul-Aug;11(4):311-6. doi: 10.1097/00124784-200507000-00009.
10
Health, housing, and the heart: cardiovascular disparities in homeless people.健康、住房与心脏：无家可归者的心血管差异
Circulation. 2005 May 24;111(20):2555-6. doi: 10.1161/CIRCULATIONAHA.105.540856.
Zotero 插件