Caires Angela L
Creat Nurs. 2017 Aug 1;23(3):151-157. doi: 10.1891/1078-4535.23.3.152.
Individuals experiencing homelessness face significant challenges on a daily basis. The ongoing need to find shelter, safety, and food becomes a priority and often supersedes the need for health care. People who are homeless have significantly higher morbidity and mortality rates than those who are sheltered, at least in part because care is sought when health care issues become acute and more difficult to manage from a medical standpoint. Most acute care for this population is provided in the emergency department, which is more expensive and more fragmented than regular care provided by a primary provider. This article describes the planning, development, and implementation of a mobile health care clinic that provides acute care services to individuals who are homeless. As a nurse practitioner-physician collaborative endeavor, this project highlights the nursing role in meeting population needs as well as in establishing interprofessional collaborative teams.
无家可归者每天都面临着巨大的挑战。持续需要寻找住所、安全保障和食物成为了首要任务，常常取代了对医疗保健的需求。无家可归者的发病率和死亡率明显高于有住所的人，至少部分原因是当医疗问题变得严重且从医学角度更难处理时才寻求治疗。针对这一人群的大多数急性护理是在急诊科提供的，这比初级医疗服务提供者提供的常规护理成本更高且更分散。本文描述了一个流动医疗诊所的规划、开发和实施，该诊所为无家可归者提供急性护理服务。作为执业护士与医生的合作项目，该项目凸显了护士在满足人群需求以及建立跨专业合作团队方面的作用。
