Chinchilla Melissa, Gabrielian Sonya, Horan William P, Glasmeier Amy, Hellemann Gerhard, Wynn Jonathan K, Capone-Newton Peter, Green Michael F
J Health Care Poor Underserved. 2019;30(4):1373-1393. doi: 10.1353/hpu.2019.0098.
The United States Department of Housing and Urban Development (HUD)-Veteran Administration Supportive Housing (VASH) program uses project- and tenant-based vouchers to provide permanent supportive housing for homeless Veterans. We compared Veteran characteristics, health service utilization, and neighborhood characteristics between HUD-VASH participants with project-based (n=114) vs. tenant-based (n=978) vouchers. We found that project-based voucher holders were older and more ill than tenant-based voucher holders. Project-based vouchers were also associated with higher-quality neighborhoods and higher rates of health service utilization than tenant-based vouchers. With the limited availability of project-based vouchers, juxtaposed with the increased service use and better neighborhood quality with this voucher type, our findings suggest a need to think strategically about how best to allocate housing vouchers to meet homeless Veteran's needs.
美国住房和城市发展部（HUD）-退伍军人事务部支持性住房（VASH）项目使用基于项目和租户的代金券，为无家可归的退伍军人提供永久性支持性住房。我们比较了持有基于项目的代金券（n = 114）与持有基于租户的代金券（n = 978）的HUD-VASH参与者之间的退伍军人特征、医疗服务利用情况和社区特征。我们发现，持有基于项目的代金券的人比持有基于租户的代金券的人年龄更大、病情更重。与基于租户的代金券相比，基于项目的代金券还与更高质量的社区以及更高的医疗服务利用率相关。鉴于基于项目的代金券供应有限，再加上这种代金券类型带来的服务使用增加和社区质量提高，我们的研究结果表明，需要从战略角度思考如何最好地分配住房代金券，以满足无家可归退伍军人的需求。
