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南非市中心一家初级保健诊所中无家可归者的健康状况概述

A Profile of the Health of Homeless at an Inner City Primary Health Care Clinic in South Africa.

作者信息

Johnston Deanne, McInerney Patricia, Miot Jacqui

出版信息

J Health Care Poor Underserved. 2019;30(4):1455-1466. doi: 10.1353/hpu.2019.0093.

Abstract

People who are homeless present for care with poor health status, influenced by their physical and social environment. Trinity Health Services is an interprofessional student-run clinic providing free health care to the inner city homeless of Johannesburg, South Africa. This descriptive survey profiled the disease conditions of the homeless through a retrospective review of patient files, documented on a predesigned case report form. The data were analysed using descriptive statistics. A total of 240 patient visits were reviewed from January-December 2016. Several patients reported consuming alcohol (n=76), smoking cigarettes (n=80) and/or using recreational drugs (n=17). Patients commonly presented with conditions related to the respiratory (n=56) and digestive systems (n=32). The clinic dispenses medication according to a restricted formulary where analgesics (n=93), antibiotics (n=33), antihistamines (n=25) and vitamins (n=20) were prescribed frequently. This study provided baseline information to which the clinic can tailor the services provided.

摘要

无家可归者的健康状况不佳,这受到他们的身体和社会环境影响。三一健康服务中心是一家由跨专业学生运营的诊所,为南非约翰内斯堡市中心的无家可归者提供免费医疗服务。这项描述性调查通过回顾预先设计的病例报告表上记录的患者档案,对无家可归者的疾病状况进行了分析。数据采用描述性统计进行分析。共回顾了2016年1月至12月期间的240次患者就诊情况。有几名患者报告饮酒(n = 76)、吸烟(n = 80)和/或使用消遣性药物(n = 17)。患者常见的疾病与呼吸系统(n = 56)和消化系统(n = 32)有关。该诊所根据受限的处方集配药,其中镇痛药(n = 93)、抗生素(n = 33)、抗组胺药(n = 25)和维生素(n = 20)的处方频率较高。本研究提供了基线信息,诊所可据此调整所提供的服务。

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