Koeman Jamison, Mehdipanah Roshanak
Health Policy and Management and University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Popul Health Manag. 2021 Jun;24(3):316-321. doi: 10.1089/pop.2020.0154. Epub 2020 Aug 17.
US health systems have begun to address housing instability within a larger effort to address social determinants of health. To explore existing themes within efforts by health systems to reduce housing instability and improve health, the authors conducted a scoping review supplemented with key informant interviews. Twenty-two articles were analyzed and 7 participants from 6 health systems were interviewed. Themes identified from the literature and interviews included intervention strategies and funding, access, coordination, and administrative processes and evaluation. As more health systems integrate housing-related interventions, findings from this study highlight the need for more upstream focus, consistent funding, and reliable evaluation strategies.
美国医疗系统已开始在应对健康的社会决定因素的更大努力中,着手解决住房不稳定问题。为探究医疗系统在减少住房不稳定和改善健康方面所做努力中的现有主题,作者进行了一项范围综述,并辅以关键信息人访谈。分析了22篇文章,采访了来自6个医疗系统的7名参与者。从文献和访谈中确定的主题包括干预策略与资金、可及性、协调、行政流程及评估。随着越来越多的医疗系统整合与住房相关的干预措施,本研究结果凸显了更关注上游、持续资金投入以及可靠评估策略的必要性。