医院为离开急性护理的无家可归者制定出院计划：一个被忽视的问题。
Hospital Discharge Planning for People Experiencing Homelessness Leaving Acute Care: A Neglected Issue.
机构信息
PhD Candidate, Dalla Lana School of Public Health, University of Toronto, Toronto, ON.
Barrister and Solicitor, Crown Counsel, Ministry of the Attorney General, Toronto, ON.
出版信息
Healthc Policy. 2020 Aug;16(1):14-21. doi: 10.12927/hcpol.2020.26294.
Abstract
People experiencing homelessness have worse health outcomes than the general population and limited access to primary/preventative healthcare. This leads to high hospital readmission rates. Effective discharge planning can improve recovery rates and reduce hospital costs. However, most hospital discharge policies and best practice guidelines are not tailored to patients with no fixed address, contributing to inappropriate discharges and health inequities for people experiencing homelessness. We discuss the lack of discharge policies, identifiable processes or plans specifically tailored to this population as a healthcare and policy gap, and we identify key areas for better understanding and addressing this issue.
摘要
无家可归者的健康状况比一般人群差，获得初级/预防保健的机会有限。这导致了高住院再入院率。有效的出院计划可以提高康复率并降低医院成本。然而，大多数医院出院政策和最佳实践指南都不是针对无固定地址的患者量身定制的，这导致了对无家可归者的不适当出院和健康不平等。我们讨论了缺乏专门针对这一人群的出院政策、可识别的流程或计划，这是医疗保健和政策方面的一个差距，并确定了更好地理解和解决这个问题的关键领域。
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