Seattle University College of Nursing, Seattle, WA, USA.
Lake City Partners to End Homelessness, Seattle Mennonite Church, Seattle, WA, USA.
Public Health Nurs. 2021 Jan;38(1):93-97. doi: 10.1111/phn.12834. Epub 2020 Nov 15.
A program evaluation to demonstrate the feasibility of a recuperative care pilot project to address the needs of unhoused individuals.
The study is a descriptive postprogram evaluation.
A total of 73 referrals were made to the project with 23 admissions.
Data regarding number and type of referrals for admission, cost of respite care per guest and per day, hospital costs avoided, referrals to community services, and discharge destination were collected.
A case management care model was used. The project staff included a public health nurse and an outreach worker.
One local hospital accounted for 65% of all admissions. Admitting diagnoses were abscess/wound care (44%) followed by postsurgery recovery (17%). Housing resources (65%) was a common referral with 22% of guests discharged to stable housing. Actual length of stay exceeded the planned length by an average of 24 days. Total cost per guest per day was $157.45 which is an estimated savings to referring acute care facilities of between $18,000 and $48,000 per day.
The project demonstrated an ability to provide unhoused individuals a place to recuperate following hospitalization in a cost-effective manner. Challenges and recommendations of the program going forward were identified.
对康复护理试点项目进行方案评估，以满足无家可归者的需求。
本研究为描述性项目后评估。
共有 73 人被转介到该项目，其中 23 人入院。
收集有关入院人数和类型、每位客人和每天的暂息护理费用、避免的住院费用、向社区服务的转介和出院去向的数据。
采用了案例管理护理模式。项目工作人员包括一名公共卫生护士和一名外展工作人员。
当地一家医院占所有入院人数的 65%。入院诊断为脓肿/伤口护理（44%），其次是手术后康复（17%）。住房资源（65%）是常见的转介，有 22%的客人出院到稳定的住房。实际住院时间比计划平均延长了 24 天。每位客人每天的费用为 157.45 美元，这意味着每天为转介的急性护理机构节省了 18000 至 48000 美元。
该项目证明了能够以具有成本效益的方式为无家可归者提供在住院后康复的场所。确定了项目未来的挑战和建议。
