San Gallicano Dermatological Institute, Hospital Physiotherapy Institutes (IRCCS), Rome, Italy.
Human, Social, and Health Sciences Department, University of Cassino, Cassino, Italy.
Int J Public Health. 2022 Jun 14;67:1604851. doi: 10.3389/ijph.2022.1604851. eCollection 2022.
To furnish a model to ensure access and use of healthcare services to the undocumented and homeless population. Between March 2020 and October 2021, public and third sector actors in Rome implemented an accessible COVID-19 screening service and vaccination program targeting the homeless and undocumented population. 95.6% of the patients tested negative to both rapid and molecular tests. 0.9% tested positive to both. 0.7% were false negatives, while 2.8% were false positives. None of the participants refused the diagnostic treatment. From July to October 2021, 1384 people received a complete cycle of the COVID-19 vaccine through the program. 632 (45.6%) also agreed to perform the antibodies testing before inoculation. 318 (50.31%) of these were positive at the time of vaccination. We present a cost-effective model for reducing structural barriers to access diagnostic and preventive services for the homeless and undocumented population that can be applied to different public health settings.
为无证件和无家可归者提供获取和使用医疗保健服务的模式。2020 年 3 月至 2021 年 10 月，罗马的公共和第三部门行为者实施了一项针对无家可归者和无证件者的可及性 COVID-19 筛查服务和疫苗接种计划。95.6%的患者在快速和分子检测中均呈阴性。0.9%的患者两项检测均呈阳性。0.7%为假阴性，而 2.8%为假阳性。没有参与者拒绝诊断治疗。2021 年 7 月至 10 月，1384 人通过该计划完成了 COVID-19 疫苗的完整接种周期。632 人（45.6%）也同意在接种前进行抗体检测。其中 318 人（50.31%）在接种时呈阳性。我们提出了一个具有成本效益的模式，以减少无家可归者和无证件者获得诊断和预防服务的结构性障碍，该模式可适用于不同的公共卫生环境。
