Department of Psychiatry, University of Colorado Anschutz Medical Campus, MS F478, 1890 N Revere Ct, Aurora, CO, 80045, USA.
J Community Health. 2023 Aug;48(4):606-615. doi: 10.1007/s10900-023-01194-9. Epub 2023 Feb 19.
People who are homeless disproportionately experience the burdens of chronic disease, have limited access to preventive care, and may be less trusting of healthcare agencies. The Collective Impact Project created and evaluated an innovative model designed to increase chronic disease screening and referral to healthcare and public health services. Trained Peer Navigators (PNs), who were paid staff with lived experiences similar to the clients served, were embedded in five agencies serving people experiencing homelessness or at risk for homelessness. Over two years, PNs engaged 1071 individuals. Of those, 823 were screened for chronic diseases and 429 were referred to healthcare services. Alongside screening and referrals, the project demonstrated the value of convening a coalition of community stakeholders, experts, and resources to identify service gaps and how PN functions might complement existing staffing roles. Project findings add to a growing literature documenting unique PN roles that potentially reduce health inequities.
无家可归者不成比例地承受着慢性病的负担，获得预防保健的机会有限，可能对医疗保健机构的信任度较低。“集体影响项目”创建并评估了一种创新模式，旨在增加对慢性病的筛查和转介到医疗和公共卫生服务。经过培训的同行导航员（PN）是与服务对象有相似生活经历的带薪员工，被嵌入到五个为无家可归者或有沦为无家可归者风险的人提供服务的机构中。在两年多的时间里，PN 接触了 1071 人。其中，823 人接受了慢性病筛查，429 人被转介到医疗服务机构。除了筛查和转介，该项目还展示了召集社区利益相关者、专家和资源联盟的价值，以确定服务差距以及 PN 的功能如何补充现有人员配备角色。项目结果增加了越来越多的文献记录了潜在减少健康不平等的独特 PN 角色。
