McNamee M J, Bartek J K, Lynes D
Issues Compr Pediatr Nurs. 1994 Oct-Dec;17(4):233-42. doi: 10.3109/01460869409078308.
Homeless families are an increasing problem in the United States, with children representing 34% of the total homeless population. This retrospective study describes the demographic characteristics and health care problems and concerns of sheltered homeless children who used the services of a mobile health van over a 1-year period in a midwestern metropolitan area. The patterns of utilization, medications prescribed, and referrals are also described. Medical records of 175 sheltered homeless children who sought care from a mobile health van were reviewed. Forty-eight percent of the children were female; 52% were male. The majority were under 6 years of age (15% infants, 22% toddlers, 22% preschoolers, 23% school-age children, and 18% adolescents). The major reasons for seeking health care, the primary diagnoses, and treatments are presented. Recommendations for using a mobile van to provide efficient, quality health care for this population are discussed.
在美国，无家可归的家庭问题日益严重，儿童占无家可归总人口的34%。这项回顾性研究描述了中西部一个大都市地区在一年时间里使用流动医疗车服务的无家可归儿童的人口统计学特征、医疗保健问题及担忧。还描述了利用模式、所开药物和转诊情况。对175名从流动医疗车寻求护理的无家可归儿童的病历进行了审查。48%的儿童为女性；52%为男性。大多数儿童年龄在6岁以下（15%为婴儿，22%为学步儿童，22%为学龄前儿童，23%为学龄儿童，18%为青少年）。列出了寻求医疗保健的主要原因、主要诊断和治疗方法。讨论了使用流动医疗车为这一人群提供高效、优质医疗保健的建议。
