Gillis L M, Singer J
Health Care for the Homeless, Inc., Baltimore, MD, USA.
J Nurs Adm. 1997 Jun;27(6):30-4. doi: 10.1097/00005110-199706000-00010.
National welfare reform is predicted to increase the number of homeless persons. This will affect the health care system by increasing the number of uninsured people and by multiplying the number of homeless persons seeking care in hospital emergency departments. Homeless persons have four major barriers to care: financial, bureaucratic, programmatic, and personal. The authors provide an overview of the homeless population, outline the barriers to health care for persons who are homeless, and highlight the major health care needs of this population. Finally, a community-based service delivery system developed by one agency in responding to the need of homeless persons is provided as a model of care.
预计全国性的福利改革将增加无家可归者的数量。这将对医疗保健系统产生影响，一方面会增加未参保人员的数量，另一方面会使在医院急诊科寻求治疗的无家可归者人数成倍增加。无家可归者在获得医疗保健方面面临四大障碍：经济、官僚、程序和个人方面的障碍。作者概述了无家可归者群体，勾勒出无家可归者获得医疗保健的障碍，并突出了这一群体的主要医疗保健需求。最后，介绍了一个机构为满足无家可归者需求而开发的基于社区的服务提供系统，作为一种护理模式。
