Primary Care-Based Housing Program Reduced Outpatient Visits; Patients Reported Mental And Physical Health Benefits.

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
MaryCatherine Arbour, Placidina Fico, Sidney Atwood, Na Yu, Lynn Hur, Maahika Srinivasan, Richard Gitomer
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Abstract

Screening for housing instability has increased as health systems move toward value-based care, but evidence on how health care-based housing interventions affect patient outcomes comes mostly from interventions that address homelessness. In this mixed-methods evaluation of a primary care-based housing program in Boston, Massachusetts, for 1,139 patients with housing-related needs that extend beyond homelessness, we found associations between program participation and health care use. Patients enrolled in the program between October 2018 and March 2021 had 2.5 fewer primary care visits and 3.6 fewer outpatient visits per year compared with those who were not enrolled, including fewer social work, behavioral health, psychiatry, and urgent care visits. Patients in the program who obtained new housing reported mental and physical health benefits, and some expressed having stronger connections to their health care providers. Many patients attributed improvements in mental health to compassionate support provided by the program's housing advocates. Health care-based housing interventions should address the needs of patients facing imminent housing crises. Such interventions hold promise for redressing health inequities and restoring dignity to the connections between historically marginalized patient populations and health care institutions.

以初级保健为基础的住房计划减少了门诊就诊次数;患者表示心理和身体健康都得到了改善。
随着医疗系统转向以价值为基础的医疗服务,住房不稳定性的筛查也越来越多,但有关医疗住房干预措施如何影响患者预后的证据大多来自于解决无家可归问题的干预措施。在这项对马萨诸塞州波士顿市一项以初级医疗为基础的住房计划进行的混合方法评估中,我们发现了该计划的参与与医疗服务使用之间的关联。2018 年 10 月至 2021 年 3 月期间参加该计划的患者与未参加计划的患者相比,每年的初级保健就诊次数减少了 2.5 次,门诊就诊次数减少了 3.6 次,其中包括社会工作、行为健康、精神科和紧急护理就诊次数减少。参加该计划并获得新住房的患者表示,他们的身心健康都得到了改善,一些患者还表示,他们与医疗服务提供者之间的联系更加紧密了。许多患者将心理健康的改善归功于该计划的住房倡导者所提供的富有同情心的支持。以医疗保健为基础的住房干预措施应满足面临迫在眉睫的住房危机的患者的需求。此类干预措施有望纠正健康不公平现象,并恢复历史上被边缘化的患者群体与医疗机构之间联系的尊严。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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