无家可归与健康:因素、证据、有效创新和政策建议。

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Cheyenne Garcia, Kelly Doran, Margot Kushel
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引用次数: 0

摘要

2023 年的一个晚上,美国有超过 65.3 万人无家可归。在本综述中,我们强调了可能导致无家可归的结构性和个体风险因素,探讨了无家可归与健康之间关系的证据,讨论了项目和政策创新,并提出了政策建议。卫生系统为解决无家可归问题和改善无家可归人群的健康状况所做的努力包括社会需求筛查和医疗暂休计划等干预措施。采用 "住房优先"(Housing First)方法提供永久性支持性住房的倡议取得了巨大成功。利用《医疗补助计划》第 1115 款豁免进行的医疗保健融资创新,为改善无家可归者的健康和住房条件提供了大有可为的新方法。为了大幅减少无家可归现象及其对健康的诸多不利影响,需要做出改变,增加对收入极低家庭的经济适用房供应。医疗服务提供者和医疗系统应利用其政治力量,倡导制定政策,推广持久、循证的解决方案,以减少无家可归现象,包括增加资金投入,扩大住房选择券的范围,加大对经济适用房的建设和保护的投资。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Homelessness And Health: Factors, Evidence, Innovations That Work, And Policy Recommendations.

On a single night in 2023, more than 653,000 people experienced homelessness in the United States. In this overview, we highlight structural and individual risk factors that can lead to homelessness, explore evidence on the relationship between homelessness and health, discuss programmatic and policy innovations, and provide policy recommendations. Health system efforts to address homelessness and improve the health of homeless populations have included interventions such as screening for social needs and medical respite programs. Initiatives using the Housing First approach to permanent supportive housing have a strong track record of success. Health care financing innovations using Medicaid Section 1115 waivers offer promising new approaches to improving health and housing for people experiencing homelessness. To substantially reduce homelessness and its many adverse health impacts, changes are needed to increase the supply of affordable housing for households with very low incomes. Health care providers and systems should leverage their political power to advocate for policies that scale durable, evidence-based solutions to reduce homelessness, including increased funding to expand housing choice vouchers and greater investment in the creation and preservation of affordable housing.

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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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