在 COVID-19 大流行期间,RoomKey 项目中临时居住的无家可归者的特征。

IF 3 Q1 PRIMARY HEALTH CARE
Kylie Sloan, Alexis Coulourides Kogan, Jodie Guller, Corinne T Feldman, Brett J Feldman
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引用次数: 0

摘要

导言:无家可归者(PEUH)的疾病负担较重,但获得医疗保健的机会有限。COVID-19 为 65 岁以上、患有潜在慢性疾病、因 "房间钥匙项目"(PRK)而暂时居住在酒店/旅馆的无家可归者带来了更大的风险。本研究旨在描述接受街头医疗项目初级医疗服务的 "PRK "人群的特征:这项观察性病例系列研究包括 35 名 PRK 参与者的样本,他们于 2020 年 7 月至 9 月期间在一个地点接受了街头医疗团队提供的初级医疗服务。我们使用 HOUSED BEDS 评估工具了解 PEUH 病史:结果:63%的参与者为男性,40%为西班牙裔/拉丁美洲裔,40%为白人,94%说英语,73%患有慢性疾病。评估显示平均无家可归时间(H)为 4 年;76% 的人以前没有接受过社会服务外联(O);平均使用率(U)为 6 个月内 4 次急诊就诊;68% 的人从政府收入中领取薪水(S);获得或食用的食物(E)通常为购买(29%)或捐赠(26%);59% 的参与者有干净的饮用水 (D);86% 的参与者可以使用浴室 (B);营地 (E) 多种多样,38% 的参与者报告了安全问题;日常生活 (D) 显示 76% 的参与者可以使用电话,32% 的参与者得到了家人的社会支持;79% 的参与者报告了过去或现在的药物使用情况 (S)。在研究期间,没有参与者感染 COVID-19:本研究描述了南加州 PRK 参与者的健康和人口特征。研究结果为继续开展 PRK(包括现场医疗保健,如通过街头医疗)提供了政策依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Characteristics of Homeless Temporarily-Housed in Project RoomKey During the COVID-19 Pandemic.

Introduction: People experiencing unsheltered homelessness (PEUH) have higher disease burden yet limited access to healthcare. COVID-19 introduced even greater risk for PEUH aged 65+ years with an underlying chronic health condition and were temporarily housed in hotels/motels for Project RoomKey (PRK). This study aimed to characterize a PRK cohort who received primary care from a street medicine program.

Methods: This observational case series study included a sample of 35 PRK participants receiving primary care from a street medicine team at a single site from July to September 2020. We used the HOUSED BEDS assessment tool for taking history on PEUH.

Results: Participants were 63% male, 40% Hispanic/Latino/a, 40% white, 94% English-speaking, and 73% had chronic health conditions. Assessment revealed: average Homelessness (H) of 4 years; 76% had no prior social service Outreach (O); average Utilization (U) was 4 emergency department visits in prior 6-months; 68% received Salary (S) from government income; Food access or Eat (E) was commonly purchased (29%) or donated (26%); clean water to Drink (D) for 59% of participants; 86% had access to a Bathroom (B); Encampment (E) was varied and 38% reported safety concerns; Daily routine (D) showed 76% could access a telephone, 32% received social support from family; 79% reported past or current Substance use (S). No participants contracted COVID-19 during study period.

Conclusions: This study describes health and demographic characteristics of PRK participants in Southern California. Findings inform policies to continue PRK that includes onsite healthcare such as via street medicine.

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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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