分项供应和服务对街头医疗项目资源利用的影响——一项前后研究。

IF 1.8
Allison Dumitriu Carcoana, Doniya Milani, Emily Heideman, Jillian Ngo, Lucy Guerra, Asa Oxner, Ambuj Kumar, Lynette Menezes
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引用次数: 0

摘要

背景:街头医疗项目通过“街头跑”为无家可归的人提供医疗服务,医疗服务提供者在街上遇到无家可归的病人,并在那种环境中为他们提供护理。在美国,大约有50个医学院学生开办的街头医疗项目。关于改善街头医疗服务战略的数据有限。本研究旨在评估使用可用供应和服务的逐项菜单来指导患者在街头医疗项目中遇到的资源分配,从而满足患者需求的数量的影响。方法我们对一个在市区提供医疗服务的已建立的街头医疗项目进行了一项前后评估研究。收集了四次街道运行前和四次街道运行后项目菜单实施中所利用资源的数量和类型的数据。志愿者帮助病人浏览菜单。采用Mann-Whitney U检验评价前后资源利用差异。结果4次街道运行中,菜单前阶段有98例患者就诊,菜单后阶段有81例患者就诊。患者对舒适物品的摄取显著增加(p < 0.001),临床(p < 0.001)和总体(p < 0.001)需求得到满足。其中17项资源在实施项目菜单前的4次街跑中没有分配,但在实施后的4次街跑中,患者请求和接收了71次资源。结论实施逐项菜单可显著提高街头医疗项目满足无家可归患者需求的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Itemized Versus Open Menu of Available Supplies and Services on Utilization of Street Medicine Program Resources - A Pre-post Study.

BackgroundStreet medicine programs provide medical care to individuals experiencing homelessness through "street runs," in which healthcare providers meet unhoused patients on the street and offer them care in that environment. Approximately 50 medical student-run street medicine programs operate in the United States. Data on strategies to improve street medicine services are limited. This study aimed to assess the impact of using an itemized menu of available supplies and services to guide patient encounters on a street medicine program's distribution of resources and therefore the numbers of patient needs that were met.MethodsWe performed a pre-post assessment study in an established street medicine program providing care in an urban downtown setting. Data were collected on the number and type of resources utilized in four street runs pre- and four street runs post-itemized menu implementation. Volunteers assisted patients in navigating the menu. The difference between resource utilization pre-post was assessed using the Mann-Whitney U test.ResultsThere were 98 patient encounters during the four street runs in the pre-itemized menu phase and 81 encounters in the post-itemized menu phase. There was a significant increase in patients' uptake of comfort items (p < .001), as well as clinical (p < .001) and overall (p < .001) needs met. There was no distribution of 17 resources during the four street runs pre-itemized menu implementation, but these resources were requested and received by patients 71 times in the four street runs post-implementation.ConclusionsImplementing an itemized menu significantly improved the street medicine program's ability to meet unhoused patients' needs.

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