基于医院的暴力干预项目1年试点的基线需求评估

Nathan Foje, A. Raposo-Hadley, Ashley Farrens, J. Burt, C. Evans, Z. Bauman, Gaylene S. Armstrong, M. Foxall, Julie D. Garman
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引用次数: 0

摘要

本研究的目的是测量和描述基于医院的暴力干预1年试点项目的基线参与者需求,根据项目实施导致的医疗保险覆盖范围变化评估预期医院收入的差异,并讨论项目的局限性。方法:在2020年9月至2021年9月期间,Encompass Omaha招募了36名参与者。对1199份进度记录进行了内容分析,详细说明了与参与者的联系点,以确定目标状态。目标被分类,目标状态被定义为满足、过程中、放弃或参与者拒绝。结果:最常见的需求是帮助获得短期残疾援助或完成FMLA文书工作(86.11%)、即时经济援助(86.111%)、法律援助(83.33%)、获得食物(83.3%),以及处理住院主要原因以外的医疗问题(83.33%)。结论:满足参与者的短期需求对于保持他们的长期参与至关重要。此外,研究了试点参与者与对照组相比预期医院收入的差异,该分析发现,项目参与者的医疗和设施成本有所降低。试点阶段突显了暴力受害者的需求和待遇是多么复杂。随着该项目的发展,其工作人员对社会工作、治疗和资源获取过程的了解越来越多,该项目将继续改进。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Baseline Needs Assessment for a Hospital-Based Violence Intervention Program 1-Year Pilot
The objectives of the present study were to measure and describe the baseline participant needs of a hospital-based violence intervention 1-year pilot program, assess differences in expected hospital revenue based on changes in health insurance coverage resulting from program implementation and discuss the program’s limitations. Methods: Between September 2020 and September 2021 Encompass Omaha enrolled 36 participants. A content analysis of 1199 progress notes detailing points of contact with participants was performed to determine goal status. Goals were categorized and goal status was defined as met, in process, dropped, or participant refusal. Results: The most frequently identified needs were help obtaining short-term disability assistance or completing FMLA paperwork (86.11%), immediate financial aid (86.11%), legal aid (83.33%), access to food (83.3%), and navigating medical issues other than the primary reason for hospitalization (83.33%). Conclusions: Meeting the participants’ short-term needs is critical for maintaining their engagement in the long-term. Further, differences in expected hospital revenue for pilot participants compared with a control group were examined, and this analysis found a reduction in medical and facility costs for program participants. The pilot stage highlighted how complex the needs and treatment of victims of violence are. As the program grows and its staff become more knowledgeable about social work, treatment, and resource access processes, the program will continue to improve.
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