Redonda G Miller, Rhonda Smith Wright, C Ross Hatton, Diane Lepley, Kevin Lindamood
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引用次数: 0
Abstract
Housing instability has been shown to negatively impact physical and mental health, with a corresponding increase in health care utilization. In 2019, through a Maryland Medicaid 1115 Health Choice Waiver, 10 Baltimore city hospitals joined with the city of Baltimore and the local nonprofit Health Care for the Homeless to support an innovative program that provides permanent housing and wraparound services to individuals at risk of homelessness. Here, we describe the inception of the program and its subsequent expansion with the investment of the city hospitals. Participants in the program experienced a 48% reduction in all hospital visits and a 51% reduction in emergency department visits in the 12 months following their receipt of housing compared to the 12 months before enrollment. These data suggest the potential health benefits of housing and supportive services as an intervention.
事实证明，住房不稳定会对身心健康产生负面影响，并相应增加医疗保健的使用。2019 年，通过马里兰州医疗补助 1115 健康选择豁免计划，10 家巴尔的摩市立医院与巴尔的摩市和当地非营利组织无家可归者医疗保健组织（Health Care for the Homeless）联合支持一项创新计划，为面临无家可归风险的个人提供永久性住房和配套服务。在此，我们将介绍该计划的启动情况，以及在市立医院的投资下随后的扩展情况。与加入计划前的 12 个月相比，计划参与者在获得住房后的 12 个月内到医院就诊的人次减少了 48%，到急诊室就诊的人次减少了 51%。这些数据表明，住房和支持性服务作为一种干预措施，具有潜在的健康益处。
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