Patient views on emergency department screening and interventions related to housing.
Patient views on emergency department screening and interventions related to housing.
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DOI：
10.1111/acem.14442
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发表时间：
2022-05
期刊：
影响因子：
--
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中科院分区：
文献类型：
--
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EDS作为一种医疗“安全网”，可能特别适合于筛查和解决患者未得到满足的社会需求。我们的目标是更好地了解患者对基于ED的筛查和与住房不稳定相关的干预措施的看法，以此作为改进未来努力的一步。我们通过对过去六个月中无家可归的ED患者进行深入的一对一访谈，展示了定性研究的结果。定性受访者被问及他们对教育署工作人员的看法，询问并帮助解决无家可归和住房问题。采访是专业的逐字转录的。多名编码员确定了侧重于基于ED的住房筛查和干预的访谈文本片段，然后对这些片段进行独立的主题分析和讨论，以达成共识。研究人员还将每个参与者对ED住房筛查和干预的总体意见归类为积极、中性或消极。对31名患者进行了定性访谈。与以ED为基础的住房筛查和干预措施有关的四个主题出现了：1)患者普遍欢迎ED工作人员/提供者询问和协助他们的住房情况，并在隐私和尊重方面给予警告；2)ED关于住房的对话除了解决未得到满足的住房需求外，还有潜在的好处；3)患者可能不会将ED视为寻求住房帮助的网站；4)患者使用现有住房服务的经历可以为ED提供最佳方法。大部分参加者对急症室职员/提供者询问病人的住屋情况表示整体正面的意见。研究参与者普遍对ED的住房筛查和干预措施持积极态度。这项研究的见解可以为未来基于ED的住房不稳定筛查和干预提供参考。
EDs serve as a healthcare “safety net” and may be uniquely suited to screening for and addressing patients’ unmet social needs. We aimed to better understand patient perspectives on ED-based screening and interventions related to housing instability, as a step toward improving future efforts. We present findings from a qualitative study using in-depth, one-on-one interviews with ED patients who had become homeless in the past six months. Qualitative interviewees were asked their thoughts on ED staff asking about and helping to address homelessness and housing issues. Interviews were professionally transcribed verbatim. Multiple coders identified interview text segments focused on ED-based housing screening and intervention, which were then independently analyzed thematically and discussed to reach consensus. Researchers also categorized each participant’s overall opinion on ED housing screening and interventions as positive, neutral, or negative. Qualitative interviews were conducted with 31 patients. Four themes related to ED-based housing screening and interventions emerged: 1) patients generally welcome ED staff/providers asking about and assisting with their housing situation, with caveats around privacy and respect; 2) ED conversations about housing have potential benefits beyond addressing unmet housing needs; 3) patients may not consider the ED as a site to obtain help with housing; 4) patients’ experiences navigating existing housing services can inform best approaches for the ED. Most participants expressed overall positive views of ED staff/providers asking patients about their housing situation. Study participants generally felt positively about screening and interventions for housing in the ED. Insights from this study can inform future ED-based housing instability screening and interventions.
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