A Community Partnership to House and Care for Complex Patients with Unstable Housing.
A Community Partnership to House and Care for Complex Patients with Unstable Housing.
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DOI：
10.1056/cat.21.0158
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发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Berchuck CM
中科院分区：
文献类型：
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作者：
Gondi S;Berchuck SI;Brown RT;Hinderlie M;Easton L;Smith L;Berchuck JE;Burden HS;Berchuck CM
无家可归者的增加，特别是老年人的无家可归者人数的增加，对我们的医疗保健系统产生了重大影响。与拥有稳定住房的人相比，无家可归的人往往健康状况更差，也更难获得所需的医疗保健。 Commonwealth Care Alliance (CCA) 是一家非营利性付款人和提供者，为具有医疗保险和医疗补助双重资格的人们提供健康计划，该联盟试图通过与当地社区住房组织 Hearth 合作解决受益人无家可归问题。这种伙伴关系使许多 CCA 成员获得了永久支持性住房，CCA 和 Hearth 可以在其中监控和满足他们的医疗、社会和行为需求。它还提供了一个机会来检查与永久支持性住房相关的医疗保健利用率和成本趋势。我们的经验表明，基于社区的伙伴关系可以有效解决具有重大医疗需求的老年人的无家可归问题，并且可能与减少医疗保健支出有关。
Rising homelessness, especially among older adults, has significant ramifications for our health care system. People experiencing homelessness tend to experience worse health and poorer access to needed health care than people with stable housing. Commonwealth Care Alliance (CCA), a not-for-profit payer and provider that offers health plans to people dually eligible for Medicare and Medicaid, sought to address homelessness among its beneficiaries through a partnership with a local community-based housing organization, Hearth. This partnership led to many CCA members gaining access to permanent supportive housing in a setting in which CCA and Hearth could monitor and address their medical, social, and behavioral needs. It also provided an opportunity to examine health care utilization and cost trends associated with permanent supportive housing. Our experience demonstrates that a community-based partnership can effectively address homelessness among older adults with significant medical needs and may be associated with reduced health care expenditures.