Homeless and Housed Inpatients with Schizophrenia: Disparities in Service Access upon Discharge from Hospital
Homeless and Housed Inpatients with Schizophrenia: Disparities in Service Access upon Discharge from Hospital
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DOI：
10.1007/s11469-012-9392-3
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发表时间：
2012-10-01
影响因子：
8
通讯作者：
Stergiopoulos, Vicky
中科院分区：
文献类型：
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作者：
Burra, Tara A.;Hwang, Stephen W.;Stergiopoulos, Vicky
本研究调查了无家可归者和住院精神病患者出院时可获得的服务的差异。被诊断患有精神分裂症或分裂情感障碍的参与者是从综合医院精神病住院部招募的。 30 名无家可归者和 21 名被安置的对照者（诊断、性别和年龄相匹配）完成了问卷调查和临床访谈。有关出院服务的数据是从电子健康记录中提取的。使用逻辑回归模型检查与获得服务相关的因素。尽管与被收容的参与者住院时间相似，但无家可归的参与者在出院时接受家庭医生门诊随访、强化病例管理、积极的社区治疗、收入支持或处方药保险的可能性明显较低。尽管住院治疗为减少无家可归者获得健康和社会服务的障碍提供了机会，但我们的结果显示，无家可归者在出院时仍然存在不平等现象。
This study examines differences in services available at the time of discharge for homeless and housed psychiatric inpatients. Participants diagnosed with schizophrenia or schizoaffective disorder were recruited from a general hospital psychiatric inpatient unit. Thirty homeless individuals and 21 housed controls (matched for diagnosis, gender, and age) completed a questionnaire and clinical interview. Data on discharge services were extracted from the electronic health record. Factors associated with access to services were examined using logistic regression models. Despite a similar duration of hospitalization to housed participants, homeless participants were significantly less likely to have outpatient follow-up with a family physician, intensive case management, assertive community treatment, income support or prescription drug coverage at the time of discharge from hospital. Although inpatient hospitalization presents an opportunity to reduce homeless people's barriers to accessing health and social services, our results show inequities for homeless people persist at the time of discharge.