Housing Intervention For Medically Complex Families Associated With Improved Family Health: Pilot Randomized Trial
Housing Intervention For Medically Complex Families Associated With Improved Family Health: Pilot Randomized Trial
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DOI：
10.1377/hlthaff.2019.01569
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发表时间：
2020-04-01
期刊：
影响因子：
9.7
通讯作者：
Sandel, Megan T.
中科院分区：
文献类型：
--
作者：
Bovell-Ammon, Allison;Mansilla, Cristina;Sandel, Megan T.
住房不稳定和无家可归对儿童和成年人健康的影响已有详细记录。然而，很少有研究探讨了以改善健康为目标的对有子女家庭的保健和住房干预措施。住房处方作为医疗保健是一项随机对照试验，旨在调查与标准护理（提供资源指南和基于医院的社会工作或护理导航服务）相比，将优先安置在经济适用房和提供服务（病例管理，财务和法律的）对身心健康的影响。在2016-19年，78个无家可归或住房不稳定的家庭被定义为“医学复杂”-有一个儿童或成年成员使用比平时更多的医疗服务或患有慢性疾病或残疾-参加了试验，67个完成了6个月的随访。六个月时的差异分析显示，与对照组相比，干预组中健康状况一般或不佳的儿童比例以及父母的平均焦虑和抑郁评分有所下降。研究结果表明，一个特定人群的模式，整合健康，住房，法律的，社会服务，可以改善健康相关的结果在家庭层面。
The effects of housing instability and homelessness on child and adult health are well documented. However, few studies have explored health and housing interventions for families with children with the objective of health improvement. Housing Prescriptions as Health Care is a randomized controlled trial that is investigating the impact on physical and mental health of integrating priority placement in affordable housing and the provision of services (case management, financial, and legal), compared to the standard of care (providing resource guides and hospital-based social work or care navigation services). In 2016-19 seventy-eight homeless or housing-unstable families defined as "medically complex"-with a child or adult member who used more health services than usual or had a chronic disease or disability- were enrolled in the trial, and sixty-seven completed a six-month follow-up. A difference-in-differences analysis at six months showed decreases in the share of children in fair or poor health and in average anxiety and depression scores among parents in the intervention group, relative to the control group. Findings suggest that a population-specific model that integrates health, housing, legal, and social services can improve health-related outcomes at the household level.