PDF(Pubmed)
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.
摘要：
住房不稳定已被证明对身心健康产生负面影响，医疗保健利用率相应提高。2019年，通过马里兰州医疗补助1115健康选择豁免，10巴尔的摩市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”一起支持一项创新计划，该计划为有无家可归风险的个人提供永久性住房和环绕式服务。这里,我们描述了该计划的开始及其随后随着城市医院的投资而扩展的过程。与入学前12个月相比，该计划的参与者在收到住房后的12个月内，所有医院就诊次数减少了48％，急诊科就诊次数减少了51％。这些数据表明，住房和支持性服务作为干预措施具有潜在的健康益处。
