Journal of general internal medicine · 2022
Health Impact of Street Sweeps from the Perspective of Healthcare Providers.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Qi Diane, Abri Kamran, Mukherjee M Rani, Rosenwohl-Mack Amy, Khoeur Lina, Barnard Lily, Knight Kelly Ray
Аннотация
BACKGROUND: Homeless street sweeps are frequent operations in many cities in the USA in which government agencies move unhoused people living in public outdoor areas. Little research exists on the health impact of street sweeps operations.
OBJECTIVE: This study was created at the request of community advocacy groups to investigate and document the health impacts of street sweeps from the perspective of healthcare providers.
DESIGN: This is a qualitative study using data gathered from open-ended questions.
PARTICIPANTS: We recruited 39 healthcare providers who provided health and wellness services in San Francisco for people experiencing homelessness (PEH) between January 2018 and January 2020.
INTERVENTIONS: We administered a qualitative, open-ended questionnaire to healthcare providers using Qualtrics surveying their perspectives on the health impact of street sweeps.
APPROACH: We conducted qualitative thematic analysis on questionnaire results.
KEY RESULTS: Street sweeps may negatively impact health through two outcomes. The first outcome is material loss, including belongings and medical items. The second outcome is instability, including geographic displacement, community fragmentation, and loss to follow-up. These outcomes may contribute to less effective management of chronic health conditions, infectious diseases, and substance use disorders, and may increase physical injuries and worsen mental health. Providers also reported that sweeps may negatively impact the healthcare system by promoting increased usage of emergency departments and inpatient hospital care.
CONCLUSIONS: Sweeps may have several negative consequences for the physical and mental health of the PEH community and for the healthcare system.
OBJECTIVE: This study was created at the request of community advocacy groups to investigate and document the health impacts of street sweeps from the perspective of healthcare providers.
DESIGN: This is a qualitative study using data gathered from open-ended questions.
PARTICIPANTS: We recruited 39 healthcare providers who provided health and wellness services in San Francisco for people experiencing homelessness (PEH) between January 2018 and January 2020.
INTERVENTIONS: We administered a qualitative, open-ended questionnaire to healthcare providers using Qualtrics surveying their perspectives on the health impact of street sweeps.
APPROACH: We conducted qualitative thematic analysis on questionnaire results.
KEY RESULTS: Street sweeps may negatively impact health through two outcomes. The first outcome is material loss, including belongings and medical items. The second outcome is instability, including geographic displacement, community fragmentation, and loss to follow-up. These outcomes may contribute to less effective management of chronic health conditions, infectious diseases, and substance use disorders, and may increase physical injuries and worsen mental health. Providers also reported that sweeps may negatively impact the healthcare system by promoting increased usage of emergency departments and inpatient hospital care.
CONCLUSIONS: Sweeps may have several negative consequences for the physical and mental health of the PEH community and for the healthcare system.