A SAFE DC: A Conceptual Framework for Care of the Homeless Inpatient

作者：Best Jennifer A^*; Young Audrey

来源：Journal of Hospital Medicine, 2009, 4(6): 375-381.

DOI：10.1002/jhm.568

• care standardization
• continuity of care
• practice-based learning and improvement
• transition and discharge planning

Homeless patients suffer disproportionately from medical disease and from barriers to healthcare, affecting their likelihood of presentation, severity of disease, long-term outcomes, and mortality. In the hospital, homeless patients are frequently cared for by hospitalists. Homeless patients' unstable social situation may challenge usual systems of inpatient care and discharge. To provide more effective care for this group, it is important to recognize the demographics of the hospitalized homeless patient. We suggest a structured approach to the inpatient care of the unstably housed patient, represented by a simple mnemonic checklist "A SAFE DC," describing evidence-based adaptations of care, where available, and discussing systems-based approaches to discharge. Journal of Hospital Medicine 2009;4:375-381.

• 出版日期2009-8