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74: How 'screen and refer' systems fail to help patients

First Opinion Podcast

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The Bridge to Nowhere Problem

People are often over screened and referred to what's called the bridge to nowhere. A few hospital systems that have made pretty deep investments in housing patients who are chronically homeless, literally going as far as to help fund and build the housing. Some studies at Boston University Medical Center where they've done a number of these evaluations suggest increases in depression. If you had the power in any hospital system to make these systems more useful for patients, what might that look like?

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