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Necesidades de geriatría entre veteranos rurales de edad avanzada que reciben servicios virtuales de salud mental
Carter H Davis1, Amanda D Peeples2, Chalise Carlson1,3
1Geriatric Research, Education, and Clinical Center, VA Palo Alto Health Care System, Palo Alto, California, USA.
Resumen
Los veteranos rurales de edad avanzada enfrentan brechas significativas en el acceso a la medicina geriátrica y la atención especializada, incluso con servicios de telesalud de salud mental geriátrica (tele-GMH). La integración de estos servicios puede mejorar la coordinación de la atención y la calidad para los veteranos de edad avanzada.
Área de la Ciencia:
- Medicina Geriátrica
- Telesalud
- Administración de Salud para Veteranos (VHA)
Sus antecedentes:
- Los veteranos rurales de edad avanzada experimentan un acceso limitado a servicios especializados esenciales.
- Los servicios de telesalud de salud mental geriátrica (tele-GMH) tienen como objetivo cerrar esta brecha dentro de la VHA.
- Persisten brechas en la medicina geriátrica y especialidades relacionadas, lo que afecta la atención holística de los veteranos en la intersección de la salud mental y física.
Objetivo del estudio:
- Evaluar las necesidades insatisfechas de medicina geriátrica y servicios especializados relacionados entre los veteranos rurales de edad avanzada que utilizan tele-GMH.
- Identificar las barreras y los facilitadores para acceder a una atención integral para esta población.
Principales métodos:
- Se encuestó a 32 médicos de la VHA (25 que atienden a veteranos rurales) y se entrevistó a 11 médicos de tele-GMH.
- Se analizaron los datos de la encuesta utilizando estadísticas descriptivas y las entrevistas mediante análisis cualitativo rápido.
- Se examinaron los flujos de trabajo de los médicos de tele-GMH en relación con las 4 M de la atención amigable para la edad (Mentación, Medicamentos, Movilidad, Lo que importa).
Principales resultados:
- Los médicos que atienden a veteranos rurales informaron un acceso significativamente menor a geriatras (14,3%) en comparación con los que atienden a poblaciones mixtas (36,4%).
- El acceso a atención especializada adicional y servicios locales para personas mayores también fue limitado para los veteranos rurales.
- Los facilitadores incluyeron el conocimiento de los recursos por parte de los médicos, mientras que las barreras comprendieron la alta demanda, la geografía y la rotación de personal.
Conclusiones:
- La integración de la medicina geriátrica en los programas de tele-GMH es crucial para una atención médica integral y amigable para la edad.
- Esta integración optimiza la capacidad de la fuerza laboral de la VHA y mejora la coordinación de la atención dentro y fuera del sistema de la VHA.
Palabras clave:
atención amigable para la edadmedicina geriátricasalud mentalveteranos de edad avanzadatelesaludMás Videos Relacionados
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