農村部の高齢退役軍人を対象とした仮想メンタルヘルスサービスにおける老年医学のニーズ
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.
まとめ
農村部の高齢退役軍人は、テレ老年精神衛生(tele-GMH)サービスを利用していても、老年医学および専門ケアへのアクセスに大きなギャップがある。これらのサービスを統合することで、高齢退役軍人のケア調整と質を向上させることができる。
科学分野:
- 老年医学; 遠隔医療; 退役軍人保健管理(VHA)
背景:
- 農村部の高齢退役軍人は、必須の専門サービスへのアクセスが限られている。; Tele-geriatric mental health (tele-GMH) サービスは、VHA内でこのギャップを埋めることを目的としている。; 老年医学および関連専門分野におけるギャップは依然として存在し、退役軍人のメンタルヘルスと身体的健康の交差点における全体的なケアに影響を与えている。
主な方法:
- 32人のVHA臨床医(農村部の退役軍人を担当する25人)を調査し、11人のtele-GMH臨床医にインタビューした。; 記述統計を用いた調査データの分析と、迅速な質的分析によるインタビューを実施した。; 4Ms(メンテーション、投薬、移動、何が重要か)のエイジフレンドリーケアに関連して、tele-GMH臨床医のワークフローを調査した。
結論:
- tele-GMHプログラムへの老年医学の統合は、質の高い、エイジフレンドリーなヘルスケアにとって不可欠である。; この統合は、VHAワークフォースの能力を最適化し、VHAシステム内外のケア調整を強化する。
関連する概念動画
Stress and Mental Health
954
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
954
Virtual Work
1.4K
The principle of virtual work states that if a body is in static and dynamic equilibrium, then the sum of all the virtual work done by all external forces and couple moments for any given virtual displacement must be zero.
In static equilibrium, a body can experience an imaginary or virtual movement, such as displacement or rotation. The virtual work done by a force is equal to the dot product of force and virtual displacement in the direction of the force. When it comes to virtually rotating a...
In static equilibrium, a body can experience an imaginary or virtual movement, such as displacement or rotation. The virtual work done by a force is equal to the dot product of force and virtual displacement in the direction of the force. When it comes to virtually rotating a...
1.4K
Drug Dosing: Geriatric Patients
278
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
278
Receiver Operating Characteristic Plot
489
A ROC (Receiver Operating Characteristic) plot is a graphical tool used to assess the performance of a binary classification model by illustrating the trade-off between sensitivity (true positive rate) and specificity (false positive rate). By plotting sensitivity against 1 - specificity across various threshold settings, the ROC curve shows how well the model distinguishes between classes, with a curve closer to the top-left corner indicating a more accurate model. The area under the ROC curve...
489
Higher Mental Functions of the Brain: Language
3.9K
Language is a system of communication that allows the expression of thoughts, ideas, and feelings. The brain processes language in both hemispheres.
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
3.9K
Primary Healthcare Services
2.2K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.2K


