美国退伍军人卫生管理局的COVID-19后综合征临床途径
Claudia L Campos1,2, Cristina Nguyen3, Kristina Crothers4,5
1W.G. (Bill) Hefner Salisbury Department of Veterans Affairs Medical Center, Salisbury, NC.
Journal of clinical pathways : the foundation of value-based care
|June 26, 2023
概括
退伍军人卫生事务部开发了临床途径,以管理退伍军人的呼吸障碍和咳等长期COVID-19后症状. 这指导了初级保健,并通过远程医疗改善了通过远程医疗获得护理的机会.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 临床实践指南 临床实践指南
背景情况:
- 退伍军人卫生事务部 (VHA) 在全国范围内建立了22家COVID-19后诊所.
- 越来越多的退伍军人经历了COVID-19感染后的长期后果.
- 针对COVID-19后综合征 (PCS) 的基于证据的治疗方法仍在研究中.
研究的目的:
- 建立和传播用于管理PCS的临床途径 (CPW).
- 为指导初级保健临床医生治疗与PCS相关的呼吸障碍和/或咳的退伍军人提供指导.
- 为了规范护理,改善健康结果,并优化VHA内部的资源利用.
主要方法:
- 总结了初级保健的逐步诊断方法.
- 强调使用远程咨询来远程访问患者.
- 包括远程康复,以扩大专业服务的覆盖范围.
主要成果:
- VHA CPW提供了一个结构化的方法来诊断和管理PCS.
- 远程医疗战略被认为是克服地理和后勤障碍的关键.
- 这些途径旨在标准化为经历持续后COVID-19症状的退伍军人提供护理.
结论:
- 开发的临床途径为管理COVID-19后综合征的退伍军人提供了一种标准化的方法.
- 远程医疗和远程康复对于公平获得护理至关重要,特别是对于农村或行动障碍退伍军人来说.
- 这个倡议支持改善健康结果,为复杂的患者群体提供高效的医疗保健服务.
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