在COVID-19期间通过多层次伙伴关系改善退伍军人批准的无家可归营地
Matthew McCoy1, Ippolytos Kalofonos1, Lisa Altman1
1Center for the Study of Healthcare Innovation, Implementation and Policy, Health Services Research & Development (McCoy, Kalofonos, Altman, Gelberg, Lynch, Clair, Nazinyan, Gabrielian), Office of Healthcare Transformation and Innovation (Altman, Gelberg, Capone-Newton), Community Engagement and Reintegration Service (Santini, Daugharty), and Mental Health Intensive Case Management (DeFraites), U.S. Department of Veterans Affairs (VA) Greater Los Angeles Healthcare System, Los Angeles; University of California, Los Angeles (UCLA)-VA Center of Excellence for Training and Research in Veteran Resilience and Recovery, Los Angeles (McCoy, Kalofonos, Clair, Nazinyan, Gabrielian); AltaMed Health Services, Los Angeles (Lynch); VA New Mexico Healthcare System, Albuquerque, New Mexico (McGahran); Departments of Preventive Medicine (Capone-Newton) and Psychiatry and Biobehavioral Sciences (DeFraites), David Geffen School of Medicine, UCLA, Los Angeles.
一个退伍军人-临床医生合作伙伴关系在COVID-19期间改善了无家可归的营地护理. 吸引员工和退伍军人反解决了挑战,导致更好的医疗保健服务和退伍军人参与委员会.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 无家可归问题研究 无家可归问题研究
背景情况:
- 由于COVID-19的流行,需要为弱势群体提供创新的解决方案.
- 无家可归者营地对获得和质量的医疗保健提出了独特的挑战.
- 现有的医疗保健模式需要调整以满足无家可归的退伍军人的需求.
研究的目的:
- 描述退伍军人-临床医生-研究人员伙伴关系 (CTRS) 的实施,以改善COVID-19时代无家可归者营地的质量.
- 识别和解决CTRS计划定义目标和质量指标的挑战.
- 评估多层次伙伴关系对营地内的医疗保健服务的影响.
主要方法:
- 建立了护理,治疗和康复服务 (CTRS),作为退伍军人,临床医生和研究人员之间的合作伙伴关系.
- 促进了与前线社会工作,同行工作人员和居住在营地的退伍军人的合作.
- 纳入员工 (N=11) 和退伍军人 (N=21) 的反,以解决有关计划目标和质量指标的不同担忧.
主要成果:
- 在美国退伍军人事务部批准的营地内,成功提高了医疗保健服务的质量.
- 通过包容性反来解决与定义计划目标和质量指标相关的初始挑战.
- 建立一个营地医疗队伍,为现场综合医疗服务提供服务.
- 设立退伍军人参与委员会,以提供持续的反和指导.
结论:
- 涉及临床医生,研究人员,工作人员和退伍军人的多层次合作伙伴关系对于改善具有挑战性的环境中的护理是有效的.
- 以退伍军人为中心的反对于克服实施障碍和改善医疗保健服务至关重要.
- CTRS模型展示了一种成功的方法,即在无家可归者营地内提供综合医疗保健,在流行病背景之外具有适应性.
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