使用RE-AIM框架来评估国家远程皮肤病学扩张
Rebecca P Lamkin1, Sara B Peracca2, George L Jackson3,4
1Center for Healthcare Organizational and Implementation Research (CHOIR), VA Boston Healthcare System, Veterans Health Administration, United States Department of Veterans Affairs, Boston, MA, United States.
Frontiers in health services
|November 8, 2023
概括
有针对性的资金显著促进了农村退伍军人使用远程皮肤病学,增加了患者接触和获得皮肤病学服务的机会. 持续的支持和培训是持续计划成功和改善护理的关键.
科学领域:
- 数字健康数字健康
- 远程医疗远程医疗
- 皮肤病学 皮肤病学
背景情况:
- 在美国退伍军人事务部 (VA) 内的远程皮肤学使用历史上面临着广泛采用的挑战.
- 自2017年以来,VA的倡议旨在通过异步远程皮肤病学改善农村退伍军人的皮肤病治疗机会.
- 本次评估重点关注该倡议的第二个队列 (FY2020-2022),检查了六个VA设施和54个转诊诊所.
研究的目的:
- 评估一项旨在加强农村退伍军人远程皮肤病学服务的VA倡议的影响.
- 评估远程皮肤病学计划的覆盖范围,有效性,采用,实施和维护.
- 了解三个财政年度专用资金的远程皮肤病学活动的变化.
主要方法:
- 采用混合方法方法,利用设施在线报告和VA行政数据.
- 该RE-AIM (覆盖范围,有效性,采用,实施,维护) 框架指导了评估.
- 从资助期 (FY2020-2022) 的数据与倡议开始前的基准年进行了比较.
主要成果:
- 与基线相比,远程皮肤学接触增加了100%,患者覆盖率增加了62%.
- 通过远程皮肤病治疗的皮肤病治疗比例在资助机构上升至16%,超过全国平均水平.
- 有效性显示皮肤病学计划可用性有所改善 (83%与71%的场所相比),并通过继续为员工和设备提供资金支持实施.
结论:
- 有针对性的资金成功地扩大了农村退伍军人的远程皮肤学覆盖范围,采用和实施,提高了获得护理的机会.
- 计划指导,人员配置和培训对于最大限度地提高远程皮肤病学举措的影响至关重要.
- 保持成功需要持续努力,以促进初级保健和皮肤病提供者之间的沟通.
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