通过远程医疗扩大对综合老年评估的访问:发展混合虚拟家庭访问
Cathy C Schubert1,2, Lauren S Penney3,4,5, Ashley L Schwartzkopf3,6,7
1Geriatrics and Community Service, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.
Journal of general internal medicine
|January 16, 2024
概括
混合虚拟家庭访问模型TeleGRACE成功扩大了远程退伍军人的老年护理服务. 这种创新方法克服了远程医疗,虚拟考试和团队集成方面的挑战,改善了医疗保健的提供.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 远程医疗创新 远程医疗创新
背景情况:
- 老龄化的退伍军人人口需要扩大获得基于证据的老年护理的机会.
- 老年人评估和照顾老年人医疗资源 (GRACE) 计划在有限的半径内提供家庭护理.
- 需要扩大VA-GRACE的地理范围导致开发TeleGRACE,一种混合虚拟家庭访问模型.
研究的目的:
- 在TeleGRACE的实施前开发过程中记录挑战和解决方案.
- 通过案例说明混合虚拟模型的潜在好处.
- 评估将面对面的节目转换为混合虚拟格式的可行性.
主要方法:
- 一个使用纵向定性数据收集的质量改进项目.
- 混合虚拟家庭访问涉及患者家中的远程医疗技术人员远程连接到VA-GRACE团队.
- 数据是通过员工反思,现场笔记,团队会议笔记和对VA-GRACE团队成员的采访收集的.
主要成果:
- 需要解决问题的关键领域包括远程医疗连接,虚拟体检,协议,员工培训和团队集成.
- 开发了具体的解决方案,例如优化远程医疗耳语镜以实现远程听觉.
- 案例示例表明,TeleGRACE能够及时为那些可能遇到进入障碍的患者提供护理.
结论:
- 混合虚拟家庭访问模型为扩大老年护理服务提供了一个可行的蓝图.
- TeleGRACE成功地解决了实施虚拟家庭护理模式的挑战.
- 这种方法增强了对地理上孤立的高风险退伍军人的综合老年评估和持续护理.
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