在退伍军人中采用和持续使用初级保健视频访问,这些退伍军人使用VA视频支持平板电脑
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Updated: Jul 4, 2025
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Video Movement Analysis Using Smartphones ViMAS: A Pilot Study
Published on: March 14, 2017
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Zainub Dhanani1, Jacqueline M Ferguson2,3, James Van Campen2
1Department of Health Policy, Stanford University School of Medicine, 290 Campus Dr, Stanford, CA, 94305, USA. zdhanani@stanford.edu.
Journal of medical systems
|January 30, 2024
概括
美国退伍军人事务部 (VA) 的平板电脑计划改善了许多退伍军人的视频初级保健服务. 然而,那些住房不稳定或精神健康状况不佳的人不太可能采用它,突出了针对性干预的需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 远程医疗远程医疗
- 退伍军人卫生管理局退伍军人卫生管理局
背景情况:
- 美国退伍军人事务部 (VA) 扩大了平板电脑的分发,以改善退伍军人获得虚拟护理的机会.
- 了解影响采用和持续使用基于视频的初级保健的因素对于优化远程医疗计划至关重要.
研究的目的:
- 检查与采用和持续使用基于视频的初级保健的退伍军人接受VA发行的平板电脑相关的患者特征.
- 确定影响视频初级保健访问概率和率的社会人口统计学和临床因素.
主要方法:
- 在2020年3月11日至2020年9月10日期间接受VA发行的药片的36,077名退伍军人的回顾性队列研究.
- 用通用线性模型来评估与基于视频的初级保健采用和六个月的持续使用相关的因素.
- 分析包括社会人口统计数据,临床病史和VA入学标准.
主要成果:
- 69%的退伍军人至少进行了一次视频访问,24%的退伍军人在六个月内进行一次初级保健视频访问.
- 住房不稳定,精神健康状况不佳或低收入状态的退伍军人不太可能采用视频初级保健.
- 老年退伍军人和患有心理健康状况的人更持续地使用视频初级保健,而农村,年龄,种族,种族和残疾状况并没有显著影响采用.
结论:
- 美国退伍军人局的平板电脑计划成功支持许多退伍军人获得视频初级保健服务,包括那些有复杂需求的人.
- 在弱势群体中观察到收养的差异,表明需要量身定制的干预措施.
- 虽然最初的吸收可能需要有针对性的支持,但在不同的退伍军人团体中,持续使用似乎是可行的,这表明采用和保留的不同策略.
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