退伍军人耳的康复服务需求和偏好:一种定性研究
Khaya D Clark1,2,3, Tara Zaugg1, Susan DeFrancesco4,5
1VA Rehabilitation Research & Development Service, National Center for Rehabilitative Auditory Research, VA Portland Health Care System (P5-NCRAR), Portland, Oregon.
Seminars in hearing
|February 19, 2024
概括
许多患有耳的退伍军人需要康复服务. 个性化和可访问的方法是改善参与和解决退伍军人卫生管理局 (VHA) 服务差距的关键.
科学领域:
- 听力学和耳鼻喉学
- 医疗保健服务研究 医疗服务研究
- 退伍军人健康 退伍军人的健康
背景情况:
- 耳是退伍军人中常见的疾病.
- 在退伍军人卫生管理局 (VHA) 中,对声康复服务的需求和可用性之间存在很大的差异.
- 了解退伍军人的需求和偏好对于改善服务提供至关重要.
研究的目的:
- 调查退伍军人中对声康复服务的需求和偏好.
- 确定影响退伍军人参与声康复的障碍和促进者的障碍.
- 探索获得耳服务的首选方式.
主要方法:
- 进行了半结构化的电话采访,对40名被诊断患有声的退伍军人进行了采访.
- 有目的的抽样确保了全国退伍军人事务 (VA) 用户的代表性,包括那些有和没有创伤性脑损伤 (TBI) 的用户.
- 用修改的基础理论方法分析了定性数据.
主要成果:
- 超过72%的受访退伍军人对声康复服务表示兴趣.
- 关于服务提供障碍,促进者和偏好 (例如,个人与团体,面对面与远程) 的关键主题出现了.
- 相当一部分退伍军人 (27.5%) 不太可能参加,这突显了需要量身定制的方法.
结论:
- 调查结果强调了影响退伍军人的需求,偏好和准备接受耳恢复的因素.
- 适应性和个性化的项目交付模式对于最大限度地提高退伍军人服务采用率至关重要.
- 解决这些因素可以帮助弥合VHA内耳治疗的差距.
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