农村原住民退伍军人在导航员计划开发背景下对护理的看法
Lori L Jervis1, Keith Kleszynski2, Gloria TallBull3
1Department of Anthropology and Center for Applied Social Research, University of Oklahoma, Norman, OK, USA. lori.jervis@ou.edu.
农村原住民退伍军人面临着很大的障碍,无法获得退伍军人卫生管理局 (VHA) 的护理. 一个新的患者导航计划应该解决这些障碍,包括安排,成本和与部落卫生系统的护理协调.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 土著健康土著健康
- 退伍军人事务 退伍军人事务
背景情况:
- 美国印第安人和阿拉斯加原住民 (AI/AN) 在军队中服役的比例很高.
- 退伍军人经历的医疗保健差异,加剧了退伍军人卫生管理局 (VHA) 内的访问和导航障碍.
- 为了应对这些挑战,VHA正在为农村原住民退伍军人开发一个患者导航计划.
研究的目的:
- 从农村原住民退伍军人的角度了解VHA护理的障碍.
- 为制定一个针对农村原住民退伍军人量身定制的VHA患者导航计划提供信息.
主要方法:
- 与34名参与者进行了半结构面试.
- 参与者包括22名退伍军人,6名家庭成员和6名退伍军人倡导者.
- 参与者来自美国各地的9个部落社区.
主要成果:
- 发现的关键障碍包括感知到的护理短缺,长途旅行和成本,以及官僚问题 (糟糕的客户服务,安排延误).
- 许多退伍军人更喜欢印度卫生服务 (IHS) /部落医疗保健,因为近距离,简单和质量.
- 参与者推了导航程序的功能,例如注册和安排援助,文书支持,费用补偿和护理协调.
结论:
- 农村原住民退伍军人需要明确的利益来克服VHA访问障碍.
- 一个患者导航程序应该包含具体的建议,以提高VHA利用率.
- 解决已识别的障碍对于改善原住民退伍军人获得医疗保健和协调至关重要.
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