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社区养老院计划监督:VA能否满足对社区护理的需求增长?
Cari Levy1,2, Kate H Magid1, Emily Corneau3
1Rocky Mountain Regional Veterans Affairs Medical Center, Denver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, Aurora, Colorado.
概括
美国退伍军人事务部社区养老院项目因地理分散而面临监督挑战. 改善信息交换和资源分配对于有效扩展该计划至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年医疗护理 医疗护理
- 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) 的社区养老院 (CNH) 计划监督在社区有技术的养老院中照顾退伍军人.
- 预计到2037年,使用CNH护理的退伍军人人数将增加80%,这凸显了需要可扩展的监督解决方案的需要.
研究的目的:
- 评估与VA医疗中心相关的VA承包社区养老院的地理分布.
- 在VA CNH计划中确定有效监督的挑战和促进者.
- 为提高CNH计划可扩展性和效率的战略提供信息.
主要方法:
- 对与养老院质量指标相关的设施距离数据的回顾性分析.
- 与CNH的员工和VA监督团队成员进行了定性采访.
- 整合定量和定性发现,以进行全面的解释.
主要成果:
- 很大一部分的CNH位于距离他们关联的VA医疗中心 (VAMC) 超过70英里的地方,其中44%的服务于2-5名退伍军人的退伍军人距离50英里以上.
- 在VA CNH监管中的关键主题包括团队参与的好处,地理分散的负担,人员限制,以及远程访问和EHR互操作性的潜力.
- 监督负担和有限的员工数量阻碍了该计划扩大和有效管理护理的能力.
结论:
- 成功扩展VA CNH计划需要加强信息交换和更好地调整资源与退伍军人的需求.
- 解决地理分散,人员限制和利用技术对于提高VA CNH计划的有效性和能力至关重要.
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