在VHA设施中进行燃烧坑注册考试的障碍和促进者
Patricia V Chen1,2, Israel C Christie1,2, Kyler M Godwin1,2
1Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA.
Military medicine
|May 9, 2024
概括
由于组织和人员问题,许多退伍军人健康管理局设施都难以提供空中危险和开放烧坑注册 (AHOBPR) 考试. 改进这些考试需要解决不清楚的责任,并提供更多的行政和医疗人员支持.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 军事医学 军事医学
背景情况:
- 退伍军人卫生管理局 (VHA) 在2014年建立了空中危害和开放烧坑注册表 (AHOBPR),以解决退伍军人暴露的担忧.
- 截至2021年,超过2.36万名退伍军人完成了注册问卷,其中60%要求考试,但只有12%的考试被记录.
- 本研究探讨了在VHA设施内提供AHOBPR考试的障碍和促进者.
研究的目的:
- 确定AHOBPR考试的关键绩效指标.
- 探索影响燃烧坑考试成功实施的障碍和促进因素.
- 为VHA设施提供经验教训,旨在提高AHOBPR考试完成率.
主要方法:
- 一个关键的绩效指标 (完成考试与分配考试的比率) 用于识别高绩效设施.
- 用分层有目的的抽样来选择各种设施进行面试.
- 快速定性方法分析了与关键人员关于他们考试管理流程的采访.
主要成果:
- 在129个VHA设施中,进行考试与分配的比例差异很大 (0.00到14.50).
- 确定的障碍包括不清楚的责任,有限的激励,相互竞争的关税和有限的资源.
- 辅导员包括内部辅导员,额外的员工支持和部门间协调.
结论:
- 在AHOBPR考试中存在的差距与组织问题有关,例如责任和人员不清楚.
- VHA设施需要加强行政和医疗人员,以提高AHOBPR考试率.
- 解决这些组织和人员挑战对于与空中危险暴露相关的更好的退伍军人护理至关重要.
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