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改善农村妇女获得初级保健的机会 退伍军人:促进团队
Jenny K Cohen1,2, Lindsey L Monteith3,4, Tara Stacker1
1United States Department of Veterans Affairs, San Francisco VHA Health Care System, Veterans Health Administration, San Francisco, CA, United States.
提升团队成功地通过远程医疗将农村的cisgender妇女和性别多样化的退伍军人与退伍军人健康管理服务连接起来. 这种临床医生主导的宣传解决了医疗保健准入差距,并改善了对性别敏感护理的参与.
科学领域:
- 获得医疗保健的机会.
- 远程医疗的干预措施
- 退伍军人医疗服务 退伍军人医疗服务
背景情况:
- 农村的cisgender妇女和性别多样化退伍军人面临的挑战是获得退伍军人卫生管理局 (VHA) 的服务.
- 需求评估确定了对可访问,性别敏感的医疗保健和对现有VHA妇女健康服务的教育的需求.
研究的目的:
- 创建和评估"提升团队",一个由临床医生驱动的远程医疗外展服务.
- 改善VHA系统内的农村cisgender妇女和性别多样化的退伍军人的医疗保健准入和参与.
主要方法:
- 在退伍军人综合服务网络 (VISN) 中进行了需求评估 (9/2021-2/2022).
- 部署了一项临床医生领导的试点外展干预 (3/2022),随后推出了一支正式的外展团队 (9/2022).
- 推广团队包括一名执业护士,安排员,同行支持专家和医疗主任.
主要成果:
- 在试点期间,58%的目标农村 cisgender 女性退伍军人与积极的经验联系.
- 正式团队在9/2022年至12/2022年期间联系了110名农村 cisgender 女性和性别多样化的退伍军人中的65人 (59%).
- 确定的需求包括护理协调,转诊,药物管理和诊断,这些都是团队解决的.
结论:
- 临床医生主导的远程医疗外展有效地使农村的cisgender妇女和性别多样化的退伍军人参与VHA服务.
- 显然需要更多的性别敏感的服务和系统层面的改进,以便在VHA内更好地协调护理.
- 使用实施科学策略的项目评估将为Boost计划的未来扩展和扩展提供信息.
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