探索退伍军人在VA社区护理网络中获得慢性疼痛治疗的经验
Krista L Scorsone1, Joseph W Frank2,3
1Regis University, Rueckert Hartman College for Health Professions, Denver, CO, USA. kscorsone@regis.edu.
Journal of general internal medicine
|September 16, 2024
概括
农村退伍军人发现,由于行政障碍,通过VA社区护理网络 (CCN) 获得慢性疼痛护理具有挑战性. 然而,一旦注册,他们重视当地获得各种疼痛管理选择和专业提供者的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 疼痛管理 疼痛管理
- 退伍军人健康的医疗服务
背景情况:
- 慢性疼痛对退伍军人产生重大影响,特别是农村地区的退伍军人面临着进入退伍军人事务 (VA) 医疗中心的障碍.
- VA社区护理网络 (CCN) 成立,旨在改善社区环境中获得护理的机会,包括慢性疼痛管理.
研究的目的:
- 探索农村退伍军人在VA CCN中接受慢性疼痛治疗的经验.
- 通过CCN识别与获得综合性疼痛管理相关的感知障碍,促进者和益处.
主要方法:
- 一项定性研究,采用半结构化采访,对十名在VA CCN注册的农村退伍军人进行慢性疼痛管理.
- 使用主题内容分析,从采访数据中确定主要主题.
主要成果:
- 退伍军人报告说,在批准过程中遇到困难,并在CCN中找到专门的疼痛管理提供者.
- 人们认为VA和社区提供者之间缺乏无沟通.
- 一旦注册,退伍军人赞赏当地提供者选择,及时预约,并获得更广泛的疼痛治疗,包括替代疗法.
结论:
- 简化CCN启动的行政流程对于改善退伍军人获得护理至关重要.
- 了解退伍军人的经验是加强VA CCN和促进VA和社区提供者之间更好的合作的关键.
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