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Updated: Jun 11, 2025

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一个混合方法研究的VA视频连接的使用率在患有糖尿病的退伍军人体验住房的不稳定性在疫情期间的VA视频连接
Rebecca L Kinney1,2,3, Laurel A Copeland2, Jack Tsai1,4,5
1VA National Center on Homelessness Among Veterans, U.S. Department of Veterans Affairs, Washington, DC, USA.
Digital health
|October 9, 2024
概括
远程医疗,特别是VA视频连接 (VVC),改善了COVID-19大流行期间经历住房不稳定的退伍军人糖尿病护理的机会. 未来的努力应集中在教育和技术上,以提高VVC的利用率,并确保公平的护理.
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
- 远程医疗远程医疗
背景情况:
- 美国退伍军人事务部 (VA) 在COVID-19前运营着最大的远程医疗计划.
- 随着COVID-19大流行,VA扩大了远程医疗服务,以保持护理连续性和降低风险.
- 住房不稳定 (HI) 为退伍军人获得医疗保健,包括糖尿病管理,带来了独特的挑战.
研究的目的:
- 在COVID-19大流行期间,检查VA视频连接 (VVC) 在经历住房不稳定 (HI) 的退伍军人中用于糖尿病护理的利用情况.
- 在这个人群中确定与VVC使用相关的因素.
- 了解影响VVC采用糖尿病护理的障碍和促进者的障碍.
主要方法:
- 采用混合方法方法,将VA行政数据分析与半结构面试相结合.
- 多变量回归分析评估了与VVC使用相关的社会人口统计和临床特征.
- 与VA提供者和退伍军人的采访探索了对VVC的经验和看法.
主要成果:
- 在5904名符合条件的退伍军人中,女性,西班牙裔,已婚和VA优先组1的退伍军人更有可能使用VVC.
- 老年人和农村住房与较低的VVC利用率有关.
- 退伍军人指出,有限的个人护理可用性,安全问题和便利性是VVC使用的关键驱动因素.
结论:
- 远程医疗,特别是VVC,对于在疫情期间为HI的退伍军人维持糖尿病护理的准入至关重要.
- 未来的干预措施应优先加强教育和技术获取,以改善VVC的采用.
- 优化VVC整合到日常护理中对于确保所有退伍军人获得公平的机会至关重要.
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