提升团队:改变农村社区女性退伍军人的外展服务
Jenny Krause Cohen1,2, Kara Zamora-Rogoski1, Caitlin McLean3
1United States Department of Veterans Affairs, San Francisco VA Health Care System, Veterans Health Administration, San Francisco, CA, United States.
Frontiers in health services
|August 13, 2025
概括
一个新的临床医生驱动的外展计划改善了农村女性退伍军人的医疗保健准入和参与. 该倡议还支持农村诊所的人员不足,增强对退伍军人卫生管理局 (VHA) 的信任.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
- 退伍军人卫生管理局 (VHA)
背景情况:
- 农村和性别协同促进女性退伍军人的健康状况不佳.
- 在获得及时和方便的医疗保健服务方面存在的障碍,不成比例地影响了这一群体.
- 退伍军人卫生管理局 (VHA) 试图通过创新的计划来解决这些差异.
研究的目的:
- 评估一项新的临床医生驱动的外展计划,针对农村女性退伍军人.
- 评估该计划对VHA内的医疗保健准入和参与的影响.
- 了解该计划对卫生系统领导人和农村VHA诊所工作人员的影响.
主要方法:
- 临床医生驱动的"提升团队"外展计划的混合方法质量改进评估.
- 执业护士 (NP) 在VHA系统中对543名女退伍军人进行了直接的外联电话.
- 对58名退伍军人进行了调查 (PEEAS),并采访了退伍军人 (n=21),卫生系统领导人 (n=11) 和诊所工作人员 (n=5).
主要成果:
- 宣传解决了关键需求,包括特殊护理转诊,健康维护和护理协调.
- 患者报告的数据显示,在所有测量类别中,对该计划的积极影响有强烈的共识.
- 退伍军人,领导和工作人员报告说,他们对VHA的信任增加,对农村诊所的支持非常重要.
结论:
- 临床医生驱动的外展有效地提高了农村女性退伍军人获得护理和参与的机会.
- 该计划为缺乏资源的农村VHA诊所提供了至关重要的支持.
- 未来的工作包括扩大该计划的覆盖范围,并确定最受益的特定退伍军人群体.
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